VitalCaring Group
Care Transition Navigator
Allen,Texas, United States
Sponsorship not specifiedDetected 1 day ago
EHR/EMRPatient CareCommunicationCritical ThinkingTime ManagementMentoringAdaptability
About the role
- The Care Transition Navigator plays a critical role in ensuring safe, seamless transitions from the hospital to home health care.
- This position works directly within assigned hospital systems, partnering with case managers, physicians, patients, and families to coordinate care, reduce readmissions, and improve patient outcomes.
Responsibilities
- Partner with case managers and physicians to develop and execute safe, patient-centered transition plans
- Build strong, trusted relationships with hospital partners through consistent communication and follow-through
- Collaborate with internal teams and support initiatives focused on improving outcomes and reducing readmissions
- Drive Innovation.
- Deliver Impact
Requirements
- Strong understanding of patient care transitions, discharge planning, or post-acute services
- Excellent communication skills with the ability to engage patients, families, and clinicians effectively
- Proficiency with EMR systems and basic computer applications
Nice to have
- Background working within hospital systems (case management, discharge planning, or bedside coordination)
- Knowledge of CMS guidelines and readmission reduction strategies
- Familiarity with Homecare Homebase (HCHB) or similar EMR systems
- High-touch, patient-facing position requiring strong interpersonal and clinical communication skills
- Fast-paced environment requiring adaptability, critical thinking, and proactive follow-through
- Performance expectations tied to both patient outcomes and successful care transitions/admissions
- Requires strong time management to balance hospital coordination, patient interaction, and docu
- Work Environment & Expectations
Compensation
- Competitive Pay & Benefits – Be rewarded for your dedication and expertise with a compensation package that truly reflects your value.
Benefits
- As a key player in a forward-thinking healthcare organization, you'll represent innovative solutions that truly make a difference for patients and families - today and into the future
- Make a Meaningful Impact - Help patients and families navigate their healthcare journey with compassion and dignity.
- Competitive Pay & Benefits - Be rewarded for your dedication and expertise with a compensation package that truly reflects your value.
- Our benefits are thoughtfully designed to support your well-being-offering the flexibility, security, and resources you need to thrive both at work and in life.
- Drive timely admissions by coordinating referrals and ensuring smooth handoffs into home health services
- home health or post-acute experience preferred
- Experience in healthcare coordination, case management, clinical care, or hospital-based roles
- Demonstrated ability to build relationships with healthcare providers and interdisciplinary teams
Company info
- Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.
- What Sets Us Apart?
- Drive Innovation. Deliver Impact - Join a mission-driven team where your work directly contributes to advancing patient care. As a key player in a forward-thinking healthcare organization, you'll represent innovative solutions that truly make a difference for patients and families - today and into the future
- Thrive in a Supportive Team - Work with a team who genuinely care and invest in your success.
- Grow Your Career - Take advantage of advanced training, mentorship, and career development opportunities.
- Competitive Pay & Benefits - Be rewarded for your dedication and expertise with a compensation package that truly reflects your value. Our benefits are thoughtfully designed to support your well-being-offering the flexibility, security, and resources you need to thrive both at work and in life. We celebrate success at every level, with meaningful recognition for both individual contributions and team achievements.
- Serve as the primary liaison between hospital teams, patients, and VitalCaring clinicians to ensure seamless transitions from hospital to home
- Conduct bedside assessments to identify clinical needs, risk factors, and barriers to successful discharge
- Complete post-discharge follow-up within 48 hours and ensure timely primary care coordination
- Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country.
- We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.
- Care Transition Navigator (CTN) - Home Health
- Field-Based | Hospital-Focused | Patient Transition & Care Coordination
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This listing is sourced directly from VitalCaring Group's careers page and normalized into a canonical job model.