Care Navigator

Touchstone Communities; San Antonio (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Touchstone Communities is seeking a Care Navigator to guide residents and families through admissions, care planning, and discharge transitions. You will coordinate with referral sources, hospitals, physicians, and the care team to ensure a smooth transition into the community and continuity of care upon discharge.

The ideal candidate combines clinical knowledge with strong communication and care coordination skills to support positive outcomes and efficient operations in a skilled nursing

Qualifications

• Clinical degree or licensure required or relevant clinical credential.
• Experience in admissions and care coordination with documentation review.
• Familiarity with Medicare/Medicaid and reimbursement processes is preferred.
• Proficient with EMR/EHR systems and healthcare technology.

Responsibilities

• Coordinate admissions, care planning, and discharge transitions.
• Serve as liaison between residents, families, referral sources, and care teams.
• Lead pre-admission assessments and ensure timely communication across departments.
• Support post-discharge resources and transition planning.

Skills

Care coordination

EMR/EHR proficiency

Analytical skills

Organizational skills

Communication

Decision making

Education

Associate's or Bachelor's degree in a clinical field

Tools

EMR/EHR systems

Job description

Care Navigator- Skilled Nursing at La Vernia and Pleasanton, TX

Make a Difference in Every Transition of Care

Are you passionate about guiding patients and families through complex healthcare journeys? We are seeking a dedicated and highly organized Care Navigator to join our team. In this critical role, you will serve as the bridge between referral sources, residents, families, and interdisciplinary teams, ensuring a seamless transition into and out of our community while delivering an exceptional care experience.

The ideal candidate combines strong clinical knowledge with outstanding communication, problem-solving, and care coordination skills to support positive resident outcomes and operational excellence.

What You'll Do

As a Care Navigator, you will play a key role in coordinating admissions, care planning, and discharge transitions by:

Admissions & Care Coordination

• Lead the admission process from initial referral through resident acceptance and move-in.
• Review and assess medical records, clinical documentation, and care needs to determine appropriate placement.
• Collaborate with referral sources, hospitals, physicians, residents, and families to ensure smooth transitions of care.
• Ensure comprehensive pre-admission assessments are completed accurately and timely.
• Serve as a central point of communication between residents, families, caregivers, and the interdisciplinary care team.
• Communicate critical resident information to clinical and operational departments to support exceptional care delivery.
• Partner with direct care staff and leadership to ensure resident needs are understood and addressed effectively.
• Coordinate safe and effective discharge plans that promote continuity of care and successful recovery.
• Identify and arrange appropriate post-discharge resources, services, and support systems.
• Provide education and guidance to residents and families to facilitate a smooth transition home or to the next level of care.

Quality & Performance Excellence

• Participate as an active member of the Quality Assurance and Performance Improvement (QAPI) Committee.
• Support organizational goals and key performance indicators, including Balanced Scorecard initiatives.
• Contribute to continuous improvement efforts that enhance resident outcomes and satisfaction.

What We're Looking For

Required Qualifications

• Associate's or Bachelor's degree in a clinical field, or relevant clinical credential/licensure.
• Strong experience in:
  • Admissions and care coordination
  • Medical record review and clinical assessments
  • Healthcare reimbursement and payer requirements
  • Utilization management
  • Discharge planning and transition management
• Proficiency with healthcare technology and electronic medical records (EMR/EHR) systems.
• Strong analytical, organizational, and decision-making abilities.
• Ability to prioritize effectively and thrive in a fast-paced healthcare environment.
• Excellent communication and interpersonal skills.

Preferred Skills

• Experience working in skilled nursing, post-acute care, rehabilitation, long-term care, or healthcare case management.
• Knowledge of Medicare, Medicaid, managed care, and insurance authorization processes.
• Proven ability to build relationships with referral sources, residents, and families.

Why Join Us?

At Touchstone Communities, you'll have the opportunity to make a meaningful impact on residents' lives every day. We are committed to delivering best-in-class healthcare services through collaboration, compassion, and clinical excellence. As a Care Navigator, you'll be an essential part of ensuring that every resident experiences a seamless and supportive care journey.