Care Transition Navigator - Home Health Impact & Coordination

vitalcaringgroup; Bossier City (LA); Vor Ort; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Medical, Dental, and Vision coverage

Pharmacy benefits

Virtual care and mental health support

FSA and HSA

Supplemental health and life insurance

401(k) with company match

Employee referral program

Prepaid legal services

Identity theft protection

Generous paid time off

Pet insurance

Zusammenfassung

VitalCaring is hiring a Care Transition Navigator (CTN) to ensure safe, seamless hospital-to-home health transitions. This field-based role works with hospital teams, case managers, physicians, patients, and families to coordinate care, reduce readmissions, and improve outcomes.

The CTN blends clinical insight with care coordination and referral management to support patient success and agency growth. A valid license and 2+ years of clinical experience are required.

Qualifikationen

• Active RN, LVN/LPN, or PT license in the state of employment (or compact eligibility).
• Minimum of two years of clinical experience; home health or post-acute experience preferred.
• Experience in healthcare coordination, case management, clinical care, or hospital-based roles.
• Strong understanding of patient care transitions, discharge planning, or post-acute services.
• Demonstrated ability to build relationships with healthcare providers and interdisciplinary teams.
• Excellent communication skills for engaging patients, families, and clinicians.

Aufgaben

• Serve as liaison between hospital teams, patients, and VitalCaring clinicians for seamless transitions.
• Conduct bedside assessments to identify clinical needs and barriers to discharge.
• Partner with case managers and physicians to develop safe transition plans.
• Drive timely admissions by coordinating referrals and handoffs to home health services.
• Build strong relationships with hospital partners through clear communication.
• Complete post-discharge follow-up within 48 hours and coordinate primary care.
• Collaborate with internal teams to improve outcomes and reduce readmissions.

Kenntnisse

Clinical experience

Discharge planning

Communication skills

Organization

EMR proficiency

Driver's license

Tools

EMR systems

Homecare Homebase (HCHB)

Jobbeschreibung

VitalCaring is hiring a Care Transition Navigator (CTN) to ensure safe, seamless hospital-to-home health transitions. This field-based role works with hospital teams, case managers, physicians, patients, and families to coordinate care, reduce readmissions, and improve outcomes.

The CTN blends clinical insight with care coordination and referral management to support patient success and agency growth. A valid license and 2+ years of clinical experience are required.