Geriatric Care Transition Navigator

Community-Home-Physicians; Burr Ridge (IL); On-site; USD 30,000 - 41,000; Full time

Benefits offered by this job

401(k) with company matching

Health, Dental, Vision insurance

Health Savings Account (HSA)

Life insurance

Paid Time Off (PTO)

Travel reimbursement

Job summary

Community Physicians is seeking a Patient Care Navigator to bridge care transitions for older adults in skilled nursing and post-acute settings. You will collaborate with patients, families, and interdisciplinary teams to ensure smooth transitions and timely follow-up appointments.

The role requires a CMA or MA program graduate, strong communication, and EMR/EHR experience. Travel to multiple facilities in the area may be required, with comprehensive benefits and a patient-centered approach.

Qualifications

• High school diploma or equivalent is required.
• Graduate of an accredited Medical Assistant program is required.
• Certified Medical Assistant (CMA) is highly preferred.

Responsibilities

• Collaborate with patients, families, and multidisciplinary medical professional team.
• Support patients and family members with transitions to the next level of care, including setting up follow-up appointments.
• Perform chart creation and data entry of patient demographics, medications, and diagnoses within the EMR system.
• Assist with transition clinic services, patient intake, phone calls, and documentation.
• Identify high-risk, complex patients who would benefit from transition services, chronic disease management, or remote monitoring, and assist them with enrollment.
• Attend IDT plan of care meetings at facilities and communicate daily with practitioners and Nurse Case Managers.
• Assist in the collection of key quality metrics and program performance improvement data.

Skills

Empathy

Communication skills

Patient advocacy

Team collaboration

Education

High school diploma or equivalent

Graduate of accredited Medical Assistant program

Certified Medical Assistant (CMA)

Tools

EMR/EHR systems

Vital signs measurement

Job description

Community Physicians is seeking a Patient Care Navigator to bridge care transitions for older adults in skilled nursing and post-acute settings. You will collaborate with patients, families, and interdisciplinary teams to ensure smooth transitions and timely follow-up appointments.

The role requires a CMA or MA program graduate, strong communication, and EMR/EHR experience. Travel to multiple facilities in the area may be required, with comprehensive benefits and a patient-centered approach.