Geriatric Care Transition Navigator

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

Benefits offered by this job

401(k) with company matching

Comprehensive Health, Dental, and VI s

Health Savings Account (HSA)

Life insurance

Generous Paid Time Off (PTO)

Travel reimbursement for community/fac

Job summary

Community Physicians in Illinois (Glenview) seeks a Patient Care Navigator to bridge practitioners, facility staff, patients and families, ensuring smooth transitions of care across health settings. The role combines administrative medical support, transition management, and patient advocacy to provide patient- and family-centered care.

You will work with interdisciplinary teams, manage EMR entries, and coordinate follow-ups.

Qualifications

• High school diploma or equivalent required.
• Graduate of an accredited Medical Assistant program required.
• Certified Medical Assistant (CMA) preferred.
• Minimum 1–3 years of experience with EMR/EHR systems and vital signs.
• 5–7 years of experience in Skilled Nursing Facilities.
• Strong knowledge of medical terminology.
• Willingness to travel to multiple facilities in the area.

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.
• Conduct patient social risk factor assessments to identify unmet health or social needs.
• Identify high-risk, complex patients who would benefit from transition services, chronic disease management, or remote monitoring, and assist them with enrollment.
• Serve as a reliable point of contact and advocate for the patient.
• Attend IDT (Interdisciplinary Team) 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

Bedside manner

Communication skills

Problem-solving

Compassionate patient care

Travel willingness

Education

High school diploma or equivalent

Graduate of an accredited Medical Assistant program

Certified Medical Assistant (CMA) preferred

Basic Life Support (BLS) Certification

Tools

EMR/EHR systems

Job description

Community Physicians in Illinois (Glenview) seeks a Patient Care Navigator to bridge practitioners, facility staff, patients and families, ensuring smooth transitions of care across health settings. The role combines administrative medical support, transition management, and patient advocacy to provide patient- and family-centered care.

You will work with interdisciplinary teams, manage EMR entries, and coordinate follow-ups.