Geriatric Care Transition Navigator

Community-Home-Physicians; Homer Glen (IL); On-site; USD 29,000 - 41,000; Full time

Benefits offered by this job

401(k) with company matching

Health, Dental, and Vision insurance

Health Savings Account (HSA)

Life insurance

Paid Time Off (PTO)

Travel reimbursement for community/fac

Job summary

Community Physicians is seeking a Patient Care Navigator to bridge clinicians, facilities, patients and families, ensuring smooth transitions of care across settings. The navigator combines administrative medical support, transition management, and patient advocacy to deliver patient- and family-centered care.

This full-time, on-site role offers a competitive benefits package and opportunities to impact geriatric care in skilled nursing and post-acute settings.

Qualifications

• Must have high school diploma or equivalent.
• Graduate of accredited Medical Assistant program required.
• CMA certification highly preferred.
• Minimum 1–3 years of EMR/EHR experience and taking vital signs.
• 5–7 years of experience in Skilled Nursing Facilities.
• Strong knowledge of medical terminology.

Responsibilities

• Collaborate with patients, families, and multidisciplinary teams.
• Support transitions to next level of care and set up follow-up appointments.
• Create and enter patient demographics, medications, and diagnoses in the EMR.
• Assist with transition clinic services, patient intake, calls, and documentation.
• Conduct social risk factor assessments and identify unmet needs.
• Identify high-risk patients for transition services and enrollment.
• Attend interdisciplinary team plan of care meetings and communicate with practitioners.

Skills

Bedside manner

Problem-solving

Communication

Education

High school diploma or equivalent

Graduate of an accredited Medical Assistant program

Certified Medical Assistant (CMA) preferred

Tools

EMR/EHR systems

Job description

Community Physicians is seeking a Patient Care Navigator to bridge clinicians, facilities, patients and families, ensuring smooth transitions of care across settings. The navigator combines administrative medical support, transition management, and patient advocacy to deliver patient- and family-centered care.

This full-time, on-site role offers a competitive benefits package and opportunities to impact geriatric care in skilled nursing and post-acute settings.