Geriatric Care Transitions Navigator

Community-Home-Physicians; Arlington Heights (IL); On-site; USD 30,307 - 42,705; 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)

Job summary

Community Physicians in Illinois seeks a Discharge Planner to bridge providers, facility teams, patients, and families, developing patient-centered discharge plans.

You will collaborate with nurses, physicians, and care teams to coordinate transitions, assess social determinants of health, and ensure follow-up care and communication of plans across settings. Requires 1–2 years in care coordination. High school diploma or equivalent; associate/bachelor preferred.

Qualifications

• High school diploma or equivalent required.
• Associate's or Bachelor's degree preferred in Medical Health Sciences.
• 1–2 years of experience in Care Coordination, Case Management, or Transitional Care.
• Experience working with medical terminology.

Responsibilities

• Work closely with clinical teams to deploy patient plans of care.
• Help support patients and caregivers with transitions to the next level of care, including facilitating follow-up appointments and communicating care plans to incoming providers.
• Evaluate unmet health and social needs and anticipate potential gaps in post-discharge care.
• Identify high-risk, complex patients who would benefit from transitional care services, chronic care management, or remote patient monitoring.

Skills

HIPAA compliance

EMR proficiency

Critical thinking

Time management

Communication skills

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

EMR systems

Google Workspace

Job description

Community Physicians in Illinois seeks a Discharge Planner to bridge providers, facility teams, patients, and families, developing patient-centered discharge plans.

You will collaborate with nurses, physicians, and care teams to coordinate transitions, assess social determinants of health, and ensure follow-up care and communication of plans across settings. Requires 1–2 years in care coordination. High school diploma or equivalent; associate/bachelor preferred.