Senior Care Navigator & Transitions Coach

Conviva Senior Primary Care; Deerfield Beach (FL); Hybrid; USD 54,000 - 73,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, chronic condition management, and social support. The Care Coach role focuses on proactive care coordination, adherence coaching, and healthcare navigation for the highest risk top 5% patient membership.

In this hybrid role, you will balance clinic-based duties with in-home visits, serve as the primary contact for patients, and work closely with a Care Integration Team Manager within the

Qualifications

• 3+ years of ambulatory/primary care or senior-care direct patient care experience.
• Ability to discuss chronic conditions and reinforce medication instructions.
• Comfort with regularly conducting home visits and community outreach.
• Experience in patient education, care coordination, and social support for high‑risk/geriatric populations.

Responsibilities

• Provide proactive, patient-centered care coordination and social needs support for high-risk patients.
• Conduct structured patient interviews and document health-related information.
• Perform home visits to assess living conditions and safety factors affecting engagement.
• Deliver culturally appropriate chronic disease education using approved materials.
• Coordinate care across primary care, specialists, pharmacies, home health, and community providers.

Skills

Ambulatory/Primary care experience

Care coordination

Home visits/outreach

Chronic condition education

Bilingual English/Spanish

Education

LPN/LVN license or MA Certification

Job description

Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, chronic condition management, and social support. The Care Coach role focuses on proactive care coordination, adherence coaching, and healthcare navigation for the highest risk top 5% patient membership.

In this hybrid role, you will balance clinic-based duties with in-home visits, serve as the primary contact for patients, and work closely with a Care Integration Team Manager within the