Weekend Care Transition Navigator (RN/LPN/PT)

VitalCaring Group; Frisco (TX); On-site; USD 39,000 - 50,000; Part time

Job summary

VitalCaring Group is seeking a part-time Care Transition Navigator in Frisco, TX. You will work field-based with hospital teams to coordinate safe transitions to home health care and reduce readmissions. This role emphasizes clinical insight, care coordination, and timely referrals.

You will conduct bedside assessments, partner with case managers, and maintain strong relationships with physicians and families to support patient success and agency growth.

Qualifications

• Active RN, LVN/LPN, or PT license in the state of employment (or compact eligibility).
• Minimum of two (2) years of clinical experience; home health or post-acute experience preferred.
• Experience in healthcare coordination, case management, clinical care, or hospital-based roles.
• Strong understanding of patient care transitions, discharge planning, or post-acute services.
• Demonstrated ability to build relationships with healthcare providers and interdisciplinary teams.
• Excellent communication skills with the ability to engage patients, families, and clinicians effectively.

Responsibilities

• Serve as the primary liaison between hospital teams, patients, and VitalCaring clinicians to ensure seamless transitions from hospital to home health care.
• Conduct bedside assessments to identify clinical needs, risk factors, and barriers to successful discharge.
• Partner with case managers and physicians to develop and execute safe, patient-centered transition plans.
• Drive timely admissions by coordinating referrals and ensuring smooth handoffs into home health services.
• Build strong, trusted relationships with hospital partners through consistent communication and follow-through.
• Complete post-discharge follow-up within 48 hours and ensure timely primary care coordination.
• Collaborate with internal teams and support initiatives focused on improving outcomes and reducing readmissions.

Education

RN/LVN/LPT license (state of employment)

2+ years clinical experience

Tools

EMR systems

Job description

VitalCaring Group is seeking a part-time Care Transition Navigator in Frisco, TX. You will work field-based with hospital teams to coordinate safe transitions to home health care and reduce readmissions. This role emphasizes clinical insight, care coordination, and timely referrals.

You will conduct bedside assessments, partner with case managers, and maintain strong relationships with physicians and families to support patient success and agency growth.