Weekend Care Transition Navigator (RN/LPN/PT)

VitalCaring Group; McKinney (TX); On-site; USD 24,000 - 42,000; Full time

Benefits offered by this job

6 paid PTO days per year

Company-designated holidays are yours

401(k) eligibility

Job summary

VitalCaring Group in Texas is seeking a Care Transition Navigator to coordinate safe hospital-to-home transitions for patients in the home health and hospice care continuum.

You will work within hospital systems, partnering with case managers and physicians to reduce readmissions, improve outcomes, and support agency growth. This is a field-based role requiring strong communication and organizational skills.

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
• High level of organization with the ability to manage multiple patients and priorities simultaneously
• Proficiency with EMR systems and basic computer applications
• Valid driver’s license and reliable transportation

Responsibilities

• Serve as the primary liaison between hospital teams, patients, and VitalCaring clinicians to ensure seamless transitions from hospital to home
• 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

Skills

RN license

LVN/LPN license

PT license

EMR systems

Basic computer applications

Tools

EMR systems

Basic computer applications

Job description

VitalCaring Group in Texas is seeking a Care Transition Navigator to coordinate safe hospital-to-home transitions for patients in the home health and hospice care continuum.

You will work within hospital systems, partnering with case managers and physicians to reduce readmissions, improve outcomes, and support agency growth. This is a field-based role requiring strong communication and organizational skills.