Care Transition Navigator
Required skills
- RN
- LVN
- LPN
- PT
- clinical experience
- home health
- post-acute care
- healthcare coordination
- case management
- clinical care
Nice to have
- hospice
- hospital systems
- discharge planning
- bedside coordination
- CMS guidelines
- readmission reduction strategies
Role summary
VitalCaring, a leading provider of home health and hospice services, is seeking a Care Transition Navigator (CTN) to join their mission-driven team. This field-based role focuses on facilitating seamless transitions from hospital to home health care. The CTN will partner with hospital case managers, physicians, patients, and families to coordinate care, reduce readmissions, and improve patient outcomes. Key responsibilities include conducting bedside assessments, developing transition plans, coordinating referrals, and ensuring post-discharge follow-up. The ideal candidate will have a minimum of two years of clinical experience, strong care coordination skills, and excellent communication and relationship-building abilities.
Join VitalCaring – Where Your Passion Changes Lives!
Who We Are
Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.
What Sets Us Apart?
Care Transition Navigator (CTN) – Home Health
Field-Based | Hospital-Focused | Patient Transition & Care Coordination
Role Overview
The Care Transition Navigator plays a critical role in ensuring safe, seamless transitions from the hospital to home health care. This position works directly within assigned hospital systems, partnering with case managers, physicians, patients, and families to coordinate care, reduce readmissions, and improve patient outcomes.
This is a high-impact, relationship-driven role that blends clinical insight, care coordination, and referral management to support both patient success and agency growth.
Key Responsibilities
Required Qualifications
Preferred Qualifications
Work Environment & Expectations
Benefits
Health & Wellness
Medical, Dental, and Vision coverage
Pharmacy benefits
Virtual care and mental health support
Flexible Spending Accounts (FSA) and Health Savings Account (HSA)
Supplemental health and life insurance
Financial & Protection
401(k) with company match
Employee referral program
Prepaid legal services
Identity theft protection
Work-Life Balance & Perks
Generous paid time off
Pet insurance
Tuition and continuing education reimbursement
All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.
