Care Transition Navigator - Home Health Sales

Join VitalCaring as a Care Transition Navigator – Home Health in a field-based, hospital-focused role supporting patient transitions and care coordination.

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. The organization is committed to fostering a culture of support, growth, and excellence to deliver exceptional patient care.

What Sets Us Apart?

• Drive innovation and deliver impact through advancing patient care
• Make a meaningful impact helping patients and families navigate healthcare journeys
• Thrive in a supportive team environment
• Grow your career with training, mentorship, and development opportunities
• Competitive pay and benefits package

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 relationship-driven role that blends clinical insight, care coordination, and referral management to support both patient success and agency growth.

Key Responsibilities

• Serve as the primary liaison between hospital teams, patients, and 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 patient-centered transition plans
• Coordinate referrals and ensure smooth handoffs into home health services
• Build trusted relationships with hospital partners through communication and follow-through
• Complete post-discharge follow-up within 48 hours and ensure timely primary care coordination
• Collaborate with internal teams to improve outcomes and reduce readmissions

Required Qualifications

• Active RN, LVN/LPN, or PT license in the state of employment or compact eligibility
• Minimum of two years of clinical experience; home health or post-acute experience preferred
• Experience in healthcare coordination, case management, clinical care, or hospital-based roles
• Understanding of patient care transitions, discharge planning, or post-acute services
• Ability to build relationships with healthcare providers and interdisciplinary teams
• Excellent communication skills
• Strong organization and ability to manage multiple patients and priorities
• Proficiency with EMR systems and computer applications
• Valid driver's license and reliable transportation

Preferred Qualifications

• Experience in home health, hospice, or post-acute care
• Experience working within hospital systems
• Knowledge of CMS guidelines and readmission reduction strategies
• Familiarity with Homecare Homebase (HCHB) or similar EMR systems

Work Environment & Expectations

• Field-based role with regular presence in hospitals and healthcare facilities
• Patient-facing role requiring strong interpersonal and clinical communication skills
• Fast-paced environment requiring adaptability and critical thinking
• Performance expectations tied to patient outcomes and successful care transitions
• Strong time management required for coordination, patient interaction, and documentation

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 based on job-related qualifications, skills, and business needs.