Care Transition Navigator - Home Health Sales - (Lufkin)

Join VitalCaring – Where Your Passion Changes Lives! Who We AreFounded 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?Drive Innovation. Deliver Impact - Join a mission-driven team where your work directly contributes to advancing patient care. As a key player in a forward-thinking healthcare organization, you’ll represent innovative solutions that truly make a difference for patients and families - today and into the futureMake a Meaningful Impact – Help patients and families navigate their healthcare journey with compassion and dignity.Thrive in a Supportive Team – Work with a team who genuinely care and invest in your success.Grow Your Career – Take advantage of advanced training, mentorship, and career development opportunities.Competitive Pay & Benefits – Be rewarded for your dedication and expertise with a compensation package that truly reflects your value. Our benefits are thoughtfully designed to support your well-being—offering the flexibility, security, and resources you need to thrive both at work and in life. We celebrate success at every level, with meaningful recognition for both individual contributions and team achievements. Care Transition Navigator (CTN) – Home HealthField-Based | Hospital-Focused | Patient Transition & Care Coordination Role OverviewThe 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 ResponsibilitiesServe as the primary liaison between hospital teams, patients, and VitalCaring clinicians to ensure seamless transitions from hospital to homeConduct bedside assessments to identify clinical needs, risk factors, and barriers to successful dischargePartner with case managers and physicians to develop and execute safe, patient-centered transition plansDrive timely admissions by coordinating referrals and ensuring smooth handoffs into home health servicesBuild strong, trusted relationships with hospital partners through consistent communication and follow-throughComplete post-discharge follow-up within 48 hours and ensure timely primary care coordinationCollaborate with internal teams and support initiatives focused on improving outcomes and reducing readmissions Required QualificationsActive RN, LVN/LPN, or PT license in the state of employment (or compact eligibility, if applicable)Minimum of two (2) years of clinical experience; home health or post-acute experience preferredExperience in healthcare coordination, case management, clinical care, or hospital-based rolesStrong understanding of patient care transitions, discharge planning, or post-acute servicesDemonstrated ability to build relationships with healthcare providers and interdisciplinary teamsExcellent communication skills with the ability to engage patients, families, and clinicians effectivelyHigh level of organization with the ability to manage multiple patients and priorities simultaneouslyProficiency with EMR systems and basic computer applicationsValid driver’s license and reliable transportation Preferred QualificationsExperience in home health, hospice, or post-acute careBackground working within hospital systems (case management, discharge planning, or bedside coordination)Knowledge of CMS guidelines and readmission reduction strategiesFamiliarity with Homecare Homebase (HCHB) or similar EMR systems Work Environment & ExpectationsField-based role with regular presence in assigned hospitals and healthcare facilitiesHigh-touch, patient-facing position requiring strong interpersonal and clinical communication skillsFast-paced environment requiring adaptability, critical thinking, and proactive follow-throughPerformance expectations tied to both patient outcomes and successful care transitions/admissionsRequires strong time management to balance hospital coordination, patient interaction, and documentation BenefitsHealth & WellnessMedical, Dental, and Vision coveragePharmacy benefitsVirtual care and mental health supportFlexible Spending Accounts (FSA) and Health Savings Account (HSA)Supplemental health and life insurance Financial & Protection401(k) with company matchEmployee referral programPrepaid legal servicesIdentity theft protection Work-Life Balance & PerksGenerous paid time offPet insuranceTuition 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.