Care Transition Navigator

Company: VitalCaring Group
Location: San Antonio
Posted on: February 23, 2026

Job Description:

Vital Caring Group, a leader in personalized and comprehensive home health solutions, is seeking a dedicated Care Transition Navigator to ensure seamless care transitions for patients from hospital to home settings. This position requires a detail-oriented professional who excels in patient advocacy and effective communication with multidisciplinary teams. As a Care Transition Navigator, you will play a pivotal role in assessing patient needs, organizing post-discharge services, and facilitating optimal patient outcomes according to personalized care plans. Evaluate patients' medical needs, socio-economic factors, and readiness for discharge. Coordinate with healthcare professionals and social workers to develop and implement effective transition plans. Educate patients and families about post-discharge care processes and resources. Monitor patient progress and intervene as necessary to prevent readmissions. Maintain comprehensive documentation of patient interactions and care coordination efforts. Strong understanding of healthcare systems and patient care pathways Proficient in case management software and medical record systems Excellent communication and interpersonal skills Ability to handle sensitive information confidentially Problem-solving and critical thinking skills Medical Insurance Dental Insurance Vision Insurance Life Insurance 401k Valid nursing license (RN) preferred Certification in Case Management (CCM) or similar credentials advantageous

Keywords: VitalCaring Group, San Antonio , Care Transition Navigator, Healthcare , San Antonio, Texas