Care Transition Navigator, Weekend

Job overview

The Care Transition Navigator, Weekend role is field-based in Plano, TX, with regular presence in assigned hospitals and healthcare facilities. Compensation is not specified. VitalCaring provides home health and hospice services and describes this as a 16-hour-per-week Saturday/Sunday position. The navigator coordinates safe transitions from hospital to home health care, working with hospital teams, patients, families, and VitalCaring clinicians. The role supports patient outcomes and agency growth by coordinating referrals, discharge plans, handoffs, and post-discharge follow-up.

What you'll do

• Serve as liaison between hospital teams, patients, and VitalCaring clinicians
• conduct bedside assessments to identify clinical needs, risks, and discharge barriers
• partner with case managers and physicians on patient-centered transition plans
• coordinate referrals and admissions
• maintain relationships with hospital partners
• complete post-discharge follow-up within 48 hours and coordinate primary care
• collaborate on initiatives to improve outcomes and reduce readmissions.

What we're looking for

Skills & competencies

care transition navigator

weekend

plano tx

vitalcaring group

part-time

16 hours per week

saturday and sunday

home health

hospital coordination

patient transitions

discharge planning

rn/lvn/lpn/pt license

6 paid pto days

Work arrangement

• Weekend coverage required

Benefits & perks

• Six paid PTO days per year, company-designated holidays off without using PTO, and 401(k) eligibility subject to plan terms and eligibility requirements.

Why this role

The posting specifies a 16-hour-per-week weekend schedule and six paid PTO days per year.

About the employer

VitalCaring Group is hiring for this role. Industry: Home Health Care Services. Sector: 62.