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ASSISTANT COMMUNITY MANAGER - Rock Pointe
Royal American Management
Thomasville, AL
- $15 to $16 USD / hour
Must have a government issued state ID, or valid driver’s license if required by Management based on location/property or business needs
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ADAS HiL Automation Developer
Ford Global
Dearborn, MI
…quality and safety are foundational. Within Ford’s Advanced Driver Assistance Systems (ADAS) organization, we develop and deliver features like Adaptive Cruise Control, Automatic Emergency…
Added 1 min ago
NC
Employment Support Professional
Northwest Center
Spokane, WA
- $20.5 to $26 USD / hour
Opportunity for career development with our NWC Mentorship Match program
Added 1 min ago
AT
Affiliate Relation Specialist
ARC THRIFT STORES
Denver, CO
- $64,000 USD / year
The Affiliate Relations Specialist is responsible for expanding Vehicles for Charity’s vehicle donation program by identifying, recruiting, and developing relationships with nonprofit…
Added 1 min ago
Transitions Support Specialist
PeakMade Real Estate
Atlanta, GA
Candidate must have a successful track record in Property Management · Must have excellent communication, customer service, and organizational skills
Added 1 min ago
Maintenance Manager
S L Nusbaum Realty Co
Charlotte, NC
Founded in 1906, S.L. Nusbaum Realty Co. is one of the largest real estate development companies in the southeastern United States. We are a well established, highly respected, Virginia…
Added 1 min ago
Leasing Consultant
S L Nusbaum Realty Co
Washington, DC
Founded in 1906, S.L. Nusbaum Realty Co. is one of the largest real estate development companies in the southeastern United States. We are a well established, highly respected, Virginia…
Added 2 mins ago
GF
Part Time Van Delivery Driver
Gordon Food Service Store LLC
Boynton Beach, FL
- Part-time
Unrestricted Standard Operators License required · Must have a clean driving record (no drug or alcohol offenses in the last 5 years)
Added 2 mins ago
Hospice CNA Homecare - La Crosse Area
Agrace
La Crosse, WI
Full-time | 1.0 FTE (40 hrs/week) | Day Shift | Monday-Friday | 8:00am-4:30pm
Added 2 mins ago
A
Full time Home Health Registered Nurse
AdvisaCare
Lowell, MI · Grand Rapids, MI
- Full-time
Opportunities for professional growth and development
Added 2 mins ago
RA
ASSISTANT COMMUNITY MANAGER - Rock Pointe
Royal American Companies
Thomasville, AL
- $15 to $16 USD / hour
Must have a government issued state ID, or valid driver’s license if required by Management based on location/property or business needs
Added 2 mins ago
BC
Physical Therapist
Brightstar Care of Concord, Lexington and Woburn
CENTERVILLE, MA
- $75 to $90 USD / hour
Added 2 mins ago
CV
Program Director
Central Valley Training Center
STOCKTON, CA
- $94,028.7 to $108,882.03 USD / year
The Program Director is responsible for organizing and supervising the operation of the assigned service program. The PD oversees the areas of budgeting, program design and implementation,…
Added 3 mins ago
AOS (Aerospace Operating System) Site Leader
Aerospace
Phoenix, AZ
YOU MUST HAVE
Added 3 mins ago
VC
409-12 Assistant Residential House Manager
Venture Community Services Inc
Worcester, MA
- $19.5 to $21 USD / hour
Development and implementation of ISP's, behavior plans and assessments to insure individual input, relevance to program goals, feasibility and capabilities of individuals. To include…
Added 3 mins ago
VC
6014-09 Residential Group Home Shift Supervisor
Venture Community Services Inc
Shrewsbury, MA
- $19 to $20.5 USD / hour
· Must have strong communication, organizational, and time management skills, with the ability to work effectively in a fast-paced environment · Employees must possess the knowledge, skills and abilities listed above and demonstrate that they can perform the essential functions of the job
Added 3 mins ago
VC
6014-11 Residential Group Home Shift Supervisor
Venture Community Services Inc
Shrewsbury, MA
- $19 to $20.5 USD / hour
· Must have strong communication, organizational, and time management skills, with the ability to work effectively in a fast-paced environment · Employees must possess the knowledge, skills and abilities listed above and demonstrate that they can perform the essential functions of the job
Added 3 mins ago
VC
6017-03 Residential Shift Supervisor
Venture Community Services Inc
Webster, MA
- $19 to $20.5 USD / hour
· Must have strong communication, organizational, and time management skills, with the ability to work effectively in a fast-paced environment
Added 3 mins ago
VC
103-07 Assistant Residential House Manager
Venture Community Services Inc
Spencer, MA
- $19.5 to $21 USD / hour
Development and implementation of ISP's, behavior plans and assessments to ensure individual input, relevance to program goals, feasibility and capabilities of individuals. To include…
Added 3 mins ago
VC
6017-02 Residential Group Home Shift Supervisor
Venture Community Services Inc
Webster, MA
- $19 to $20.5 USD / hour
…fostering their physical, emotional, social, and vocational development. The Residential Shift Supervisor is responsible for ensuring that residents are engaged in meaningful activities…
Added 3 mins ago
VC
6017-01 Residential House Manager
Venture Community Services Inc
Webster, MA
- $23.5 to $25 USD / hour
…supervision of all Direct Support Professionals working in their program, the health and safety of persons served, and the day-to-day operations of the residential site. The ARHM is…
Added 3 mins ago
VC
407-14 LPN
Venture Community Services Inc
Leicester, MA
- $34 USD / hour
Ensure the program maintains the standards outlined in the Department of Developmental Services mission statement, the Survey and Certification Tool, as well as requirements of Performance…
Added 3 mins ago
VC
110-09 Assistant Residential House Manager
Venture Community Services Inc
Southbridge, MA
- $19.5 to $21 USD / hour
Development and implementation of ISP's, behavior plans and assessments to insure individual input, relevance to program goals, feasibility and capabilities of individuals. To include…
Added 3 mins ago
VC
Behavioral Health Specialist - Fitchburg
Venture Community Services Inc
Fitchburg, MA
- $26 to $31 USD / hour
…behavioral/clinical functions. This position is closely involved with program participants, staff, and management. This position will be compensated on an hourly…
Added 3 mins ago
VC
Behavioral Health Specialist - Brockton
Venture Community Services Inc
Brockton, MA
- $26 to $31 USD / hour
…behavioral/clinical functions. This position is closely involved with program participants, staff, and management. This position will be compensated on an hourly…

VitalCaring Group

Care Transition Navigator

Fort Myers, FL, United States

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Job details

Posting language: English
Posted: Nov 12, 2026

Original job description

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?

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 future
Make 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 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

Serve as the primary liaison between hospital teams, patients, and VitalCaring 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 safe, patient-centered transition plans
Drive timely admissions by coordinating referrals and ensuring smooth handoffs into home health services
Build strong, trusted relationships with hospital partners through consistent communication and follow-through
Complete post-discharge follow-up within 48 hours and ensure timely primary care coordination
Collaborate with internal teams and support initiatives focused on improving outcomes and reducing readmissions

Required Qualifications

Active 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 preferred
Experience in healthcare coordination, case management, clinical care, or hospital-based roles
Strong understanding of patient care transitions, discharge planning, or post-acute services
Demonstrated ability to build relationships with healthcare providers and interdisciplinary teams
Excellent communication skills with the ability to engage patients, families, and clinicians effectively
High level of organization with the ability to manage multiple patients and priorities simultaneously
Proficiency with EMR systems and basic computer applications
Valid driver’s license and reliable transportation

Preferred Qualifications

Experience in home health, hospice, or post-acute care
Background working within hospital systems (case management, discharge planning, or bedside coordination)
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 assigned hospitals and healthcare facilities
High-touch, patient-facing position requiring strong interpersonal and clinical communication skills
Fast-paced environment requiring adaptability, critical thinking, and proactive follow-through
Performance expectations tied to both patient outcomes and successful care transitions/admissions
Requires strong time management to balance hospital 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 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.

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Jobs in the United States