Care Navigator- Skilled Nursing at La Vernia and Pleasanton, TX

Make a Difference in Every Transition of Care

Are you passionate about guiding patients and families through complex healthcare journeys? We are seeking a dedicated and highly organized Care Navigator to join our team. In this critical role, you will serve as the bridge between referral sources, residents, families, and interdisciplinary teams, ensuring a seamless transition into and out of our community while delivering an exceptional care experience.

The ideal candidate combines strong clinical knowledge with outstanding communication, problem-solving, and care coordination skills to support positive resident outcomes and operational excellence.

What You'll Do

As a Care Navigator, you will play a key role in coordinating admissions, care planning, and discharge transitions by:

Admissions & Care Coordination

• Lead the admission process from initial referral through resident acceptance and move-in.
• Review and assess medical records, clinical documentation, and care needs to determine appropriate placement.
• Collaborate with referral sources, hospitals, physicians, residents, and families to ensure smooth transitions of care.
• Ensure comprehensive pre-admission assessments are completed accurately and timely.

Communication & Collaboration

• Serve as a central point of communication between residents, families, caregivers, and the interdisciplinary care team.
• Communicate critical resident information to clinical and operational departments to support exceptional care delivery.
• Partner with direct care staff and leadership to ensure resident needs are understood and addressed effectively.

Discharge Planning & Resource Management

• Coordinate safe and effective discharge plans that promote continuity of care and successful recovery.
• Identify and arrange appropriate post-discharge resources, services, and support systems.
• Provide education and guidance to residents and families to facilitate a smooth transition home or to the next level of care.

Quality & Performance Excellence

• Participate as an active member of the Quality Assurance and Performance Improvement (QAPI) Committee.
• Support organizational goals and key performance indicators, including Balanced Scorecard initiatives.
• Contribute to continuous improvement efforts that enhance resident outcomes and satisfaction.

What We're Looking For

Required Qualifications

• Associate's or Bachelor's degree in a clinical field, or relevant clinical credential/licensure.
• Strong experience in:
  • Admissions and care coordination
  • Medical record review and clinical assessments
  • Healthcare reimbursement and payer requirements
  • Utilization management
  • Discharge planning and transition management
• Proficiency with healthcare technology and electronic medical records (EMR/EHR) systems.
• Strong analytical, organizational, and decision-making abilities.
• Ability to prioritize effectively and thrive in a fast-paced healthcare environment.
• Excellent communication and interpersonal skills.

Preferred Skills

• Experience working in skilled nursing, post-acute care, rehabilitation, long-term care, or healthcare case management.
• Knowledge of Medicare, Medicaid, managed care, and insurance authorization processes.
• Proven ability to build relationships with referral sources, residents, and families.

Why Join Us?

At Touchstone Communities, you'll have the opportunity to make a meaningful impact on residents' lives every day. We are committed to delivering best-in-class healthcare services through collaboration, compassion, and clinical excellence. As a Care Navigator, you'll be an essential part of ensuring that every resident experiences a seamless and supportive care journey.