• San Antonio, TX
    15 days ago

    Job Description

    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.

    Numbers & Facts

    LocationSan Antonio, TX

    Skills

    • Academic Adviceunmatched
    • Acute Careunmatched
    • Balanced Scorecardunmatched
    • Case Managementunmatched
    • Clinical Assessmentunmatched
    • Clinical Competencyunmatched
    • Clinical Informationunmatched
    • Clinical Medicineunmatched
    • Clinical Study Publicationsunmatched
    • Communication Skillsunmatched
    • Continuous Improvementunmatched
    • Discharge Plansunmatched
    • Electronic Medical Recordsunmatched
    • Establish Prioritiesunmatched
    • Healthcareunmatched
    • Healthcare Reimbursementunmatched
    • Hospitalunmatched
    • Insuranceunmatched
    • Interpersonal Skillsunmatched
    • Leadershipunmatched
    • Long-Term Careunmatched
    • Managed Careunmatched
    • Medicaidunmatched
    • Medical Record Systemunmatched
    • Medical Recordsunmatched
    • Medicareunmatched
    • Nursingunmatched
    • Operational Supportunmatched
    • Organizational Skillsunmatched
    • Patient Care Authorizationsunmatched
    • Performance Managementunmatched
    • Performance Metricsunmatched
    • Problem Solving Skillsunmatched
    • Quality Assuranceunmatched
    • Quality of Careunmatched
    • Resource Managementunmatched
    • Time Managementunmatched
    • Training/Teachingunmatched
    • Utilization Managementunmatched

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