Care Navigator Touchstone Communities - 3.0 San Antonio, TX Job Details 5 hours ago Qualifications Utilization review Electronic health records (EHR) management Initial assessment (medical evaluation) Patient management software Clinical case management Transitional care planning in clinical case management Utilization management Medical record abstraction Resource utilization in healthcare Computer skills Healthcare reimbursement methods Care coordination Cross-functional communication Full 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.