CSIG Holding Company

Transitional Care Navigator



Transitional Care Navigator


Position Summary:
The Transitional Care Navigator is expected to follow patients at the assigned hospital through the patient’s transition of care from hospital to skilled nursing facility/rehab to home with homecare referral providing education to patient bedside at established frequency throughout the transition. The Transitional Care Navigator will interact/coordinate with Physician, Hospital and Skilled Nursing Facility/Rehab Administration, Case Managers and Discharge Planners, hospital support staff, and patients and families in coordination of Transitional Care and home care referral to Progress at Home Office.


Required Experience:

  • Currently Licensed RN or LPN for the State of Michigan
  • Bachelor's degree and related healthcare experience and knowledge preferred
  • Minimum of two (2) to five (5) years of recent home health sales experience preferred
  • Additional related experience in the health care industry preferred
  • Excellent communication, negotiation and public relations skills
  • Ability to market effectively with customers, referral sources, and the community
  • Compliance with accepted professional standards and practices
  • Self-directed with the ability to work with little supervision 
  • Flexible and cooperative in fulfilling all obligations
  • Moderate to Heavy travel between locations (Company provided training at our corporate office in Milford, MI)
  • Present professional appearance/dress
  • Maintain a positive attitude which supports team performance and productivity

Primary Responsibilities:

  • Transitional Care Navigator identifies opportunities for relationships with physicians and organizations
  • Utilizes and maintains relationships with community partners to increase referrals at hospital, skilled nursing facility/rehab, and physician offices.
  • Develops and maintains strong relationships with professional referral sources
  • Seeks new opportunities to expand our growing number of referral sources
  • Maintains effective communication and collaboration with Progress at Home 
  • Works with staff to ensure that new business successfully goes to start of care
  • Transitional Care Navigator provides ongoing contact with family and/or responsible party to obtain consent to assess/follow patient; coordinates between physician and patient about changes in plan of care; acts as patient advocate with external medical care providers 
  • Ensures quality patient care and excellent customer service is being provided
  • Establishes home care plans before discharge from a hospital or rehab facility
  • Adheres to modified coaching model to include bedside teaching to patient and family across the care continuum specifically medication reconciliation, personal health record, red flags for risk of readmission and how to manage, and securing follow up appointment with primary care physician to occur within 5 to 7 days of patient discharge to home
  • Coordinates patient services and equipment needs
  • Transitional Care Navigator serves as an educational resource for patients, care givers and staff members
  • Proactively identifies and assesses needs of client and community
  • Carrying out supervisory responsibilities in accordance with the organizations policies and applicable laws
  • Completion of appropriate paperwork and recommendations as to better and/or more efficient ways of operating the department
  • Transitional Care Navigator holds knowledge of all emergency policies and provision of updated information to the Wellness Staff
  • Performs other similar or related duties as necessary
  • Work toward continual improvement of the overall organization.

General Working Conditions:
This position entails standing for long periods of time. While performing the duties of this job, the employee is required to communicate effectively with others, sit, stand, walk and use hands to handle keyboard, telephone, paper, files, and other equipment and objects. The employee is occasionally required to reach with hands and arms. This position requires the ability to review detailed documents and read computer screens. The employee will occasionally lift and/or move up to 25 pounds. The work environment requires appropriate interaction with others. The noise level in the work environment is moderate. Occasional travel to different locations may be required.

Serving is our Business

Navigating the Path of HealthCare

CorsoCare provides patient-based home health care services while protecting patient rights and giving them the dignity and respect they deserve. Our experienced certified home health care professionals are highly skilled and completely focused on our patients. Our services are comprised of three core divisions: Certified Home Health Care Services, Private Duty/Private Pay Services and Transitional Care Navigation Services.


We have comprehensive benefit packages that include health, dental, vision, 401(k), income protection, and extraordinary work-life benefits.



This classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be.  It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of the employees under her/his supervision.  The use of a particular expression or illustration describing duties shall not exclude other duties not mentioned that are of a similar kind or level of difficulty.


Equal Opportunity Employer



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