Job Description

Navion Senior Living is committed to delivering the most advanced and integrated clinical care within our communities. We are standardizing and scaling our capabilities by launching person-centered care coordination programs across our entire portfolio, starting with the Medicare’s Guiding an Improved Dementia Experience (“GUIDE”) model for dementia care.

We’re seeking a Regional Care Coordination Specialist who will serve as the subject matter expert in GUIDE, providing clinical leadership and in-depth knowledge to support successful implementation and integration within our communities. This is a unique role for a hands-on clinical professional who is passionate about delivering high-quality care across multiple communities. You will be responsible for the full lifecycle of the GUIDE program within your assigned region—from conducting the initial resident and caregiver assessments to providing the ongoing monthly care coordination. Your first goal will be to launch the GUIDE program across a portfolio of communities and then help lead the hiring and training of onsite resources (called “Resident Advocacy Directors”) once program enrollment is stabilized.

This is a high-impact opportunity to be a foundational clinical leader in a new standard of care across the Navion portfolio. You will not just be implementing a program; you will be the direct provider of a high-touch, high-value service for residents across an entire region. You will play a key role in building the operational backbone for our future clinical services, creating a lasting legacy of excellence and innovation.

If you’re a clinical professional with deep experience in care management and a desire to be a foundational part of a new standard of care that’s changing the lives of those living with dementia, we’d love to meet you.

Requirements

• Strong clinical background with proven experience in care coordination, case management, or a direct care nursing or therapy role within a healthcare setting providing geriatric care, particularly with dementia and cognitive decline.
• An understanding of clinical workflows, resident assessments, and care plan development.
• Highly organized and self-motivated, with the ability to manage a caseload of residents across multiple communities.
• Exceptional ability to build rapport and communicate effectively with residents, families, and community team members.

Preferred Skills & Attributes

• Registered Nurse (RN), Licensed Practical Nurse (LPN), Occupational Therapist, Physical Therapist, Certified Occupational Therapy Assistant, or Physical Therapist Assistant. 
• Familiarity with senior living environments (Independent Living, Assisted Living, Memory Care) and the roles of key team members, such as the Director of Clinical Services (DCS) and Resident Care Coordinator (RCC).
• Experience managing or implementing CMS care coordination programs.
• Experience creating clinical training materials or standard operating procedures.

Key Responsibilities

Deliver Regional GUIDE Program Care

• Serve as the primary clinical care provider for the CMS GUIDE program for dementia residents across a designated region of Navion communities.
• Travel to communities to personally conduct the initial assessments, develop person-centered care plans, and enroll residents into the GUIDE program.
• Manage the ongoing, monthly care coordination requirements for all enrolled residents in your region, including regular touchpoints with residents and their families.
• Act as the primary subject matter expert on all clinical and compliance requirements of the GUIDE program.
• Coordinate with physicians, nurse practitioners, and community LCSW to assure access to resources providing care to community residents for GUIDE and PCM (Principal Care Management).
• Create and assist team in implementing the resident's Wellness Plan.

Empower & Transition to Community Teams

• Conduct education and training to in-house LCSW to ensure they are confident and competent in managing the GUIDE program.
• Provide direct support and mentorship to the Resident Advocacy Director (RAD, In-house LCSW), Director of Clinical Services (DCS), and Resident Care Coordinator (RCC), troubleshooting issues and ensuring clinical fidelity.
• Successfully transition the ongoing management of the program to the in-community care team once they’re fully onboarded. 
• Continue to oversee the success of the program with audits, clinical metrics, and enrollment

Drive Clinical Excellence & Future Growth

• Ensure all program activities and documentation meet or exceed Centers for Medicare & Medicaid Services (CMS) standards for quality and compliance.
• Serve as a key resource for future Medicare care coordination program rollouts and other project-based initiatives across the portfolio. 
• Help build a scalable, repeatable implementation and management model that can be used to launch new clinical services efficiently in the future.

Benefits

• Competitive salary commensurate with experience, plus bonus opportunities tied to successful program metrics
• Comprehensive benefits package, including full medical, dental, and vision coverage, plus employer-sponsored 401k plan and matching
• Professional development support
• A chance to shape the future of clinical operations at Navion—and see the results of your work in transforming the care of residents

Job Tags

Similar Jobs