Care Transition Liaison - LPN

CommonSpirit Health · Houston, TX Full Time

What About Senior Care? Less Hours. Ongoing Patient Relationships. Explore Senior Care Jobs →

Job Description

Post Health Home Care and Hospice is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch. Post Health Home Care / Houston, TX - Hiring - Full-Time Care Transition Liaison - LPN Based at Baylor Saint Luke’s Hospital Houston,TX Competitive Wages/ Monthly Incentive Bonus plan/Mileage Reimbursement/Comprehensive Health Insurance Package Offered At Post Health Home Care and Hospice we strive to embody our mission of delivering hope and healing to those we serve. As a Care Transition Liaison (CTL-LPN) withPost Health Home Care and Hospice , you will play a key role in providing coordinated home health services for referred patients. You’ll collaborate with healthcare professionals, identify patient needs, and facilitate seamless transitions to home health care. Collaborate with hospitals, nursing homes, and home health personnel to ensure quality care. Must meet or exceed established monthly admission target(s) as provided by their supervisor and determined by the branch monthly budget. Coordinate patient referrals, evaluate eligibility for services, and assist in arranging home health care. Analyze patient needs and educate caregivers about home health options, Medicare/Medicaid guidelines, and insurance benefits. Develop relationships with healthcare providers to promote home health services and best practices. Participate in provider education and support hospital staff as a home health resource. Conduct trend analysis and identify opportunities for enhancing home health service outcomes. Contribute to Quality Assurance Performance Improvement (QAPI) initiatives. Graduate of an accredited school of nursing, current LPN license to practice in the state serviced Minimum of (2) years of healthcare experience, preferably in home health or sales/marketing. Strong communication, assessment, and decision-making skills. Ability to build relationships, educate, and promote services effectively. Committed to professional development and improving own skills. Join us in making a positive impact on patient care by facilitating smooth transitions to home health! At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr

Houston Median $97,802/yr

Experienced (90th) $125,320/yr

vs. National Median +4.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.