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Rn Transitional Care Jobs (NOW HIRING)

The Transitional Care Management (TCM) Registered Nurse delivers high-quality, compassionate nursing care to people experiencing homelessness or housing instability. The TCM RN supports patients as ...

Transitional Care Nurse iCare Health Network is seeking a dynamic and experienced Transitional Care Nurse (RN) to join our team. Focus will be at our Meriden facility, Silver Springs Care Center. Job ...

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How much do rn transitional care jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for rn transitional care in the United States is $44.48, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $51.92 per hour, depending on experience, location, and employer.

What is an RN Transitional Care nurse?

RN Transitional Care nurses are registered nurses who specialize in helping patients transition from one level of care to another, such as from hospital to home or to a rehabilitation facility. Their primary role is to ensure continuity of care by coordinating with healthcare providers, educating patients and families, and managing follow-up appointments and medications. They work to reduce hospital readmissions, improve patient outcomes, and provide support during critical periods of recovery.

What are the key skills and qualifications needed to thrive as an RN Transitional Care nurse?

To thrive as an RN Transitional Care Nurse, you need expertise in patient assessment, care coordination, discharge planning, and a valid RN license, often with experience in case management or home health. Familiarity with electronic health records (EHRs), care management software, and knowledge of transitional care best practices are typically required. Strong communication, problem-solving, and organizational skills help build trust with patients and ensure smooth transitions between care settings. These skills are vital for preventing hospital readmissions, improving patient outcomes, and providing seamless continuity of care.

What are some common challenges faced by RNs in Transitional Care, and how can they be managed effectively?

RNs in Transitional Care often encounter challenges such as coordinating care across multiple healthcare settings, ensuring smooth patient handoffs, and addressing gaps in patient education. Effective communication with multidisciplinary teams and thorough documentation are crucial to overcoming these challenges. Additionally, building trust with patients and their families helps facilitate adherence to care plans and reduces hospital readmissions. Leveraging electronic health records and standardized protocols can also enhance care continuity and patient outcomes.

What is the difference between Rn Transitional Care vs Rn Home Health?

AspectRn Transitional CareRn Home Health
CertificationsRN license, possibly additional certifications in care coordinationRN license, often requires home health certifications
Work EnvironmentHospitals, transitional care units, clinicsPatients' homes, community settings
Employer & IndustryHospitals, rehab centers, healthcare facilitiesHome health agencies, hospice providers

Rn Transitional Care and Rn Home Health both require RN licensure and focus on patient care, but differ mainly in work setting. Rn Transitional Care typically works in healthcare facilities managing patient transitions, while Rn Home Health provides care directly in patients' homes. Understanding these differences helps in choosing the right career path based on preferred work environment and patient interaction.

What states have the most Rn Transitional Care jobs?

States with the most job openings for Rn Transitional Care jobs include:

What are popular job titles related to Rn Transitional Care jobs?

For Rn Transitional Care jobs, the most frequently searched job titles are:

Registered Nurse (RN) - Transitional Care Management Clinic

Boardman, OH • On-site

Southwoods Health
501 - 1,000 employees

Other

Posted 13 days ago


Southwoods Health rating

6.5

Company rating: 6.5 out of 10

Based on 14 frontline employees who took The Breakroom Quiz


Job description

Position:Registered Nurse (RN) - Transitional Care Management Clinic

Location: Boardman, OH

Location: Boardman, OH (Main Campus)

Schedule: Full-time. Monday - Friday. Day shift.

Job Id:2993-PJF 912

# of Openings:1

Registered Nurse (RN) - Transitional Care Management Clinic

Experience the Southwoods Difference

At Southwoods Health, it’s not just about the treatment—it’s about how you’re treated. We are hiring a full-time Transitional Care Management RN.

The Role

You will assist patients recently discharged from acute care. You will gather clinical data and help prevent hospital readmissions.

Key Responsibilities:
  • Patient Assessments: Conduct post-acute phone assessments. Identify barriers to patient recovery.
  • Care Coordination: Review discharge instructions, medications, and referrals.
  • Scheduling: Facilitate and schedule face-to-face follow-up visits.
  • Documentation: Log all patient calls accurately in the EMR system.
  • Compliance: Maintain patient privacy and strictly follow regulatory standards (OSHA, ODH).
Qualifications
  • Education: BSN degree is preferred.
  • Skills: Strong critical thinking and time management.
  • Communication: Clear, professional, and empathetic phone skills.
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What Southwoods Health employees say

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