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Transitional Care Associate Jobs in Pennsylvania

This role focuses on chronic disease management, care planning, care transitions, closing care gaps ... Associate degree in Nursing required; Bachelor's degree preferred * Current RN license and CPR ...

Supportive team culture focused on patient care and professional growth Compensation & Benefits ... Daily guarantee to start, transitioning to a percentage-based compensation model * Health insurance ...

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Transitional Care Associate information

What is a transitional care associate?

A Transitional Care Associate is a healthcare professional who helps patients move smoothly between different levels of care, such as from a hospital to home or a rehabilitation facility. They coordinate care plans, provide education about medications and treatments, and ensure all necessary services are arranged for the patient’s recovery. Their main goal is to reduce hospital readmissions and improve patient outcomes by supporting both patients and their families during these critical transitions.

What is the difference between Transitional Care Associate vs Patient Care Coordinator?

AspectTransitional Care AssociatePatient Care Coordinator
Required CredentialsCertification in healthcare or nursing assistant training, relevant experienceHealthcare-related certification or experience, often with patient advocacy
Work EnvironmentHospitals, clinics, post-acute care settingsMedical offices, clinics, outpatient facilities
Employer & Industry UsageHospitals, healthcare providers focusing on patient transitionsHealthcare organizations managing patient care plans and coordination
Common Search & Comparison IntentUnderstanding roles in patient transition and supportManaging patient care and communication with providers

Transitional Care Associates primarily focus on supporting patients during care transitions, often working in hospitals or post-acute settings. Patient Care Coordinators handle broader care management, including scheduling and communication. Both roles require healthcare knowledge but differ in scope and environment.

What are the key skills and qualifications needed to thrive as a transitional care associate, and why are they important?

To thrive as a Transitional Care Associate, you need a foundational knowledge of patient care, care coordination, and healthcare procedures, often supported by a healthcare-related degree or certification such as a Certified Nursing Assistant (CNA) or equivalent experience. Familiarity with electronic health records (EHRs), patient tracking systems, and discharge planning tools is commonly required. Outstanding interpersonal skills, empathy, and strong organizational abilities help facilitate smooth transitions for patients between care settings. These competencies are vital to ensure continuity of care, reduce readmission rates, and support positive patient outcomes during critical transition periods.

How does a transitional care associate typically collaborate with other healthcare professionals to ensure smooth patient transitions?

Transitional Care Associates work closely with nurses, physicians, social workers, and case managers to coordinate patient care as individuals move between different healthcare settings, such as from hospital to home or rehabilitation facility. They facilitate communication between care teams, help organize follow-up appointments, and address patient or family concerns to prevent readmissions. This collaborative approach requires strong interpersonal skills and attention to detail, as successful transitions depend on sharing accurate information and anticipating patient needs.
What are the most commonly searched types of Transitional Care jobs in Pennsylvania? The most popular types of Transitional Care jobs in Pennsylvania are:
What are popular job titles related to Transitional Care Associate jobs in Pennsylvania? For Transitional Care Associate jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Transitional Care Associate jobs in Pennsylvania look for? The top searched job categories for Transitional Care Associate jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Transitional Care Associate jobs? Cities in Pennsylvania with the most Transitional Care Associate job openings:
Infographic showing various Transitional Care Associate job openings in Pennsylvania as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution.

Nursing Home Transition (NHT) Service Coordinator/Human Services

Alleghenies United Cerebral Palsy

Philadelphia, PA • On-site

$20 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago


Job description

Launch Your Career - Not Just Another Job
Do you have a 2-year degree and want real-world experience that actually builds your future?
Are you looking for genuine work/life balance instead of burnout?
Would tuition reimbursement after just 1 year of employment help you reach your goals?
How does a true Monday-Friday schedule with 15 Agency Paid Days Off (including 11 holidays 4 Self care days) off sound?
Work Location
Hybrid/Remote Position with the requirement to complete visits in the community throughout Pennsylvania. Candidates must live in one of the following counties to complete home visits Philadelphia, Delaware, Montgomery, Chester and Bucks County.
Work Environment Requirements
This is a hybrid position requiring both in-office and remote work. When working remotely, employees must maintain reliable high-speed internet access to ensure consistent connectivity for meetings, systems, and communication. Failure to maintain adequate internet service may impact the ability to perform essential job functions.
We also discuss outside employment with new hires early in the hiring process to identify and prevent any potential conflicts of interest and ensure expectations are clear upon acceptance of employment.
Position Summary
The Nursing Home Transition (NHT) Coordinator plays a vital role in helping individuals safely and successfully transition from nursing facilities back to community-based living. This position works closely with participants, families, service coordinators, healthcare providers, and external agencies to ensure services and support are in place before, during, and after discharge.
The NHT Coordinator is responsible for adhering to all program requirements, maintaining timely and accurate documentation, and providing consistent participant support throughout the transition process.
AUCP welcomes both experienced professionals and recent college graduates who are passionate about helping others and building a career in human services. We provide comprehensive on-the-job training and mentorship to support employees as they develop the skills needed to succeed in this role.
Education & Experience
  • Associate's or Bachelor's degree in Social Work, Human Services, Nursing, Psychology, Sociology, or a related field required (Bachelor's degree strongly preferred).
  • Recent college graduates are encouraged to apply.
  • Previous experience in care coordination, case management, healthcare, or human services is preferred but not required for entry-level candidates.
  • Knowledge of Medicaid Waiver programs, Long-Term Services and Supports (LTSS), and Home and Community-Based Services (HCBS) is a plus.

What AUCP Offers YOU
  • Starting Hourly Rate: $21/hour, with opportunities for performance-based increases
  • Flexible Schedule
  • No On-Call Requirements
  • 15 Agency Paid Days Off (including 11 holidays)
  • 18 PTO Days
  • Paid Training Period
  • Mileage Reimbursement
  • Comprehensive On-the-Job Training and Mentorship
  • Tuition Reimbursement Opportunities
    • Employees become eligible for tuition reimbursement after one year of employment to support continued education and professional growth
  • Medical Insurance
  • Company Paid Dental Insurance
  • Company Paid Vision Insurance
  • Company-paid life insurance with the option to add additional coverage for you and your family
  • Up to 5% Match for 401(k)

Key Responsibilities
  • Serve as the primary contact for nursing home residents transitioning into community-based living through the NHT program
  • Coordinate transition plans with participants, families, healthcare teams, housing providers, and community agencies
  • Arrange housing and essential support services to ensure successful discharge and community reintegration
  • Monitor participant progress and maintain accurate documentation in compliance with all regulatory and organizational standards
  • Support outreach, quality assurance initiatives, mentorship activities, and regional travel as needed

Skills & Knowledge
  • Experience working with individuals with disabilities or special needs preferred
  • Strong skills in assessment, planning, and participant-centered service delivery
  • Excellent organizational, communication, and documentation skills
  • Ability to work effectively as part of an interdisciplinary team
  • Familiarity with community support systems, housing resources, healthcare, and human services
  • Willingness to learn and grow within the organization

Work Environment
  • Frequent exposure to outdoor elements and varying weather conditions
  • Occasional driving in poor weather conditions may be required
  • Noise levels are typically minimal to moderate

Employment is contingent on the successful completion of the following clearances
  • PA State Police Background Check (e-PATCH)
  • Child Abuse Clearance
  • FBI Background Check
  • MA Fraud Check
  • Social Security Verification
  • DMV Check