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Transitional Care Coordinator Jobs (NOW HIRING)

KPC Health

Care Transition Coord (PD-Days)

Santa Ana, CA · On-site

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The Transitional Care Coordinator will primarily monitor, coordinate and assists the team on orders to evaluate a patient from a physician or a member who identifies a patient that has potential for ...

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How much do transitional care coordinator jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for transitional care coordinator in the United States is $24.35, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What is a transitional care coordinator?

Transitional Care Coordinators are healthcare professionals who help patients move smoothly from one care setting to another, such as from a hospital to their home or a rehabilitation facility. They assess patients' needs, coordinate care plans, and ensure that all necessary services, medications, and follow-up appointments are arranged. Their goal is to reduce hospital readmissions, improve patient outcomes, and provide continuity of care during transitions. They often work closely with doctors, nurses, social workers, and family members to support patients throughout the process.

What skills and qualifications are needed to be a transitional care coordinator?

To thrive as a Transitional Care Coordinator, you need a background in nursing, social work, or case management, often supported by a relevant degree and clinical or care coordination experience. Familiarity with electronic health records (EHRs), patient tracking systems, and care transition protocols is typically required. Strong communication, problem-solving, and organizational skills help build rapport with patients and collaborate with healthcare teams. These competencies ensure smooth care transitions, reduce readmissions, and improve patient outcomes.

What challenges do transitional care coordinators face when helping patients move between care settings?

Transitional Care Coordinators often encounter challenges such as coordinating communication among multiple healthcare providers, managing complex medication regimens, and addressing gaps in patient education about their care plans. Ensuring that patients and their families understand discharge instructions and follow-up appointments can be particularly demanding. Additionally, Coordinators must navigate varying levels of patient engagement, socioeconomic barriers, and limited community resources, all while striving to reduce readmissions and improve overall patient outcomes.

What is the difference between Transitional Care Coordinator vs Case Manager?

AspectTransitional Care CoordinatorCase Manager
Required credentialsRN, LPN, or relevant healthcare certificationRN, social worker, or healthcare-related certification
Work environmentHospitals, clinics, post-acute care settingsHospitals, insurance companies, community agencies
Employer and industry usageHealthcare providers focusing on patient transitionsHealthcare organizations managing patient care plans
Common search intentPatient discharge, care coordinationCare planning, resource management

While both roles involve coordinating patient care, a Transitional Care Coordinator primarily focuses on ensuring smooth transitions from hospital to home or other settings, often requiring healthcare certifications. A Case Manager has a broader scope, managing overall patient care plans across various settings, often with social work or nursing credentials. Understanding these differences helps in choosing the right career path or job search focus.

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Transitional Care Coordinator jobs near you
Infographic showing various Transitional Care Coordinator job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $50,639 per year, or $24.3 per hour.

Care Coordinator - Transitional Care

Cleveland Clinic

Stuart, FL • On-site

$17 - $23/hr

Full-time

Re-posted 5 days ago

Cleveland Clinic rating

7.2

Company rating: 7.2 out of 10

Based on 910 frontline employees who took The Breakroom Quiz

349th of 888 rated healthcare providers

Job description

Join the Cleveland Clinic team at Stuart Family Health Center, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.


StuartFamily Health Center is looking to add a Care Coordinator to the team who willsupportTransitional Care.As a Care Coordinatorin this role, you will work collaboratively with multidisciplinary caregivers across the continuum of care to provide coordination of care and disease management longitudinally to patients with chronic condition(s). You willfollow up withrecently discharged patients and follow their status for up to30 days.Ultimately, yourefforts willimprove care for patients athome and reduce readmission.On this team, you will learn something new every day, grow in yourfieldand gain access tonumerousprofessional development resources.


A caregiver in this position works days from 8:00AM - 5:00PM.

After the on-site training period, this caregiver will work remotely. Living within two hours of Martin North Hospital isrequired.


A caregiver who excels in this role will:

  • Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, planinterventionsand maximize patient outcomes.

  • Provide care and disease management coordination.

  • Identifypatients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach.

  • Outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator andidentifythe primary care team involved.

  • Utilize assessment skills and risk assessment tools toidentifypatients with actual or potential care needs that would require care coordination.

  • Utilize technological tools (registries, patient lists, care teamtab, etc.) to manage populations.

  • Conduct comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral, pharmacy, social andend of lifeneeds of each patient.

  • Inform and work with patients and their familiesregardingcoordination of their care, provide education and coaching,monitorpatient compliance with their care plan, perform reassessmentsregardingpatient progress towardgoalsand update plan of care.

  • Serve as a liaison and advocate for patients and families.

  • Assistin managing transitions of care across care settings, ensuringoptimalcommunication and planning.

  • Identifybarriers,facilitatesolutionsand connect others to community resources.

  • Partner with other care coordinator teams such as primary and transitionalcaresocial work, rehabilitation, pharmacy, palliativecareand others.

  • Define and ensure compliance with disease-specific care paths for specialty care or chronic disease.

  • Coachpatientand familyonself-management support.

  • Educate about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks.

  • Educate and connect to other care providers and community resources to enhance care.


Minimum qualifications for the ideal future caregiver include:

  • Graduate from an accredited school of Professional Nursing (Diploma,ADNor BSN program)

  • Current state licensure as a Registered Nurse (RN)

  • Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross

  • Three to five years of nursing experience


Preferred qualifications for the ideal future caregiver include:

  • Bachelor'sof Science in Nursing (BSN)

  • Four to five years of bedside nursing experience

  • Nursing experience in the ICU

  • EPIC experience

  • Specialty certification

Physical Requirements:

  • Requires full range of motion, manual and finger dexterity and eye-hand coordination.
  • Requires corrected hearing and vision to normal range.
  • May requires some exposure to communicable diseases or bodily fluids.
  • Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment as required for procedures.

Pay Range

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.

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