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Transitional Care Management Jobs in Alabama (NOW HIRING)

VIVA Health

Nurses & Social Workers

Montgomery, AL

We are hiring Nurses and Social Workers for corporate and field opportunities in several areas: • Transitional Care • Behavioral Health • Care Coordination and Case Management • Quality ...

VIVA Health

Nurses & Social Workers

Dothan, AL

We are hiring Nurses and Social Workers for corporate and field opportunities in several areas: • Transitional Care • Behavioral Health • Care Coordination and Case Management • Quality ...

VIVA Health

Nurses & Social Workers

Birmingham, AL

We are hiring Nurses and Social Workers for corporate and field opportunities in several areas: • Transitional Care • Behavioral Health • Care Coordination and Case Management • Quality ...

VIVA Health

Nurses & Social Workers

Mobile, AL

We are hiring Nurses and Social Workers for corporate and field opportunities in several areas: • Transitional Care • Behavioral Health • Care Coordination and Case Management • Quality ...

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Transitional Care Management information

See Alabama salary details

$28.6K

$47.9K

$84.3K

How much do transitional care management jobs pay per year?

As of May 28, 2026, the average yearly pay for transitional care management in Alabama is $47,925.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,300.00 and $58,500.00 per year, depending on experience, location, and employer.

What is a Transitional Care Management job?

A Transitional Care Management (TCM) job involves coordinating care for patients as they transition from a hospital or skilled nursing facility back to their home or community setting. TCM professionals, such as nurses or care coordinators, ensure that patients receive follow-up care, medication management, and necessary support to prevent complications or hospital readmission. They communicate with healthcare providers, educate patients on their conditions, and address any barriers to recovery. The goal of TCM is to improve patient outcomes and enhance the continuity of care during this critical period.

What are the key skills and qualifications needed to thrive in the Transitional Care Management position, and why are they important?

To thrive in Transitional Care Management, you need clinical expertise in patient care coordination, discharge planning, and chronic disease management, usually supported by a healthcare degree such as nursing, social work, or a related field. Familiarity with electronic health records (EHRs), care planning software, and current transitional care guidelines is highly valued, along with certifications like CCM (Certified Case Manager) or TCM (Transitional Care Management) when available. Outstanding organization, problem-solving, and interpersonal communication are essential soft skills for building relationships with patients, families, and multidisciplinary teams. These abilities are crucial for ensuring seamless transitions, reducing readmissions, and improving patient health outcomes during vulnerable periods of care transfer.

What are the typical responsibilities of a Transitional Care Management professional on a daily basis?

A Transitional Care Management professional is responsible for coordinating and overseeing a patient's care as they move between different healthcare settings, such as from hospital to home. Daily duties often include assessing patient needs, developing individualized care plans, facilitating communication between healthcare providers and family members, and ensuring all necessary follow-up appointments and medications are in place. They also work to identify and address potential barriers to recovery, such as social or environmental factors, to prevent hospital readmissions. The role involves close collaboration with physicians, nurses, social workers, and community resources to provide comprehensive support throughout the transition process.
More about Transitional Care Management jobs
What are popular job titles related to Transitional Care Management jobs in Alabama? For Transitional Care Management jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Transitional Care Management jobs in Alabama look for? The top searched job categories for Transitional Care Management jobs in Alabama are:
Transitional Care Management jobs near you
Infographic showing various Transitional Care Management job openings in Alabama as of May 2026, with employment types broken down into 99% Full Time, and 1% Temporary. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $47,925 per year, or $23 per hour.
Care Manager - Certified Medical Assistant

Care Manager - Certified Medical Assistant

Complete Health

Pinson, AL

$18.38 - $22.53/hr

Full-time

Posted 2 days ago

Complete Health rating

6.8

Company rating: 6.8 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

Job description

Schedule: Monday-Friday 8am-5pm

Pay Range: $18.38-22.53 per hour, dependent on experience

SUMMARY OF JOB DUTIES:
Under the direction of Value Based Care Leadership, the Care Manager 1 provides and facilitates communication of health information and performs clerical and clinical documentation and other support services for patients in Care Management programs. The incumbent is responsible for triaging, coordination of care, documentation, communication, and tracking patient calls, cases and records. They engage patients and their families and/or representatives for disease management and education sessions to promote positive health and behavioral modifications, assists in the development of care plans, and encourages and facilitates engagement with the Primary Care Provider, specialists, and other community-based healthcare providers. The Care Manager 1 provides information for basic social services, application assistance, and care planning for patients, as needed. He/she provides transition of care services to patients being discharged from post-acute settings, such as hospitals and skilled nursing facilities. He/she is responsible for ensuring billing and documentation is complete for chronic care management eligible patients.

ESSENTIAL JOB FUNCTIONS:

  • A general knowledge of primary care clinics, disease management and medical terminology is essential. Competency in prevention strategies and care planning for patients with comorbidities (chronic health conditions, behavioral health, and substance abuse). Experience in care coordination, health education, patient engagement and social services is required. Knowledge of hospitals, specialists, and ancillary health services throughout the assigned community is preferred.
  • Provides Care Management services to a panel of traditional Medicare and Medicare Advantage patients who are assigned to his/her care.
  • Works in collaboration with the patient's Primary Care Provider to create and modify patient care plans and associated patient goals and instructions.
  • Assists patients with appointment scheduling, prescription filling and performs other duties directed by the PCP and Value Based Care leadership.
  • Interacts with respect and in a professional manner with patients, staff and external customers.
  • Provides assistance and supplemental support for Transitional Care Management Nurses and patients.
  • Communicates with other health professionals, hospitals and community resources as the patient's advocate to support the continuum of care.
  • Provides basic health education and disease management sessions to support positive behavioral change among Value Based Care patients.
  • Reviews charts and requests outstanding information to ensure clinical documents from ER, urgent Care, hospitals skilled facilities and consult notes are on the patient's chart. Updates Care Team and medications lists.
  • Assures that patient meets all quality measures, is taking medications and fulfilling orders for following up with specialists, completing labs and imaging as the provider directs for the patient's overall health and wellbeing.
  • Documents the appropriate criteria for Chronic Care Management (CCM), Transitional Care Management (TCM), and behavioral health integration (BHI) for eligible patients and relays that information to the appropriate Care Management team member.
  • Assesses and identifies specific patient social and preventative care needs. Facilitates resolutions (when possible) with community resources throughout an assigned geographic area.
  • Participates in department rotating "on-call" schedule.
  • Attends meetings for updates as directed.
  • Follows HIPAA and OSHA Standards.
  • Maintains HR compliance and procedures.
  • Ensures patient satisfaction by providing excellent service, putting Patients First Always.

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