Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
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Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts ...
Clinical Care Nurse - FL
Port Saint Lucie, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - FL
Port Saint Lucie, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Transition of Care Coach (RN-Peds) - Miami, FL
Tampa, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Tampa, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Miami, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Miami, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Jacksonville, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Jacksonville, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Clinical Care Nurse - FL
Port Saint Lucie, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - FL
Port Saint Lucie, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Transition of Care Coach (RN-Peds) - Miami, FL
Orlando, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Transition of Care Coach (RN-Peds) - Miami, FL
Orlando, FL · On-site
$26.41 - $51.49/hr
Facilitates transitional care processes and coordination for member discharge from hospital ... Excellent time-management and prioritization skills, and ability to focus on multiple projects ...
Clinical Care Nurse - Florida
North Miami, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
North Miami, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
Aventura, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
Aventura, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - FL
Port Saint Lucie, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - FL
Port Saint Lucie, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
North Miami Beach, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
North Miami Beach, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
North Miami Beach, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
North Miami Beach, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse (RN)
Pembroke Pines, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse (RN)
Pembroke Pines, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
North Miami Beach, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse - Florida
North Miami Beach, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Bilingual Clinical Care Nurse - Florida
Lakeland, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Bilingual Clinical Care Nurse - Florida
Lakeland, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse (RN)
Belle Glade, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Clinical Care Nurse (RN)
Belle Glade, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
Transitional Care Management information
See Florida salary details
$23.5K - $27.7K
19% of jobs
$29.5K is the 25th percentile. Wages below this are outliers.
$27.7K - $31.9K
14% of jobs
The median wage is $34.9K / yr.
$31.9K - $36.1K
23% of jobs
$36.1K - $40.3K
13% of jobs
$44.1K is the 75th percentile. Wages above this are outliers.
$40.3K - $44.4K
6% of jobs
$44.4K - $48.6K
6% of jobs
$48.6K - $52.8K
9% of jobs
$52.8K - $57K
5% of jobs
$57K - $61.1K
3% of jobs
$61.1K - $65.3K
1% of jobs
$65.3K - $69.5K
0% of jobs
$23.5K
$39.5K
$69.5K
How much do transitional care management jobs pay per year?
What is a transitional care management?
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 does a transitional care management professional do?
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.
What are the key skills and qualifications needed to thrive in transitional care management?
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 popular job titles related to Transitional Care Management jobs in Florida?
For Transitional Care Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Transitional Care Management jobs in Florida look for?
The top searched job categories for Transitional Care Management jobs in Florida are:

Watson Clinic rating
6.4
Based on 39 frontline employees who took The Breakroom Quiz
641st of 888 rated healthcare providers
Job description
Job Type
Full-time
Description
Summary/Objective
Responsible for actively participating in the management of patients with complex needs to include conducting telephonic visits for Medicare Wellness, Transitional Care Management and Chronic Care Management. This role requires the ability to develop care plans and assist in the management of "high utilizers". and identifying barriers in care to assist with successfully managing the patient's disease state. He or she will work with care teams and patients to support the goals of providing efficient, effective, and quality care to our community.
Essential Functions and Responsibilities
- Interact with patients telephonically (audio and video) for care coordination. This may include, but is not limited to: Medicare Wellness Visits, Transitional Care Management, Chronic Care Management, Medication Reconciliation, documentation of patient reported home vitals, and outreach that supports coding efforts and the closure of quality gaps.
- Assist patients in gaining access to PCP and specialist appointments as needed within recommended time frames following provider protocols and scheduling best practices. Participate as an active member of the patient's care team collaborating with the patient, patient's family, providers, clinical staff, and outside care entities.
- Develop and implement goal-driven, individualized patient care plans. These care plans will include a focus on disease management and patient empowerment. Educate patients' families and care-givers in the execution of these care plans. Monitor care plans to review patient's progress and revise as necessary while continuing to provide education and support as appropriate.
- Document all encounters and patient related discussions. Close documentation in a timely manner. Appropriately bill for services rendered.
- Properly utilize technology in support of patient care. Basic knowledge of Microsoft Office Suite. Utilize Epic Healthy Planet suite of products for the support of care coordination.
Supervisory Responsibility
This position has no supervisory responsibility
Work Environment & Physical Demands
Possesses the physical stamina, cognitive functions and emotional stability essential to meet the demands of a fast-paced, highly productive and often highly stressful work environment
Manual dexterity required: As needed for general administrative work, keyboarding, etc.
Travel
Local hospitals for rounding on patients and meetings along with Skilled Nursing Facilities.
Requirements
Required Education and Experience
Registered Nurse license for the State of Florida and two years' experience working in both inpatient and ambulatory care setting (physician office setting, hospital or Hospice).
Proficiency with Excel is preferred
Excellent listening and interpersonal skills
Ability to maintain confidences
Must be flexible, resourceful, and able to problem solve
Must be able to handle multiple tasks simultaneously and set Priorities
Preferred Education and Experience
Bachelor's degree, Case Management Certification
Experience in a Primary Care Setting
What Watson Clinic employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Watson Clinic
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Lakeland, FL, US
Year founded
1941