Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Review and document patient updates and progress in care management platform * Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements * Frequent local ...
Primary Care Physician
Atlantic, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Primary Care Physician
Atlantic, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Primary Care Physician
Ferguson, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Primary Care Physician
Ferguson, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Primary Care Physician
Glenwood, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Primary Care Physician
Glenwood, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Primary Care Physician
Atlantic, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Primary Care Physician
Atlantic, IA · On-site
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...
Patient Care Coordinator RN - Care Coordination - Part-Time (.6 FTE/WEO)
Cedar Rapids, IA · On-site
$17.25 - $22.50/hr
Completes case management assessment of patients and support systems in order to facilitate the ... Seeks patients eligible for admission to the Transitional Care Unit and other appropriate referral ...
Patient Care Coordinator RN - Care Coordination - Part-Time (.6 FTE/WEO)
Cedar Rapids, IA · On-site
$17.25 - $22.50/hr
Completes case management assessment of patients and support systems in order to facilitate the ... Seeks patients eligible for admission to the Transitional Care Unit and other appropriate referral ...
Director of Nursing
$115K - $132K/yr
... transitional care, or long-term care. * Previous Director of Nursing, Assistant Director of Nursing, Unit Manager, or comparable clinical leadership experience preferred. * Demonstrated experience ...
Quick apply
Director of Nursing
$115K - $132K/yr
... transitional care, or long-term care. * Previous Director of Nursing, Assistant Director of Nursing, Unit Manager, or comparable clinical leadership experience preferred. * Demonstrated experience ...
Director of Nursing
Muscatine, IA · On-site
$110 - $150/hr
... transitional care, or long-term care. * Previous Director of Nursing, Assistant Director of Nursing, Unit Manager, or comparable clinical leadership experience preferred. * Demonstrated experience ...
Director of Nursing
Muscatine, IA · On-site
$110 - $150/hr
... transitional care, or long-term care. * Previous Director of Nursing, Assistant Director of Nursing, Unit Manager, or comparable clinical leadership experience preferred. * Demonstrated experience ...
Dietary Cook FT and PT $2000 sign on bonus
$13.25 - $17.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
Dietary Cook FT and PT $2000 sign on bonus
$13.25 - $17.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
Dietary Cook FT and PT $2000 sign on bonus
Muscatine, IA · On-site
$13.25 - $17.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
Dietary Cook FT and PT $2000 sign on bonus
Muscatine, IA · On-site
$13.25 - $17.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
Activity Assistant/CNA CERTIFIED
Muscatine, IA · On-site
$14.25 - $18.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
Activity Assistant/CNA CERTIFIED
Muscatine, IA · On-site
$14.25 - $18.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
RN/LPN:MDS/Infection control
$33.50 - $44/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
RN/LPN:MDS/Infection control
$33.50 - $44/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
RN/LPN:MDS/Infection control
Muscatine, IA · On-site
$33.50 - $44/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
RN/LPN:MDS/Infection control
Muscatine, IA · On-site
$33.50 - $44/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
Activity Assistant/CNA CERTIFIED
$14.25 - $18.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
Activity Assistant/CNA CERTIFIED
$14.25 - $18.25/hr
Our new Transitional Care Center offers the latest in new construction, medical management technology, and clinical expertise. Providing comprehensive rehabilitation for recovery after surgery ...
The RN Care Manager is responsible for coordination of multiple disciplines and resources to facilitate transition of the patient to the appropriate level on the continuum of care. Develops a plan of ...
The RN Care Manager is responsible for coordination of multiple disciplines and resources to facilitate transition of the patient to the appropriate level on the continuum of care. Develops a plan of ...
Universal Worker
Le Mars, IA · On-site
$19/hr
... management certificate ABOUT OUR LE MARS, IA COMMUNITIES: Accura HealthCare of Le Mars, a 46-bed Skilled Nursing Facility (SNF), provides transitional care, skilled nursing care, and long-term care ...
Universal Worker
Le Mars, IA · On-site
$19/hr
... management certificate ABOUT OUR LE MARS, IA COMMUNITIES: Accura HealthCare of Le Mars, a 46-bed Skilled Nursing Facility (SNF), provides transitional care, skilled nursing care, and long-term care ...
Transitional Care Management information
See Iowa salary details
$29.6K - $34.8K
19% of jobs
$37.1K is the 25th percentile. Wages below this are outliers.
$34.8K - $40.1K
14% of jobs
The median wage is $43.9K / yr.
$40.1K - $45.3K
23% of jobs
$45.3K - $50.6K
13% of jobs
$55.4K is the 75th percentile. Wages above this are outliers.
$50.6K - $55.8K
6% of jobs
$55.8K - $61.1K
6% of jobs
$61.1K - $66.3K
9% of jobs
$66.3K - $71.6K
5% of jobs
$71.6K - $76.8K
3% of jobs
$76.8K - $82.1K
1% of jobs
$82.1K - $87.4K
0% of jobs
$29.6K
$49.7K
$87.4K
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 Iowa?
For Transitional Care Management jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Transitional Care Management jobs in Iowa look for?
The top searched job categories for Transitional Care Management jobs in Iowa are:

Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 8 days ago
Job description
Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.
Your Impact:
As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.
Roles and Responsibilities
- Work closely with patients’ medical providers to develop and continually adapt care plan
- Perform in-home care management visits to execute care management plan
- Monitor biometric data and follow approved protocols for any necessary interventions
- Inventory and reconcile medications and coordinate with pharmacists and prescribers
- Perform patient health assessments and surveys as required
- Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities
- Encourage medication and treatment adherence through frequent contact with patients
- Engage family and social support groups in the education and care of patients
- Serve as the primary point of contact and be the first call when patients have questions (business hours)
- Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices
- Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities
- Obtain vital signs when visiting patient and escalate any concerns to the provider
- Initiate patient relationships through enrolment and onboarding processes
- Perform post-op and hospital discharge visits to help patients through vulnerable transitions
- Review and document patient updates and progress in care management platform
- Coordinate with dialysis providers to ensure transitions of care are seamless
- Frequent local travel to perform in-home visits
- Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding
- Infrequent domestic travel may be required, primarily to Brentwood, TN for training
- Self-starter with the ability to work independently with minimal supervision
- Ability to show empathy and quickly build relationships with patients and physicians
- Graduate of an accredited School of Nursing
- Currently licensed as a Registered Nurse in the State of the posted location
- 2+ years previous experience working in care management and/or with CKD/ESRD patients
- Ability to take call remotely on some nights and weekends
- Excellent verbal communication skills both in person and on the phone
- Familiarity with Microsoft Office and mobile phone and web-based applications
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
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Equal Opportunity Employer
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For further information, please review the Know Your Rights notice from the Department of Labor.
About Monogram Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Brentwood, TN, US
Year founded
2019