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Transitional Care Management Jobs in Michigan (NOW HIRING)

Trinity Health

Transitional Care Manager RN

Muskegon, MI · On-site

Effectively assesses members to ensure provision and transition to an appropriate level of care, to ... Three years acute care or case management experience * Preferred: Two years of utilization or HMO ...

EPIC Health

Care Management District Manager

Southfield, MI · On-site

$110 - $140/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Transitional Care Management (TCM) * Behavioral Health Integration (BHI) * Remote Therapeutic Monitoring (RTM) * Other current and future CMS-approved care management programs What You'll Do ...

HarmonyCares

RN Nurse Care Manager

Flint, MI · On-site

These duties will include, but are not limited to Transitional Care Management, Chronic Care Management, Disease Management Education, Medication Education, and the development and management of ...

New

Arbor Hospice

EverCare Registered Nurse

Kalamazoo, MI · On-site

... Care Management (PCM), and related care management services; supports Transitional Care Management (TCM) and Annual Wellness Visits (AWVs); closes quality and care gaps; and works to prevent ...

HarmonyCares

RN Nurse Care Manager

Flint, MI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

These duties will include, but are not limited to Transitional Care Management, Chronic Care Management, Disease Management Education, Medication Education, and the development and management of ...

New

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All JobsTransitional Care Management JobsTransitional Care Management Jobs in Michigan

Transitional Care Management information

See Michigan salary details

$27.5K

$46.1K

$81.1K

How much do transitional care management jobs pay per year?

As of Aug 20, 2026, the average yearly pay for transitional care management in Michigan is $46,085.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,900.00 and $56,200.00 per year, depending on experience, location, and employer.

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 Michigan?

For Transitional Care Management jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Transitional Care Management jobs in Michigan look for?

The top searched job categories for Transitional Care Management jobs in Michigan are:

Transitional Care Management jobs near you
Infographic showing various Transitional Care Management job openings in Michigan as of August 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $46,085 per year, or $22.2 per hour.

Telehealth Transitional Care Nurse Practitioner

Urrly

Detroit, MI • On-site

$135K/yr

Other

Posted 4 days ago

Job description

Telehealth Nurse Practitioner
Join a remote, member-facing clinical team helping patients safely navigate the first critical days after discharge. In this full-time telehealth role, you'll conduct Transitional Care Management visits within 14 days of discharge, complete comprehensive clinical assessments, reconcile medications, identify red flags, and coordinate care that helps reduce avoidable readmissions. This is a strong fit for a licensed Nurse Practitioner who is comfortable working independently on video, documenting same-day, and supporting members across multiple states.
Opportunity
This is a full-time, exempt Telehealth Transitional Care Nurse Practitioner role focused on post-discharge care. You'll work remotely with members and caregivers through virtual visits, helping close care gaps, support safe recovery, and escalate urgent clinical concerns when needed.
Role details:
  • Employment type: Full-time, exempt
  • Work model: Remote / telehealth
  • Schedule: Core hours of 8:00 AM - 5:00 PM Central Time, Monday through Friday
  • Weekend coverage: Rotating weekend coverage required for urgent or emergent needs, which may include a Saturday visit when clinically necessary
  • Start: ASAP
  • Compensation: $135,000 salary
What You Will Own
Transitional Care Management Visits
  • Conduct telehealth TCM visits within the required post-discharge window.
  • Perform comprehensive clinical assessments for recently discharged members.
  • Complete medication reconciliation and identify potential safety, adherence, or care-continuity concerns.
  • Support members and caregivers through video visit connection steps, basic troubleshooting, and maintaining a private, HIPAA-compliant encounter environment.
Clinical Escalation and Care Coordination
  • Identify acute clinical needs and escalate urgent findings according to clinical protocols.
  • Serve as a first-line clinical escalation resource for care coordinators and support staff regarding member status, red-flag symptoms, or scheduling issues with clinical implications.
  • Coordinate with care team members who interface with PCPs, specialists, and discharge planning teams to help close care gaps and reduce readmission risk.
  • Adjust daily visit sequencing as needed based on member cancellations, discharge timing, and care priorities.
Documentation, Quality, and Compliance
  • Document all encounters completely and accurately.
  • Submit charts no later than the date of service to support timely coding, quality reporting, and claims submission.
  • Maintain compliance with HIPAA, state licensure, and payer-specific documentation requirements.
  • Participate in ongoing clinical training, chart audit feedback sessions, and quality improvement initiatives.
What Makes You a Strong Fit
  • Active, unrestricted Nurse Practitioner licensure in at least three of the following states: OH, CA, NY, IN, KY, PA, LA, MI, TN, MO.
  • Active national board certification through AANP or ANCC as an FNP, AGNP, or equivalent adult/geriatric-focused certification.
  • Minimum of 2 years of clinical experience.
  • Comfort delivering care through video visits and communicating clearly with members and caregivers in a remote setting.
  • Ability to work a dependable weekday schedule with rotating weekend coverage for urgent or emergent clinical needs.
  • Strong comfort using EMR documentation platforms, video-visit software, and desktop or mobile point-of-care technology.
  • Ability to complete accurate same-day documentation for all encounters.
Nice-to-Haves
  • Prior telemedicine or telehealth experience.
  • Transitional Care Management or post-discharge care experience.
  • Experience working with Medicare Advantage populations.
  • Familiarity with HEDIS, STAR measures, and value-based care documentation standards.
  • Experience in a fast-paced, discharge-driven scheduling environment.
Remote Work and Technology Requirements
  • Dedicated, private, HIPAA-compliant workspace free from background noise and visual distractions during scheduled video visits.
  • Reliable high-speed internet connection sufficient for stable, uninterrupted video visits.
  • Personal computer and webcam setup that can support secure video visits and required clinical documentation tools.
  • Ability to remain seated, attentive, and engaged on camera for consecutive video visits throughout the scheduled shift.
Equal Opportunity
We are an Equal Opportunity Employer. This job description reflects the general nature of the role and is not an exhaustive list of duties.
Compensation
The expected total compensation range is USD 135,000 Yearly.
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