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Transitional Care Management Jobs in Oregon (NOW HIRING)

Care Management

RN, Care Management

Portland, OR · On-site

RN Case Manager The Care Management department provides several major services to assure safe and efficient throughput of patients during their acute hospitalization and transition to the next level ...

New

Curana Health, Inc.

Care Manager, LPN - (EST)

... Care Management (CCM). These patients often have complex, emerging health risks, or recent care transitions. Working with Curana Providers and the interdisciplinary team, the Care Manager supports ...

Legacy Health

Case Manager - Care Management

Portland, OR · On-site

$54.37/hr

Ensures a smooth transition of care between multiple health care environments with planned handoffs ... Care management of diverse patient populations * Ambulatory Care * Knowledge of levels of care ...

Legacy Health

Case Manager - Care Management

Portland, OR

$54.37 - $81.21/hr

Ensures a smooth transition of care between multiple health care environments with planned handoffs ... Care management of diverse patient populations * Ambulatory Care * Knowledge of levels of care ...

Legacy Health

Case Manager - Care Management

Portland, OR

$54.37 - $81.21/hr

Ensures a smooth transition of care between multiple health care environments with planned handoffs ... Care management of diverse patient populations * Ambulatory Care * Knowledge of levels of care ...

Legacy Health

Case Manager - Care Management

Portland, OR · On-site

$54.37 - $81.21/hr

Ensures a smooth transition of care between multiple health care environments with planned handoffs ... Care management of diverse patient populations * Ambulatory Care * Knowledge of levels of care ...

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Transitional Care Management information

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 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 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 Oregon? For Transitional Care Management jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Transitional Care Management jobs in Oregon look for? The top searched job categories for Transitional Care Management jobs in Oregon are:
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Transitional Care Management jobs near you
Infographic showing various Transitional Care Management job openings in Oregon as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Registered Nurse - Bend Transitional Care

Bend Transitional Care

Bend, OR • On-site

$50 - $60/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Description:

We are Bend Transitional Care, a 60-bed skilled nursing and rehabilitation facility in Bend, Oregon that provides transitional, post-hospital care for people who need extra medical support before returning home or moving to longer-term care. We’re dedicated to providing compassionate, high-quality skilled nursing and rehabilitation care that supports our residents in living their best lives. We’re looking for a dependable and caring Full Time Registered Nurse (RN) to join our nursing team.


Schedule Requirement:

This position works three 12-hour shifts per week from 6:00 PM – 6:30 AM. Applicants must be available to work this set schedule.


Why You’ll Love Working Here

You will be part of a supportive, mission-driven team that values clinical excellence, respect, and professional growth. We offer:

  • Competitive pay
  • Medical, dental, and vision insurance
  • 401(k) retirement plan
  • Paid vacation and sick time
  • Life and disability insurance
  • Employee Assistance Program (EAP)
  • Continuing education and professional development support
  • Collaborative leadership and positive team culture

Position Summary

The primary role of the Registered Nurse is to supervise staff, monitor patients, implement treatments, develop patient care plans for long-term needs, administer medications, follow-up with families and provide the highest quality of care to all residents/patients. Provides clinical care in compliance with current federal and state guidelines, and company regulations.

Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each

state’s specific background check requirements prior to contact with patients/residents.


Essential Functions

  • Provides high-quality care to residents/patients.
  • Demonstrates sound clinical judgement.
  • Documents care, assessments, and resident status accurately and timely in compliance with facility policies and all regulatory requirements.
  • Communicates changes in resident condition with physicians and care team members.
  • Completes all required nursing documentation, including assessments, orders, progress notes, and flowsheets.
  • Manages medications safely by administering, documenting, monitoring resident responses, reporting adverse reactions, maintaining narcotic records, and ensuring medication availability and order compliance.
  • Responds to emergencies, initiates appropriate interventions, and performs CPR when needed.
  • Maintains punctual and regular attendance for assigned shifts.

Other Functions

  • Ensures compliance with company’s clinical policies and procedures.
  • Follows the guidelines established from the Nurse Practice Act, company standards, policies and procedures and sound nursing judgment.
  • Performs other related duties, as assigned.


Knowledge/Skills/Abilities

  • Must maintain confidentiality and protect resident rights, regarding all resident/personnel information.
  • Strong knowledge of HIPAA laws and related regulations.
  • Must possess strong communication, customer service, teamwork and organizational skills.
  • Positive, enthusiastic attitude.
Requirements:

Education

Graduate of an accredited RN School of Nursing. BSN preferred.


Licenses/Certification

Current RN Licensure in the State of Oregon

Valid CPR Certification


Experience

Six months experience in a long-term care environment preferred.