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Transitional Care Management Jobs in Texas (NOW HIRING)

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$29.3K

$49.3K

$86.6K

How much do transitional care management jobs pay per year?

As of Sep 2, 2026, the average yearly pay for transitional care management in Texas is $49,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,300.00 and $60,100.00 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 Texas?

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

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

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

What cities in Texas are hiring for Transitional Care Management jobs?

Cities in Texas with the most Transitional Care Management job openings:

Transitional Care Management jobs near you
Infographic showing various Transitional Care Management job openings in Texas as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $49,261 per year, or $23.7 per hour.

RN Transitional Care Navigator - FT - Days - Transitional Care Management

DHR Health

Edinburg, TX • On-site

Full-time

Re-posted 19 days ago

DHR Health rating

6.3

Company rating: 6.3 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

668th of 898 rated healthcare providers

Job description

DHR Health - US:TX:Edinburg - Days
Summary:
POSITION SUMMARY:
Responsible for identifying and assessing high risk patients upon admission, providing inpatient education and transitional care navigation service designed to enhance quality of care and reduction of 30-day readmissions.
POSITION EDUCATION/ QUALIFICATIONS:
  • Texas Registered Nurse (R.N.) license required
  • ACLS; BLS Certification required
  • Minimum of three (3) years of hospital experience in a progressively responsible position requiring contact with various departments.
  • Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
  • Demonstrated leadership experience
  • Ability to read, write and speak English required
  • Ability to speak Spanish preferred

JOB KNOWLEDGE/EXPERIENCE:
Representative challenges of this position include determining the validity of collected data, appropriate statistical means to analyze the data, and which charts and reports best represent and display the quantitative data. High degree of competency/experience in general.
Requires good communication and organizational skills. Must Requires reasoning ability and good independent judgment. Requires working with frequent interruptions. Must project a professional image. Working knowledge of personal computer and software applications used in job.
Responsibilities:
POSITION RESPONSIBILITES:
  • Assists with appropriate data collection and data analysis based on interaction with patient prior to discharge and transition to community.
  • Reviews and interprets patient care information, discharge summaries, operation reports, and other data sources used to assess transitional care issues and engages with "at risk" patients to include after patient is discharged.
  • Assess fit of proposed interventions with eligible patients and reinforces understanding of signs and symptoms, medication, nutrition, etc.
  • Discuss interventions with patient/family and identifies barriers to compliance with care plan.
  • Obtain consent and enroll patient or opt out of proposed interventions.
  • Creates reporting documents for departments to use for tracking quality activities, trends and patterns, and identifying opportunities for improvement.
  • Collect root cause information regarding readmissions and provides education on data analysis and utilization of information.
  • Attends and may facilitate department meetings, providing input regarding problem identification and resolution, transitional care improvement, and other patient care activities.
  • As requested, prepares reports for, and recommends research topics to appropriate committees and/or departments.
  • Develops record keeping and reporting functions and maintains appropriate files.
  • Completes and maintains records for appropriate follow-up care.
  • Coordinates access to clinical and community based resources as appropriate.
  • Maintains and distributes corrective action reminder report to responsible persons.
  • Able to travel and make home visits as needed.
  • All other duties as assigned.

Other information:
CUSTOMER SERVICE:
Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

What DHR Health employees say

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About DHR Health

Sourced by ZipRecruiter

DHR Health, located in Edinburg, Texas, is a major player in the healthcare industry, offering a comprehensive range of medical services. Launched in 1997 by Dr. Carlos J. Cardenas and Dr. Manish Singh, the enterprise was established with the emblematic pursuit of raising the healthcare standards of the Rio Grande Valley. Today, it serves as a full-service health system providing advanced specialty care to individuals irrespective of their ability to pay, emphasizing its commitment to the community. In line with its mission statement, DHR Health focuses on the development of a comprehensive health system devoted to ensuring superior health services, education, and financial solvency. With significant contributions to the medical field, like the installation of South Texas's first da Vinci Xi Surgical System, DHR has effectively notched distinct achievements.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Edinburg, TX, US

Year founded

1997

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