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Transitional Care Management Jobs in Virginia (NOW HIRING)

Inova

Medical Assistant Inova Transitional Care

Fairfax, VA · On-site

$19.12 - $31.17/hr

  • Medical

  • Dental

  • Vision

Inova Transitional Care in Fairfax is looking for a dedicated Medical Assistant 1 to join the team ... Reports patient safety issues to the physician and practice manager in a timely manner. Provides ...

CenterWell

Clinical Care Nurse (RN)

Norfolk, VA · 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.

Centerwell

Clinical Care Nurse (RN)

Portsmouth, VA · 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.

Centerwell

Clinical Care Nurse (RN)

Hampton, VA · 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.

CenterWell

Clinical Care Nurse (RN)

Portsmouth, VA · 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.

CenterWell

Clinical Care Nurse (RN)

Chesapeake, VA · 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.

CenterWell

Clinical Care Nurse (RN)

Newport News, VA · 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.

Centerwell

Clinical Care Nurse (RN)

Chesapeake, VA · 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.

Connect Health + Wellness

RN Case Manager

Ridgeway, VA

$55K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position focuses on preventive care, chronic disease management, and transitional care services while ensuring patients receive comprehensive, individualized care. The RN Case Manager will ...

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Showing results 21-40

All JobsTransitional Care Management JobsTransitional Care Management Jobs in Virginia

Transitional Care Management information

See Virginia salary details

$31.2K

$52.4K

$92.2K

How much do transitional care management jobs pay per year?

As of Aug 18, 2026, the average yearly pay for transitional care management in Virginia is $52,421.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $63,900.00 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 Virginia?

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

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

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

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

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

Transitional Care Management jobs near you
Infographic showing various Transitional Care Management job openings in Virginia as of August 2026, with employment types broken down into 74% Full Time, and 26% Part Time. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $52,421 per year, or $25.2 per hour.

Medical Assistant Inova Transitional Care

Inova

Fairfax, VA • On-site

$19.12 - $31.17/hr

Full-time

Medical, Dental, Vision

Re-posted 16 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

236th of 888 rated healthcare providers

Job description


Inova Transitional Care in Fairfax is looking for a dedicated Medical Assistant 1 to join the team. This role will be Full-Time, Day Shift from Monday - Friday.
Inova Transitional Care (ITC) offers a unique and rewarding opportunity to make a meaningful impact on patients at one of the most critical points in their healthcare journey-transitioning safely from hospital to home. Our program is dedicated to delivering high-quality, patient-centered care to high-risk adult populations, including uninsured and underserved patients, who require timely follow-up after discharge from an Inova hospital or emergency department.
As part of a collaborative, mission-driven team, you will help bridge gaps in care for patients who may not yet have access to a primary care provider. ITC focuses on improving outcomes, reducing readmissions, and supporting long-term health through coordinated, relationship-based care.
Medical Assistants in ITC play a vital role in this work by supporting patient flow, assisting with triage, and partnering closely with nurses and providers to ensure seamless care delivery. This role offers the opportunity to build meaningful patient relationships while contributing to both clinical care and support services, including connecting patients to community resources and helping address social drivers of health.
This position is primarily based in our Fairfax clinic, with flexibility to support our Alexandria location-offering exposure to diverse patient populations and care settings.
With a consistent Monday-Friday schedule, no weekends, and Inova-recognized holidays off, this role provides an excellent work-life balance while allowing you to make a real difference every day.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: offeringpaid time off, paid parental leave, flexible work schedules

Medical Assistant 1 Job Responsibilities:
  • Performs general patient care responsibilities including checking schedules and organizing patient flow; recording patient blood pressure, height, and weight; accompanying patients to exam/procedure room; assisting patients as needed with walking, collecting specimens, phlebotomy, administering injections, assisting physicians/nurses; preparing patient for examination and treatment; relaying instructions to patients/families; answering calls and providing pertinent information.
  • Performs pre-visiting planning as indicated by the physician for the vulnerable population as indicated.
  • Fulfills clerical responsibilities as assigned which may include: sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; completing forms/requisitions as needed. Organizes medical records, including lab results, progress notes, etc. to ensure the provider has all of the necessary information available during the patient's encounter. Scans necessary medical information into the chart readying the chart for the patient's encounter. Instructs patient in basic testing requirements, e.g., clean catch urine, EKG, phlebotomy, pap tests, etc.
  • Fulfills environmental responsibilities as assigned which may include: setting up instruments and equipment according to protocol; cleaning exam/procedure rooms, instruments, and equipment between patient visits; ordering, sorting, and storing supplies; restocking exam/procedures rooms. Properly disposes of expired medications and supplies. Adheres to and employs appropriate sterile techniques and universal precautions guidelines. Follows guidelines for point-of-care testing, EKG techniques, and phlebotomy, as per manufacturer's requirements for equipment. Ensures equipment is in proper working order. Performs daily checks of equipment assuring it is in proper working order. Checks the environment prior to starting the clinic day to ensure there are no hazards in the hallways, no open containers, and rooms are clean and free of debris. Assists with the identification of actual and potential risks to patient safety. Reports patient safety issues to the physician and practice manager in a timely manner. Provides information to patients so they may fully utilize and benefit from the clinic services. Assists with data collection for quality improvement activities.
  • Communicates problems relating to patients and/or staff with the practice manager in an objective and timely manner.
  • Actively participates in clinic huddles and offers suggestions to better meet the needs of the patients and the clinic flow. Participates actively in quality improvement initiatives and understands the importance of quality improvement.
  • May perform additional duties as assigned.

Minimum Requirements:
  • Education: High School or GED
  • Experience: Previous experience in a medical group practice or similar situation
  • Certification: Basic Life Support (American Heart Association) within 6 months of hire

Preferred Requirements:
  • Experience: 1 year of clinical practice experience

About Us
We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare.
Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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