Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to ...
Tailored Care Management Location: Hybrid (In-Office, Field, and Remote) Schedule: Monday - Friday ... Support individuals through life transitions (e.g., housing changes, incarceration release) Crisis ...
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Tailored Care Management Location: Hybrid (In-Office, Field, and Remote) Schedule: Monday - Friday ... Support individuals through life transitions (e.g., housing changes, incarceration release) Crisis ...
Communicate with Care Management Assistant to share priorities * Attend CAPP and Complex Care ... Monitor patient readiness for discharge and facilitate transitions * Consult Social Worker and/or ...
Communicate with Care Management Assistant to share priorities * Attend CAPP and Complex Care ... Monitor patient readiness for discharge and facilitate transitions * Consult Social Worker and/or ...
RN, Ambulatory Care Navigator, Neurosurgery
Wake Forest, NC · On-site
$38.20 - $57.30/hr
Participates in Transitional and Supportive Care rounds to help identify patients who are ... Case management experience preferred. * Bilingual preference with fluency in Spanish preferred.
RN, Ambulatory Care Navigator, Neurosurgery
Wake Forest, NC · On-site
$38.20 - $57.30/hr
Participates in Transitional and Supportive Care rounds to help identify patients who are ... Case management experience preferred. * Bilingual preference with fluency in Spanish preferred.
RN, Ambulatory Care Navigator, Neurosurgery
$38.20 - $57.30/hr
Participates in Transitional and Supportive Care rounds to help identify patients who are ... Case management experience preferred. * Bilingual preference with fluency in Spanish preferred.
RN, Ambulatory Care Navigator, Neurosurgery
$38.20 - $57.30/hr
Participates in Transitional and Supportive Care rounds to help identify patients who are ... Case management experience preferred. * Bilingual preference with fluency in Spanish preferred.
RN Care Manager
Chapel Hill, NC · On-site
Coordinate care management tasks with other members of the healthcare team while maintaining ... care planning, care transitions, and payer communication. • Excellent communication ...
RN Care Manager
Chapel Hill, NC · On-site
Coordinate care management tasks with other members of the healthcare team while maintaining ... care planning, care transitions, and payer communication. • Excellent communication ...
RN Care Manager (Per Diem)
Chapel Hill, NC · On-site
$35.87 - $51.57/hr
Coordinate care management tasks with other members of the healthcare team while maintaining ... care planning, care transitions, and payer communication. • Excellent communication ...
RN Care Manager (Per Diem)
Chapel Hill, NC · On-site
$35.87 - $51.57/hr
Coordinate care management tasks with other members of the healthcare team while maintaining ... care planning, care transitions, and payer communication. • Excellent communication ...
Care Manager
Raleigh, NC · On-site
$22 - $27/hr
TASKS & RESPONSIBILITIES • Management of beneficiary needs during transitions of care. • Management of rare diseases and high-cost procedures. • Consult with identified professionals, family ...
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Care Manager
Raleigh, NC · On-site
$22 - $27/hr
TASKS & RESPONSIBILITIES • Management of beneficiary needs during transitions of care. • Management of rare diseases and high-cost procedures. • Consult with identified professionals, family ...
Care Manager
Raleigh, NC · On-site
$22 - $27/hr
TASKS & RESPONSIBILITIES • Management of beneficiary needs during transitions of care. • Management of rare diseases and high-cost procedures. • Consult with identified professionals, family ...
Quick apply
Care Manager
Raleigh, NC · On-site
$22 - $27/hr
TASKS & RESPONSIBILITIES • Management of beneficiary needs during transitions of care. • Management of rare diseases and high-cost procedures. • Consult with identified professionals, family ...
Clinical Pharmacist - Primary Care/Internal Medicine - Asheville, NC
Durham, NC · On-site
$114K - $136K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
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Clinical Pharmacist - Primary Care/Internal Medicine - Asheville, NC
Durham, NC · On-site
$114K - $136K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
Clinical Pharmacist - Primary Care/Internal Medicine - Wilmington, NC
Durham, NC · On-site
$114K - $136K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
Quick apply
Clinical Pharmacist - Primary Care/Internal Medicine - Wilmington, NC
Durham, NC · On-site
$114K - $136K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
Clinical Pharmacist - Primary Care/Internal Medicine - Morehead City
Durham, NC · On-site
$114K - $136K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
Quick apply
Clinical Pharmacist - Primary Care/Internal Medicine - Morehead City
Durham, NC · On-site
$114K - $136K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
Clinical Pharmacist - Primary Care/Internal Medicine - Fuquay Varina
Fuquay Varina, NC · On-site
$97K - $116K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
Quick apply
Clinical Pharmacist - Primary Care/Internal Medicine - Fuquay Varina
Fuquay Varina, NC · On-site
$97K - $116K/yr
We are seeking an exceptional Pharmacist to lead our Chronic Care Management (CCM), Transition Care Management (TCM), and Remote Patient Monitoring (RPM) services. This full clinical service program ...
The overall goal of the position is to enhance the quality of patient management and satisfaction ... Transition Planning -Communicate medical milestones for transition with the patient/family ...
The overall goal of the position is to enhance the quality of patient management and satisfaction ... Transition Planning -Communicate medical milestones for transition with the patient/family ...
Coordinate with team members for smooth transitions to appropriate levels of care. Participate in the agency's twenty-four (24) hour coverage for care management. Education and Customer Service:
Coordinate with team members for smooth transitions to appropriate levels of care. Participate in the agency's twenty-four (24) hour coverage for care management. Education and Customer Service:
TCM Care Manager - Alliance Catchment Area
Raleigh, NC · On-site
$53K/yr
... smooth transitions to appropriate levels of care. • Participate in the agency's twenty-four (24) hour coverage for care management. Education and Customer Service: • Educate members/Legally ...
TCM Care Manager - Alliance Catchment Area
Raleigh, NC · On-site
$53K/yr
... smooth transitions to appropriate levels of care. • Participate in the agency's twenty-four (24) hour coverage for care management. Education and Customer Service: • Educate members/Legally ...
... smooth transitions to appropriate levels of care. · Participate in the agency's twenty-four (24) hour coverage for care management. Education and Customer Service: · Educate members/Legally ...
Quick apply
... smooth transitions to appropriate levels of care. · Participate in the agency's twenty-four (24) hour coverage for care management. Education and Customer Service: · Educate members/Legally ...
Transitional Care Management information
See Raleigh, NC salary details
$30.6K - $36.1K
19% of jobs
$38.4K is the 25th percentile. Wages below this are outliers.
$36.1K - $41.5K
14% of jobs
The median wage is $45.4K / yr.
$41.5K - $46.9K
23% of jobs
$46.9K - $52.4K
13% of jobs
$57.3K is the 75th percentile. Wages above this are outliers.
$52.4K - $57.8K
6% of jobs
$57.8K - $63.2K
6% of jobs
$63.2K - $68.7K
9% of jobs
$68.7K - $74.1K
5% of jobs
$74.1K - $79.5K
3% of jobs
$79.5K - $85K
1% of jobs
$85K - $90.4K
0% of jobs
$30.6K
$51.4K
$90.4K
How much do transitional care management jobs pay per year?
What is the highest paying job in healthcare management?
What are the typical responsibilities of a Transitional Care Management professional on a daily basis?
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 transitional care management?
What jobs pay $10,000 a month without a degree?
What is the role of a transitional care manager?
What is a Transitional Care Management job?
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 the Transitional Care Management position, and why are they important?
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.

Full-time
Posted 7 days ago
Duke Health rating
7.2
Based on 247 frontline employees who took The Breakroom Quiz
332nd of 872 rated healthcare providers
Job description
Responsible for Complex Care patients in a variety of areas at Duke University Hospital. Also, manage a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these duties within the requirements of CMS and other external review agencies.
Work Performed
- Monitor daily census and assignment to assure all patients are assessed.
- Perform other related duties incidental to the work described herein.
- Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education. Maintain effective communication with health care team members related to assessment findings, discharge planning needs and provider orders needed to arrange Homecare, Durable Medical Equipment, Transportation, Skilled Nursing or Acute Rehab Facility placement, Substance Abuse Treatment and outpatient follow-up.
- Maintain working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local regulations.
- Provide education and guidance on these topics to providers, patients and families as needed.
- Work with Utilization Management partners to provide information and feedback that will enhance negotiations and denial prevention with payers.
- Maintain timely documentation of assessment findings, discharge arrangements and actions taken according to departmental guidelines; prepare reports and maintain records as requested and/or required.
- Participate in Quality Assurance/Performance Improvement (QAPI) activities as requested.
- Job responsibilities may include site specific duties, weekend/holiday or after hours coverage as designated at each entity.
- Develop and maintain positive working relationships with customers internal and external to Duke Health System.
Knowledge, Skills and Abilities
Ability to work effectively in a self-directed role Ability to multi-task, capable of daily problem-solving complex issues Excellent written and verbal skills Basic computer skills necessary
Level Characteristics
N/A
Minimum Qualifications
Education
BSN or MSW required
Experience
3 years of relevant experience; Hospital Case Management preferred
Degrees, Licensures, Certifications
Requires Case Management Certification (ACM, CCM or ANCC) within 2 years or of hire. BSN required and must have current or compact RN licensure in state of NC. MSW
POPULATION HEALTH CARE MANAGER
Job Level: G2
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, itis essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
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