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Transitional Care Management Jobs (NOW HIRING)

Stamford Health

Director - Care Management

Stamford, CT · On-site

The Director, Care Management, is responsible for the daily oversight and management of case ... These include transitions to ambulatory, post-acute, and community settings. The Director will lead ...

Stamford Health

Director - Care Management

Stamford, CT · On-site

The Director, Care Management, is responsible for the daily oversight and management of case ... These include transitions to ambulatory, post-acute, and community settings. The Director will lead ...

Newave Care

Telehealth Primary Care Physician

Jackson, NJ · Remote

$120 - $150/hr

Evaluate patients, develop treatment plans, and ensure timely clinical follow-up * Perform Transitional Care Management (TCM) , including post-discharge follow-up, medication reconciliation, and ...

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$31.5K

$52.9K

$93K

How much do transitional care management jobs pay per year?

As of May 29, 2026, the average yearly pay for transitional care management in the United States is $52,874.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $64,500.00 per year, depending on experience, location, and employer.

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.

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.
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Transitional Care Management jobs near you
Infographic showing various Transitional Care Management job openings in the United States as of May 2026, with employment types broken down into 99% Full Time, and 1% Temporary. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $52,874 per year, or $25.4 per hour.
Transitional Care Coordinator

Transitional Care Coordinator

Adirondack Health

Saranac Lake, NY

Full-time

Posted 28 days ago

Adirondack Health rating

6.9

Company rating: 6.9 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Position Summary:

Transitional Care Coordination is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, utilization and advocacy for options and services to meet an individual’s and family’s/caregiver’s comprehensive health needs through communication and available resources to promote quality cost effective outcomes. Successful outcomes cannot be achieved without specialized skills and knowledge applied throughout the process. These skills include, but are not limited to, positive relationship-building; effective written and verbal communication; negotiation; knowledge of contractual or risk arrangements; the ability to effect change, perform ongoing evaluation and critical analysis; end of life care planning and the ability to plan, organize and manage effectively. The Transitional Care Coordinator is a Registered Nurse or Master of Social Work acting as a liaison between the patient, family/caregivers, clinical team, providers and third-party payers in the coordination of continued care, both for patients seen in the Health Centers as well as hospital discharges.

Educational Requirements/ Qualifications:

Must have a current NYS RN license in good standing or Masters’ Degree in Social Work from an accredited school of Social Work preferred; or obtained within 3 years of hire. Two years’ experience in a hospital setting preferred.

Requires exceptional communication and collaboration skills to interact with Medical Staff, all department staff and Health

Center/Medical Home management. Requires ability to problem solve effectively in complex situations. Must have strong assessment and goal setting skills and project management skills. Must be able to take the lead in a confident and competent manner in emotionally demanding situations. Must be knowledgeable of community resources. Working knowledge of prevailing Federal and State regulations guiding the profession a plus; required within 6 months of hire. Working knowledge of intensity/severity criteria in common use.

Collaboration, negotiation and mediation skills; and time management and prioritization skills required.

Familiarity with MS Word, Excel; and Internet use required; Familiarity with Meditech a plus, and will be required within 3 months of
hire. PRI or Screen Certification preferred and will be required after successful completion of probation status. The Transitional Care

Coordinator must demonstrate knowledge of funding sources (third party payer contracts and requirements), health care services, human behavior dynamics, the health care delivery and financing systems, and clinical standards and outcomes.

Must have a valid NYS driver’s license, available vehicle and ability to make home visits.

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