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Transitional Care Management Jobs (NOW HIRING)

AbsoluteCARE Inc

Transitional Care Manager

Pittsburgh, PA · On-site

The transitional care manager (TCM) is assigned acute and post-acute facilities in the community ... Nothing in this restricts management's right to assign or reassign duties and responsibilities to ...

Posted today

AbsoluteCARE Inc

Transitional Care Manager

Pittsburgh, PA · On-site

The transitional care manager (TCM) is assigned acute and post-acute facilities in the community ... Nothing in this restricts management's right to assign or reassign duties and responsibilities to ...

Posted today

Beth Israel Lahey Health

Transitional Care Nurse

Beverly, MA · On-site

$32.24 - $55.29/hr

Transitional Care Nurse When you join the growing BILH team, you're not just taking a job, you're ... Provide patient-centered coordination of care management to medically complex, high-risk patients ...

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$52.9K

$93K

How much do transitional care management jobs pay per year?

As of Aug 12, 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 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.

More about Transitional Care Management jobs
What cities are hiring for Transitional Care Management jobs? Cities with the most Transitional Care Management job openings:
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Transitional Care Management jobs near you
Infographic showing various Transitional Care Management job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $52,874 per year, or $25.4 per hour.

Advanced Practice Transitional Care Nurse

Global Transitional Care

Los Alamitos, CA • On-site

Full-time

Re-posted 11 days ago

Job description

Company Description
Global Transitional Care (GTC) is the first third-party specialty group provider organization dedicated to providing comprehensive transitional care. Our mission is to enhance the care continuum and provide personalized clinical oversight for each individual patient.
GTC helps avoid complications and readmission to the hospital by helping to manage all aspects of care from inpatient stay to home for 30 days from date of discharge. Through a transitional care provider team, patients and their families will have access to a healthcare provider that is familiar to them and their case, 24 hours a day, 7 days a week.
GTC's goal in transitional care is to give the newly discharged patient and their healthcare team continuity of medical and post discharge care, further reducing adverse events, unnecessary return visits to the hospital or emergency room, and the knowledge to personally manage their own health condition.
Job Description
Under the supervision of the Medical Director, the Advanced Practice Transitional Care Nurse provides continuity of care throughout a patient's episode of acute care, from enrollment during hospitalization through a maximum of 31 days post hospitalization. In collaboration with other health team members, including the patient and family/caregiver, the AP-TCN coordinates and implements the individualized plan of care. AP-TCNs use their clinical judgment to determine the 'discharge readiness' of each patient. The AP-TCN also leads and supports care programs and research, and assists in marketing, business development, outreach, education, quality improvement, and other initiatives as needed.
Major Responsibilities:
• Conducts face-to-face visits with patient in healthcare facilities and in patients' homes
• Initiates telephone outreach and is available by phone during office and on-call hours
• Works independently and keeps physicians informed of patient status.
• Uses all components of the Transitional Care Model and nursing process including assessment, triage, planning, implementing and evaluating care to meet the patients' needs.
• Collects, organizes, documents, and analyzes data, synthesizing it into understandable information
• Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient's primary healthcare provider(s)
• Effectively communicates, problem-solves, and maintains productive and effective interpersonal relationships while effectively prioritizing
• Works with outside facilities and agencies on a routine basis, maintaining positive working relationships
• Supports patients and their families, and provides compassionate care
• Provides training, oversight and supervision of assigned TCN-RNs, conducting new-hire orientations, performance evaluations, reviewing patient satisfaction surveys, and reporting back to Director of Nursing and Medical Director
Qualifications
• Authorization to work in the US
• Graduate of an accredited Nurse Practitioner Program
• Current Nurse Practitioner or Certified Nurse Specialist certification
• Five (5) or more years as an RN, preferably in acute care or case management setting, current CA RN license
• Medicare Provider Number (NPI)
• BLS
• Car, driver's license, auto insurance and safe driving history
• English proficiency, bilingual a plus
• Computer literacy (i.e. Microsoft Office Suite)
• Must have a cell phone, computer, internet, and email access
Preferred Qualifications:
• Public Health and/or Case Management certification
• Community Education Experience
Additional Information
All your information will be kept confidential according to EEO guidelines.

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