ZipRecruiter

Log In

1

Transitional Care Manager Jobs in Indiana (NOW HIRING)

ChenMed LLC

Primary Care Physician

Roselawn, IN · On-site

$221.14 - $315.92/hr

... with transitional care teams for homebound or facility-based patients. * The PCP has an active management role in the center, covers for other providers as needed, and participates in recruiting ...

ChenMed

Primary Care Physician

Roselawn, IN

For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care ...

Matchwell

Med Surg step Down RN-Direct Hire

Columbus, IN · On-site

$30.40 - $47.55/hr

Direct-Hire Position Summary: Med Surg RN in a step-down unit provides transitional care for ... Manage intravenous lines, monitor fluid balance, and adjust IV infusions as needed. Manage and ...

previous pagenext page

Showing results 21-40

All JobsTransitional Care JobsTransitional Care Manager JobsTransitional Care Manager Jobs in Indiana

Transitional Care Manager information

See Indiana salary details

$30K

$50.3K

$88.5K

How much do transitional care manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for transitional care manager in Indiana is $50,313.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,100.00 and $61,400.00 per year, depending on experience, location, and employer.

What does a transitional care manager do?

A Transitional Care Manager is a healthcare professional who helps patients move smoothly between different levels or types of care, such as from a hospital to their home or to a rehabilitation facility. They coordinate care plans, communicate with medical teams, and ensure that patients understand their medications and follow-up appointments. Their primary goal is to reduce hospital readmissions and improve patient outcomes by addressing any gaps in care during transitions.

What skills and qualifications are needed to thrive as a transitional care manager?

To thrive as a Transitional Care Manager, you typically need a background in nursing or social work, experience in care coordination, and strong knowledge of healthcare systems and discharge planning. Familiarity with case management software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) are common requirements. Exceptional communication, problem-solving, and organizational skills help build rapport with patients and collaborate effectively with multidisciplinary teams. These competencies are crucial for ensuring seamless transitions, reducing hospital readmissions, and improving patient outcomes across care settings.

How does a transitional care manager collaborate with interdisciplinary teams to ensure seamless patient transitions?

A Transitional Care Manager works closely with physicians, nurses, social workers, and other healthcare professionals to coordinate patient care as individuals move between settings, such as from hospital to home or rehab facility. They facilitate effective communication among team members, develop individualized care plans, and monitor patient progress to prevent readmissions. This collaboration helps address medical, social, and logistical needs, ensuring patients receive consistent support throughout their transition and improving overall outcomes.

What is the difference between Transitional Care Manager vs Case Manager?

AspectTransitional Care ManagerCase Manager
CredentialsRN, LPN, or relevant healthcare certificationRN, social worker, or licensed counselor
Work EnvironmentHospitals, rehab centers, post-acute care facilitiesCommunity, outpatient clinics, insurance companies
Employer & IndustryHealthcare providers, hospitals, post-acute careInsurance companies, healthcare agencies, community services
Primary FocusCoordinate care during patient transition from hospital to homeAssess, plan, and coordinate ongoing patient care

While both roles involve patient care coordination, a Transitional Care Manager primarily focuses on ensuring smooth transitions from hospital to home, often requiring healthcare credentials. In contrast, a Case Manager manages ongoing patient needs across various settings, with a broader scope that may include social and community services.

What is a transitional care manager?

A transitional care manager is a healthcare professional who coordinates care for patients moving between different settings, such as from hospital to home or a rehabilitation facility. They assess patient needs, develop care plans, and collaborate with healthcare teams to ensure smooth transitions and reduce readmissions.

What are the most commonly searched types of Transitional Care jobs in Indiana?

The most popular types of Transitional Care jobs in Indiana are:

What are popular job titles related to Transitional Care Manager jobs in Indiana?

For Transitional Care Manager jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Transitional Care Manager jobs in Indiana look for?

The top searched job categories for Transitional Care Manager jobs in Indiana are:

What cities in Indiana are hiring for Transitional Care Manager jobs?

Cities in Indiana with the most Transitional Care Manager job openings:

Transitional Care Manager jobs near you
Infographic showing various Transitional Care Manager job openings in Indiana as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% In-person job distribution, with an average salary of $50,313 per year, or $24.2 per hour.

Care Manager LMSW- PRN

Lutheran Hospital of Indiana

Fort Wayne, IN • On-site

Part-time

Retirement

Re-posted 14 days ago

Key responsibilities

  • Conducts psychosocial assessments for patients across different age groups.

  • Provides emotional support, crisis intervention, and counseling to patients and families.

  • Develops, documents, and follows through on individualized treatment and discharge plans in coordination with the interdisciplinary team.

Lutheran Hospital (Fort Wayne) rating

6.5

Company rating: 6.5 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

718th of 1,065 rated hospitals

Job description

Job Description

Why You’ll Love Working Here:

  • Future Security – 401(k) with employer matching to help you build long-term financial stability.

Role: LICENSED MSW- Care Manager

Location: Lutheran Hospital- Fort Wayne, IN

Schedule: PRN Day Shift-NEED  WEEKDAY COVERAGE WITH OCCASIONAL WEEKENDS

Job Summary
The Social Worker – LMSW provides professional social work services to patients and families to address psychosocial needs, support care transitions, and connect individuals to community resources. This role performs comprehensive assessments, provides emotional support and counseling, and collaborates with the interdisciplinary care team to develop and implement effective treatment and discharge plans. The Social Worker – LMSW plays a key role in improving patient outcomes, reducing readmissions, and supporting vulnerable populations across the care continuum.
Essential Functions

  • Conducts age-appropriate psychosocial assessments for patients across the lifespan, including neonatal, pediatric, adolescent, adult, and geriatric populations.
  • Assesses the interrelationship between psychosocial factors and medical conditions to identify barriers to recovery and discharge.
  • Provides emotional support, crisis intervention, and counseling to patients and families coping with illness, injury, grief, disability, or hospitalization.
  • Identifies social, emotional, and financial needs and facilitates referrals to internal and external support services.
  • Develops, documents, and follows through on individualized treatment and discharge plans in coordination with the interdisciplinary team.
  • Manages complex, high-risk referrals involving suspected abuse, adoption, fetal demise, end-of-life care, behavioral health, and psychosocial crises.
  • Supports the transition of care by coordinating services such as home health, hospice, rehabilitation, and long-term care placement.
  • Facilitates or participates in support groups and patient/family education sessions when appropriate.
  • Maintains timely, accurate documentation in accordance with regulatory and organizational standards.
  • Participates in interdisciplinary rounds and collaborates with physicians, nurses, case managers, and other healthcare professionals to ensure safe and effective care planning.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.

Qualifications

  • Master's Degree in Social Work (MSW) or Psychology required
  • 2-4 years of experience in a healthcare or clinical social work setting preferred

Knowledge, Skills and Abilities

  • Knowledge of psychosocial assessment techniques, clinical social work principles, and healthcare discharge planning.
  • Strong understanding of community resources, social service systems, and care coordination best practices.
  • Excellent communication, counseling, and conflict resolution skills.
  • Ability to manage emotionally complex situations with professionalism and empathy.
  • Strong organizational and documentation skills with attention to regulatory requirements.
  • Ability to collaborate with diverse teams and work in a fast-paced healthcare environment.
  • Familiarity with electronic medical records and case documentation systems.

Licenses and Certifications

  • LMSW - Licensed Medical Social Worker - State Licensure required
  • BCLS - Basic Life Support obtained within 7 days of employment required

INDBH

What Lutheran Hospital (Fort Wayne) employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Lutheran Hospital logo

About Lutheran Hospital

Sourced by ZipRecruiter

Lutheran Hospital, based in Fort Wayne, Indiana, US, operates in the healthcare industry providing wide-ranging medical services to the community. Its official website can be found at lutheranhospital.com. Lutheran Hospital has a rich legacy of addressing the region's healthcare needs since its founding. The hospital is committed to delivering quality care and services across various departments such as emergency medicine, surgical services, cardiology, oncology, orthopedics, neurosciences, and women's health. An important aspect of their mission is to enhance the health status of the people they serve, delivered in a way which upholds their values of compassion, quality, justice, stewardship, and respect.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Wayne, IN, US

Year founded

1903

Social media

Facebook

View All Lutheran Hospital Jobs

Apply