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Transitional Care Manager Jobs in Indiana (NOW HIRING)

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Hospice Account Executive

Crown Point, IN · On-site

$55 - $75/hr

Participate in evening and weekend on-call admissions as requiredCollaborate with the Patient Care Manager and interdisciplinary team to resolve issues and support seamless patient transitions ...

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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.

RN Care Coordinator -LTC/SNF

Provider Partners Health Plan

Marion, IN • On-site

$65 - $90/hr

Other

Posted 4 days ago

Job description

Job Summary

The Nurse Care Coordinator will play a key role in the execution of the Provider Partners Health Plan (PPHP) Model of Care (MOC) through the collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet the comprehensive health needs of each member of the PPHP program. Utilizing effective communication skills and available resources, the Nurse Care Coordinator will promote quality, cost-effective outcomes, including care coordination for complex and multiple chronic conditions of the long-term care resident.

Key Responsibilities
  • Case identification/risk stratification to establish needs of the PPHP member.
  • Collaboration with the Transitional Care Team to reduce re-admissions/avoid inappropriate hospitalizations.
  • Conducting and documenting a comprehensive assessment of barriers to care (medical, social, psychosocial, and literacy) promoting a holistic approach to developing the PPHP member’s plan of care.
  • Coordinating integrated care plan development, including collaboration with nursing staff, leadership, as well as the entire interdisciplinary team according to the PPHP MOC.
  • Facilitation of developing appropriate referrals/consultations.
  • Documentation of care plans in the gEHRimed EMR.
  • Outcomes management and evaluation of the achievement of established goals within the plan of care.
  • Ensures initial and annual follow up Model of Care training occurs for employees, providers and contracted personnel associated with ISNP program
Qualifications
  • Current unrestricted RN license for the state in which the Nurse Care Coordinator is practicing.
  • Minimum of 3 years clinical care experience.
  • Skilled Nursing Facility/Long Term Care experience preferred.
  • Case management experience preferred
  • Strong nursing expertise in managing complex cases with minimal supervision.
  • Knowledge of current standard medical practices and experience with Medicare/Medicaid.
  • Ability to work with and communicate on a professional level with the interdisciplinary team.
  • Excellent independent critical thinking/problem-solving skills.
  • Excellent oral and written interpersonal communication, organizational, multi -tasking, and teamwork skills.
  • Proficiency in nursing/medical databases and Microsoft programs.
  • Positive and enthusiastic attitude.
  • Valid driver’s license and car insurance with reliable transportation.
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