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Transitional Care Manager Jobs in Michigan (NOW HIRING)

... transition along the care continuum. 6. Identifies the need for, arranges, and participates in ... Manages complex cases/situations and intervenes with and advocates for patients and families as ...

PACE North RN Care Manager PACE North (Program of All-Inclusive Care for the Elderly) helps adults ... Lead care transitions, including hospital-to-home discharge planning. * Provide education, advocacy ...

New

... transition along the care continuum. 6. Identifies the need for, arranges, and participates in ... Manages complex cases/situations and intervenes with and advocates for patients and families as ...

... transition along the care continuum. 6. Identifies the need for, arranges, and participates in ... Manages complex cases/situations and intervenes with and advocates for patients and families as ...

Showing results 21-40

Transitional Care Manager information

See Michigan salary details

$27.5K

$46.1K

$81.1K

How much do transitional care manager jobs pay per year?

As of Aug 7, 2026, the average yearly pay for transitional care manager in Michigan is $46,085.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,900.00 and $56,200.00 per year, depending on experience, location, and employer.

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.

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 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.

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 are the most commonly searched types of Transitional Care jobs in Michigan? The most popular types of Transitional Care jobs in Michigan are:
What are popular job titles related to Transitional Care Manager jobs in Michigan? For Transitional Care Manager jobs in Michigan, the most frequently searched job titles are:
Infographic showing various Transitional Care Manager job openings in Michigan as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $46,085 per year, or $22.2 per hour.

$65K - $68K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Job description

Serving six counties in Northern Michigan, North Country Community Mental Health is a public behavioral health organization committed to improving the quality of life for people with mental illness and/or developmental disabilities in our communities. If you’re interested in joining a welcoming team and creating a rewarding career with excellent benefit package, visit our website to submit your application: http://www.norcocmh.org/careers/ *
*Once you are on our website you need to click on the position and scroll to the bottom of the job description and click apply for this position.
JOB TITLE: Nurse Care Manager
LOCATION: Gaylord, MI 49735
REPORTS TO: Director of Health Services
STATUS: Full-Time, Non-Union, Exempt
HYBRID ELIGIBLE: This is a community-based position
STARTING WAGE RANGE: $65,499.20 - $68,744.00 per year
Generous benefit package, including:
  • No cost health, dental and vision insurance option
  • 14.2% employer paid retirement plan contribution
  • Vacation, sick and personal time
  • Employer paid disability and life insurance
  • Tuition reimbursement programs
QUALIFICATIONS:
Education: Graduate from an accredited school of nursing and licensed as an RN in the state of Michigan
Experience: Minimum of 2 years’ experience in nursing, plus 1-year experience working with mental health and/or clients with developmental disabilities or equivalent clinical experience preferred
Other: Demonstrates excellent written, verbal and listening communication skills. Has positive relationship building skills and critical analysis skills. Lived experiences with behavioral health and/or developmental disability issues are valued. Ability to maintain the competency level as defined within the job classification and specific clinical practice.
SUMMARY OF RESPONSIBILITIES:
The RN Care Manager provides health care coordination services for clients with complex behavioral health and physical health needs. The Nurse Care Manager may be designated as a Clinic Nurse providing services only in the office or as a Community Nurse providing services in the office and in the client’s home, school or work setting and attending medical appointments as needed. Working as a member of an Interdisciplinary Team, the Nurse Care Manager coordinates care with primary care practitioners, health care specialists, direct care givers, and the client/family to ensure the delivery of quality health care services. The Nurse Care Manager uses evidence-based clinical practice guidelines, preventive guidelines, and protocols which promote quality and efficiency in the delivery of health care. The Nurse Care Manager works under minimal supervision.
ESSENTIAL JOB FUNCTIONS:
  • Identifies targeted high-risk clients within the assigned caseload per NCCMH Procedure.
  • Continually assesses the health care, educational, and psychosocial needs of the client/family and provides referrals as needed. Uses standardized assessment tools such as depression screening, functionality, and health risk assessment.
  • Collaborates with primary care practitioners (PCP),
  • Provides client self-management support with a focus on empowering the client/family to build capacity for self-care.
  • Implements systems of care that facilitate identification and close monitoring of high-risk clients to prevent and/or intervene early during acute exacerbations. Monitors mental and physical health status. Provides medication reconciliation at each nursing contact.
  • Coordinates client care through ongoing collaboration with PCP, patient/family, community, home staff and other members of the health care team. Fosters a team approach and includes client/family/caregiver as active members of the team. Takes the lead in ensuring the continuity of care and serves as liaison to specialists and post-acute care services.
  • Provides follow-up with client/family/caregiver when client transitions from one setting to another. Completes timely post-hospital follow-up, including medication reconciliation, ensuring PCP or specialist follow-up appointment is scheduled, assessing symptoms, teaching warning signs, reviewing discharge instructions, coordinating care, and problem-solving barriers, etc.
  • Maintains same-day documentation for all activities. Complies with agency policy and Medicaid criteria for clinical documentation.
  • Works with leadership and others to continuously evaluate process, identify problems, and propose/develop process improvement strategies to enhance care management.
  • Promotes recovery and respects the choices and autonomy of clients, while teaching and encouraging actions that will promote good mental and physical health.
  • Participates in team meetings and other staff meetings as requested, and meets regularly with supervisor for consultation, supervision, and resource development.
  • Interacts with prescribing practitioner regarding client’s needs and provides nursing support as needed.
  • May participate in consultative nursing schedule.
  • Performs other related duties as assigned.
PHYSICAL REQUIREMENTS:
Ability to walk, bend, stand, sit, lift up to 25 pounds with or without assistance, stretch/reach, hear, see, hand/finger dexterity. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions in accordance with applicable laws.
OTHER REQUIREMENTS:
  • Promote good morale within the work environment.
  • Ability to communicate clearly, verbally and in writing.
  • Have own phone or reliable access to messages.
  • Have reliable transportation in carrying out agency duties
  • Ability to work within guidelines of the code of conduct, regulatory compliance plan and personnel policies.
  • Supports a philosophy of service delivery that is recovery-based, person centered and culturally competent.
  • Maintains confidentiality with regard to all consumer data
  • Maintains current certification in Adult CPR and First Aid along with all other courses required by the agency
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.