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Transitional Care Manager Jobs in Rhode Island (NOW HIRING)

Brownhealth

MDC Coordinator

Providence, RI · On-site

$20.96 - $34.61/hr

Assists nurse care manager with transitions of care including monitoring utilization reports and conducting patient outreach when appropriate.Develops strong relationships with patient care team to ...

Behavioral Health Group

Wellness Coordinator

Johnston, RI · On-site

$30 - $32/hr

Support continuity of care through comprehensive care management, care coordination, and transitional care. * Connect patients to community resources, social support, long-term care, and recovery ...

Behavioral Health Group

Wellness Coordinator

Johnston, RI · On-site

$30 - $32/hr

Support continuity of care through comprehensive care management, care coordination, and transitional care. * Connect patients to community resources, social support, long-term care, and recovery ...

Lifespan

Physician Assistant - Primary Care

Providence, RI · On-site

$127K - $161K/yr

... care, transitional care and primary care patients Performs annual physical exams as needed Educates patients on maintaining proper health Evaluates, makes recommendations, co-manages and treats ...

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All JobsTransitional Care JobsTransitional Care Manager JobsTransitional Care Manager Jobs in Rhode Island

Transitional Care Manager information

See Rhode Island salary details

$30.8K

$51.8K

$91.1K

How much do transitional care manager jobs pay per year?

As of Aug 8, 2026, the average yearly pay for transitional care manager in Rhode Island is $51,780.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,200.00 and $63,200.00 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 Rhode Island? The most popular types of Transitional Care jobs in Rhode Island are:
What are popular job titles related to Transitional Care Manager jobs in Rhode Island? For Transitional Care Manager jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Transitional Care Manager jobs in Rhode Island look for? The top searched job categories for Transitional Care Manager jobs in Rhode Island are:
Transitional Care Manager jobs near you
Infographic showing various Transitional Care Manager job openings in Rhode Island 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 $51,780 per year, or $24.9 per hour.

Nurse Care Manager

East Bay Community Action Program

Newport, RI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

Nurse Care Manager
Department: Medical
Employment Type: Full Time
Location: Newport - Chafee Medical
Reporting To: Director of Nursing
Description
The Nurse RN Care Manager provides comprehensive clinical care management, chronic disease support, transitional care coordination, patient education, and whole-person care planning for high-risk and medically complex patients across medical and behavioral health services. This role supports Patient-Centered Medical Home (PCMH) standards, value-based care initiatives, Accountable Entity (AE) requirements, CCBHC integration, and organizational quality goals through interdisciplinary collaboration, proactive outreach, and population health management.
What You'll Do
Lead High-Impact Care Management
  • Identify and prioritize high-risk, high-utilizing patients using population health tools and data to target interventions that reduce preventable hospitalizations and emergency visits.
  • Develop and manage individualized care plans with clear goals, evidence-based interventions, and structured follow-up tailored to each patient's needs.
  • Manage patient panels by closing preventive and chronic care gaps while improving performance on quality and value-based care measures.

Drive Care Coordination & Transitions
  • Lead transitional care management, ensuring smooth hospital-to-home transitions through timely outreach, medication reconciliation, and follow-up care.
  • Partner with primary care, behavioral health, and interdisciplinary teams to deliver coordinated, integrated care.
  • Facilitate case conferences and treatment planning to support shared patients and optimize outcomes.

Engage Patients & Address Whole-Person Needs
  • Proactively engage patients through outreach and coaching strategies that improve adherence, self-management, and health literacy.
  • Address social determinants of health by connecting patients to internal and community-based resources that remove barriers to care.
  • Use motivational interviewing and culturally responsive communication to build trust and drive meaningful behavior change.

Strengthen Quality, Compliance & Outcomes
  • Conduct ongoing assessments and adjust care plans based on patient condition, risk, and utilization patterns.
  • Monitor hospital utilization trends and implement targeted interventions to reduce avoidable admissions.
  • Ensure accurate, compliant documentation that supports quality reporting, regulatory requirements, and value-based care initiatives such as MSSP and payer contracts.

Collaborate & Contribute Across the Organization
  • Serve as a key liaison across providers, community partners, and programs to ensure seamless, integrated service delivery.
  • Participate in interdisciplinary meetings and organizational initiatives to improve population health and patient experience.
  • Provide clinical support, including direct RN functions as needed, to ensure continuity and excellence in care delivery.

This is a dynamic, patient-centered role where you'll combine clinical expertise, data-driven decision-making, and strong collaboration to make a measurable impact on both individual patients and broader populations.
Required Credentials & Experience
• A minimum of an Associate's Degree in Nursing.
• Active Registered Nurse (RN) licensure in the State of Rhode Island.
• Minimum of two (2) years of experience in community health, primary care, acute care, or care management involving coordination of complex patient needs.
• Demonstrated experience managing high-risk or medically complex patient populations and coordinating interdisciplinary care.
Core Competencies
• Demonstrates strong clinical judgment and prioritization skills to manage complex patient needs in a fast-paced environment.
• Applies accountability and data-driven decision-making to achieve measurable outcomes in population health and quality performance.
• Builds effective partnerships across interdisciplinary teams and external organizations to coordinate comprehensive care.
• Communicates clearly and effectively with diverse patient populations, adapting approach to support understanding and engagement.
• Maintains high standards of organization, documentation accuracy, and follow-through on care plans and patient needs.
• Shows adaptability and resilience in managing changing priorities, patient needs, and organizational requirements.
Preferred Qualifications
• Experience working within a Patient-Centered Medical Home (PCMH) or value-based care environment.
• Familiarity with Accountable Entity programs, MSSP, or other payer-based quality initiatives.
• Knowledge of population health tools and electronic health record (EHR) systems used for care management and reporting.
Benefits
For Full-Time Employees Working 30-40 hours per week, EBCAP offers:
  • Subsidized, comprehensive medical (BCBSRI) and dental (Delta Dental) insurance plans
  • Supplemental vision insurance (Delta Dental)
  • Voluntary medical and dependent care flexible spending accounts
  • Up to 3% matching 403(b) retirement plan
  • Employer-paid life insurance
  • Generous paid time off including vacation, holidays, personal days, and sick time
  • Mileage reimbursement
  • Tuition reimbursement
  • Employer-paid professional development
  • Employee assistance program

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