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Transitional Care Manager Jobs in Texas (NOW HIRING)

They will also oversee transitions of care for patients to ensure safe transitions from acute to post-acute care, by coordinating timely and cost-effective care. The Nurse Care Manager will oversee ...

They will also oversee transitions of care for patients to ensure safe transitions from acute to post-acute care, by coordinating timely and cost-effective care. The Nurse Care Manager will oversee ...

Transitional Care Management Services may need to be provided in any given month as part of the scope of services * Provide transportation assistance if needed * Gathering patients consent for ...

Transitional Care Management Services may need to be provided in any given month as part of the scope of services * Provide transportation assistance if needed * Gathering patients consent for ...

Transitional Care Management Services may need to be provided in any given month as part of the scope of services * Provide transportation assistance if needed * Gathering patients consent for ...

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Transitional Care Manager information

See Texas salary details

$29.3K

$49.3K

$86.6K

How much do transitional care manager jobs pay per year?

As of Jul 26, 2026, the average yearly pay for transitional care manager in Texas is $49,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,300.00 and $60,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Transitional Care Manager, and why are they important?

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 typically 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 Texas? The most popular types of Transitional Care jobs in Texas are:
What cities in Texas are hiring for Transitional Care Manager jobs? Cities in Texas with the most Transitional Care Manager job openings:
Infographic showing various Transitional Care Manager job openings in Texas as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $49,261 per year, or $23.7 per hour.
CMA Transitional Care Coordinator (Waco, TX)

CMA Transitional Care Coordinator (Waco, TX)

Ennoble Care

Waco, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago


Ennoble Care rating

4.2

Company rating: 4.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

About Us
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today!
Ennoble Care is seeking a full-time Certified Medical Assistant to serve as a Transitional Care Coordinator within one or more of our partnered long-term care facilities in Waco, Texas. The right person for this role is reliable, self-motivated, vigilant, and compassionate. This is an integral, on-site role as part of our clinical care team, working closely alongside our providers in a family-practice-style model built around continuity, relationship-building, and patient-centered support.
You'll get to know the residents (and their families) over time, monitor for changes in condition, and play a meaningful, hands-on role in helping people stay healthy, avoid unnecessary hospitalizations, and remain in their home -- where many of them want to be.
We're proud of the culture we've built at Ennoble Care -- one that is positive, respectful, and rooted in genuine teamwork. People here are valued, supported in doing work that matters, and encouraged to maintain a healthy work-life balance. We invest in our team's growth through internal advancement opportunities based on performance, organizational needs, and role availability, because we believe that when our team thrives, so do our patients.
ABOUT THE ROLE
At Ennoble Care, our mission is simple: To care is an honor. For our patients, that means we come to you, we care for you, and we're here for you -- and that belief is at the heart of everything we do. As a CMA Transitional Care Coordinator, you'll bring that mission to life -- working on-site within one or more of our partnered skilled nursing and rehabilitation facilities in Waco, Texas. Your focus will be transitional care management, attentive patient monitoring, and day-to-day collaboration with our clinical team and facility staff -- serving as a reliable communication bridge among residents, families, facility staff, and our Housecalls division -- keeping everyone informed and care on track.
REQUIRED QUALIFICATIONS
  • Legally authorized to work in the United States of America
  • Active, unrestricted CMA license in the state of Texas
  • Minimum 1 year of patient-facing experience in a long-term care, skilled nursing or transitional care setting
  • Comfortable communicating proactively throughout the day in person, by phone, via email, and through Microsoft Teams
  • Solid working knowledge of healthcare terminology and care coordination principles
  • Strong clinical assessment skills with the ability to identify and escalate changes in condition
  • Experience with EMR systems and clinical documentation; Point Click Care experience preferred
  • Proficient with Microsoft 365 including Excel, Outlook, Word, and Teams
  • Excellent communication and interpersonal skills, with a solid foundation in organization, time management, and clinical documentation
  • Capacity to work independently while collaborating closely with multidisciplinary teams
  • Ability to work full-time in an on-site role 5 days per week (days of week are flexible, weekends preferred) based in the Waco, Texas area.
    • Daytime hours, approximately 8:00 a.m. to 5:00 p.m. CST
      • No evenings
      • No over-night shifts
      • No on-call requirements
      • Seven (7) company-paid holidays annually
  • Ability to pass background check
  • Transportation criteria:
    • Valid, unencumbered driver's license
    • Reliable personally-owned vehicle
    • Current auto insurance, with the ability to provide proof

Please note, travel between facilities may be required
KEY RESPONSIBILITIES
Care Coordination & Transitional Care Management
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  • Coordinate care for patients residing in skilled nursing and rehabilitation facilities using Ennoble Care's EMR
  • Facilitate transitional care management, ensuring services with the Housecalls division are initiated immediately upon a patient's discharge from the hospital
  • Expedite time to first provider visit for newly transitioned patients in accordance with established guidelines
  • Monitor patients attentively, communicate changes in condition promptly to the provider, initiate appropriate interventions, and escalate care as clinically indicated, including CCM-billable activities
  • Consistently support care coordination efforts to reduce avoidable emergency department visits and hospital readmissions
  • Collaborate daily with providers and facility staff to ensure care plans are kept current and acted on

On-Site Clinical Support
  • Maintain a consistent and reliable daily on-site presence in assigned facilities
  • Build ongoing relationships with residents and their families, maintaining a consistent presence that reinforces trust and continuity of care over time
  • Conduct routine and urgent vital sign collection as needed
  • Perform regular patient check-ins to support care plans, follow-ups, and clinical stability
  • Identify changes in patient condition and promptly communicate concerns to the clinical team

Communication & Collaboration
  • Serve as a key liaison between Ennoble Care providers, facility staff, residents, families, and the Housecalls team
  • Collaborate closely with Ennoble Care providers within the skilled nursing or long-term care setting
  • Provide timely, accurate clinical updates to providers to support informed decision-making
  • Ability to convert two (2) eligible patients per day to Ennoble Care's Housecalls program
  • Serve as a steady communication bridge between residents, families, the facility team, and our Housecalls division
  • Function as a reliable communication bridge to ensure accurate, timely exchange of clinical information

Documentation & EMR Management
  • Accurately document patient interactions, assessments, and care coordination activities in Ennoble Care's EMR
  • Perform chart reconciliation to ensure accuracy and continuity of clinical records between Ennoble and facility records
  • Follow established workflows, documentation standards, and escalation protocols

Team Support & Leadership
  • Support onboarding and training of new Transitional Care Coordinators
  • Serve as a clinical mentor and resource for newly hired coordinators
  • Promote best practices in transitional care, communication, and facility-based care coordination
  • Contribute positively to team collaboration and foster strong partnerships with facility staff

Work Environment & Expectations
  • Embedded, on-site role within assigned skilled nursing and/or rehabilitation facilities
  • Requires consistent daily presence and strong relationship-building with facility staff
  • Fast-paced, patient-facing role requiring clinical judgment, adaptability, and proactive engagement

CORE COMPENTACIES
  • Patient-centered care
  • Clinical judgment and escalation
  • Care coordination and continuity
  • Communication and collaboration
  • Documentation accuracy and compliance
  • Relationship-building and teamwork

COMPENSATION & BENEFITS
  • Starting pay rate is $18.00-$19.00 hourly
  • Quarterly bonus opportunities based on performance
  • Mileage reimbursement eligibility when traveling between facilities
  • Full-time health benefits eligibility, including a range of supplemental insurance options and elective benefits

Please answer all application questions thoroughly.
Thank you for your interest in joining the Ennoble Care team!
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Full-time employees qualify for the following benefits:
  • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
  • Paid Time Off
  • Paid Office Holidays

All employees qualify for these benefits:
  • Paid Sick Time
  • 401(k) with up to 3% company match
  • Referral Program
  • Payactiv: pay-on-demand. Cash out earned money when and where you need it!

Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.
Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

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