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Transitional Care Manager Jobs in Virginia (NOW HIRING)

Langer Recruiting, LLC

Transitional Care APP

Richmond, VA · On-site

$125K/yr

About the job Transitional Care APP Launched in 2022, At Home Harmony is revolutionizing healthcare ... Manage medical problems to assist patients in transitioning from the hospital or SNF to home with a ...

Humana

Transition Care Manager

Glen Allen, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Henrico, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Chester, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Richmond, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Richmond, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Glen Allen, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Henrico, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Richmond, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Colonial Heights, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Glen Allen, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Henrico, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Colonial Heights, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Chester, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Glen Allen, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Colonial Heights, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Glen Allen, VA · On-site

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Glen Allen, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

Humana

Transition Care Manager

Chester, VA

The Transition Care Manager (Care Coach 2) work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will ...

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All JobsTransitional Care JobsTransitional Care Manager JobsTransitional Care Manager Jobs in Virginia

Transitional Care Manager information

See Virginia salary details

$31.2K

$52.4K

$92.2K

How much do transitional care manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for transitional care manager in Virginia is $52,421.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $63,900.00 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 Virginia?

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

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

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

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

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

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

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

Transitional Care Manager jobs near you
Infographic showing various Transitional Care Manager job openings in Virginia as of August 2026, with employment types broken down into 2% As Needed, 64% Full Time, 28% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $52,421 per year, or $25.2 per hour.

Transitional Care APP

Richmond, VA • On-site

Langer Recruiting, LLC
See more jobs at Langer Recruiting, LLCexternal

$125K/yr

Other

Retirement

This job post has expired today. Applications are no longer accepted.

Job description

About the job Transitional Care APP
Launched in 2022, At Home Harmony is revolutionizing healthcare delivery. As a dynamic home-based medical and pharmacy practice, were passionate about transforming healthcare for seniors to provide exceptional care to our patients and families. Our team of dedicated medical providers is growing, and were seeking two experienced NPs/PAs to join our Post-Acute/Transitional Care Team.
As a Post-Acute/Transitional Care Nurse Practitioner or Physician Assistant with our practice, you will play a pivotal role in our mission to provide exceptional healthcare services directly to complex needs, homebound patients in the comfort of their homes or apartments or via telehealth. You will collaborate with our interdisciplinary team of pharmacists, nurses, MAs, phlebotomists, clinical liaisons, utilizing the latest tools and technology to enhance patient outcomes and streamline provider workflows.
If you are ready to make a difference and be part of this progressive team, come join us.
Why Join Us:

  • Cutting-Edge Technology: Be part of a team that embraces the latest advancements in healthcare technology including AI for ease of charting and remote patient monitoring devices in the home.
  • Flexible Schedule: Build your schedule with a combo billable in-person, telehealth, and chronic condition management.
  • No Holidays or Hospital Rounds: Focus solely on patient care.
  • 401(k) Retirement Plan: Invest in your future with our competitive retirement plan.
  • Leading the way: Join a practice utilizing Medicares latest programming to provide concierge care feel to practicing primary care in the home.
Your Role
  • Deliver transitional care/post-acute care in the patient's home or via telehealth. This involves driving or riding in your vehicle to the place of service.
  • Manage medical problems to assist patients in transitioning from the hospital or SNF to home with a possibility of managing a small panel of regular patients (as needed).
  • Perform comprehensive health assessments and diagnose and treat complex illnesses.
  • Analyze test data to diagnose, treat and arrange appropriate follow up for the patient to ensure continuity of care.
  • Follow At Home Harmony's Coordinated Model of Care of Medical and Pharmacy.
  • Use critical thinking skills and follow evidence-based standards of practice.
  • Accurately and thoroughly document your patient encounter in the EMR and ensure accuracy.
  • Educate patients and families on how to manage their health and well-being.
  • Effectively navigate difficult conversations related to end-of-life issues and goals of care.
  • Communicate effectively with patients, family, the medical power of attorney, other medical providers and all individuals involved in the patients care.
  • Adhere to clinical and safety standards, protocols, and performance metrics.
  • Provide care with compassion, empathy, and cultural competency.
  • Maintain positive relationships with Care Concierge and At Home Harmony staff.
  • Attend training sessions and clinical team meetings, as requested
  • Serve as ambassadors for At Home Harmony and maintain professional demeanor.
  • Display a flexible, adaptable attitude and proactive demeanor as our company continues to grow and thrive.
Experience and Qualifications:
  • Minimum of three years of experience as an APP in Post-Acute, SNF, Hospitalist, Geriatrics, Family Practice, Internal Medicine
  • Experience in home-based care a plus but desire to learn is welcomed
  • Graduate with an advanced degree from an accredited institution
  • Current unrestricted VA state license as a Nurse Practitioner or Physician Assistant
  • Nationally board certified, current
  • Current BLS required
  • Prescriptive authority and active DEA
  • Valid drivers license with clean driving record
  • Ability to lift and carry equipment up to 50 pounds
  • Ability to walk up and down several flights of stairs easily

Job status: Full time (0.8 FTE will be considered also)
Compensation Rate: Competitive starting at $125,000 (based on experience); Incentive/bonus program
Schedule: Flexible; Monday - Friday (within hours of 8-5)
At Home Harmony
Launched in 2022, At Home Harmony is an innovative home-based Medical and Pharmacy practice in Richmond, VA providing exceptional healthcare for aging adults with complex chronic conditions. We are experts in utilizing Medicares comprehensive programming to provide coordinated top-quality care. If you are seeking a meaningful, flexible opportunity in a team-oriented environment, consider a role with us. Bring your ideas, knowledge, passion, and dedication to our growing team and together we can make a difference in the lives of our beloved senior population.

Apply