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Transitional Care Manager Jobs in Virginia (NOW HIRING)

Centerwell

Clinical Care Nurse (RN)

Hampton, VA · On-site

Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.

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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.

Registered Nurse Care Manager - Value Based Care (VBC)

Care Advantage Inc

Richmond, VA • On-site

Other

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

Care Advantage rating

3.9

Company rating: 3.9 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

Job description

Registered Nurse Care Manager - Value Based Care (VBC)

Hybrid/Remote position.

Make a Bigger Impact-Beyond the Bedside

At Care Advantage, we believe nursing is more than tasks and charts-it's about outcomes, advocacy, and meaningful connections. As a Registered Nurse Care Manager, Value‑Based Care, you'll play a critical role in improving health outcomes for high‑risk Medicaid members while helping reduce avoidable emergency department visits and hospital readmissions.

This is a role for experienced nurses who thrive on transition care coordination, patient education, and system‑level improvement-and who want to see their clinical expertise translate into real, measurable impact.

What You'll Do

As an RN Care Manager in Value‑Based Care, you'll serve as a clinical advocate and coordinator for a panel of high‑risk Medicaid members, partnering with patients, families, caregivers, and interdisciplinary teams to support safe transitions and better long‑term outcomes.

Key Responsibilities

Transition Care Coordination & Post‑Discharge Follow‑Up

  • Conduct telephonic post‑discharge follow‑ups for high‑risk members
  • Review care plans and historical clinical documentation within EMR and PointClickCare prior to outreach
  • Identify gaps in care, barriers to recovery, and opportunities to prevent readmissions
  • Coordinate next steps with clinical and operations teams to address member needs

Clinical Performance & Quality Improvement

  • Support targeted initiatives tied to health‑plan performance measures
  • Monitor and positively influence value‑based contract metrics
  • Identify trends and insights at the member level to drive continuous improvement
  • Set and achieve quarterly performance goals

Education & Advocacy

  • Educate patients, families, and caregivers to support adherence, self‑management, and recovery
  • Provide education and insights to internal clinical and operations teams, including population‑specific initiatives (e.g., diabetes management)
  • Serve as a clinical advocate in cross‑functional and external partnerships

Collaboration & Leadership

  • Partner closely with the Senior Vice President of Value‑Based Care, Director of Population Health, and the broader VBC team
  • Collaborate with internal and external clinical leaders to improve patient outcomes
  • Create visibility across the organization for high‑risk members and their individualized needs

Who We're Looking For

This role is ideal for nurses who enjoy autonomy, critical thinking, and relationship‑driven care-and who are energized by improving outcomes at scale.

Required Qualifications

  • Active Registered Nurse (RN) license in the covered region
  • Minimum 5 years of nursing experience
  • Experience conducting telephonic post‑discharge follow‑ups
  • Strong clinical judgment, communication, and care coordination skills
  • Candidate must reside in Virginia (prefer Richmond or the surrounding area)

Preferred Qualifications

  • Experience in Value‑Based Care, Population Health, Case Management, or Transition Care Coordination
  • Bachelor's degree in nursing or related health field
  • Leadership, management, or program development experience
  • Proficiency in Microsoft Word, Excel, PowerPoint, and Teams

Why Care Advantage?

At Care Advantage, our mission is grounded in our core values:

Integrity • Compassion • Accountability • Respect • Excellence

You'll join a team that values your clinical expertise, supports professional growth, and empowers nurses to influence care beyond individual encounters, helping shape better systems, better experiences, and better outcomes.

Work Environment & Flexibility

  • Combination of clinical coordination, telephonic outreach, and collaboration
  • Regular travel required; occasional overnight or weekend work may be needed
  • Physical requirements include sitting, standing, lifting up to 10 lbs, and general mobility
  • Workplace accommodations are available when appropriate

Ready to Lead Change in Healthcare?

If you're a nurse who wants to reduce readmissions, improve transitions of care, and make value‑based healthcare work for patients, we'd love to meet you.

Apply today and help redefine what nursing impact looks like.

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