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Transitional Care Manager Jobs in Azle, TX (NOW HIRING)

Care Transition Navigator

Fort Worth, TX · On-site

$20 - $25.75/hr

Care Transition Navigator Fort Worth, Texas, United States Join VitalCaring - Where Your Passion ... Partner with case managers and physicians to develop and execute safe, patient-centered transition ...

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Transitional Care Manager information

See Azle, TX salary details

$27.5K

$46.1K

$81.1K

How much do transitional care manager jobs pay per year?

As of Aug 22, 2026, the average yearly pay for transitional care manager in Azle, TX is $46,088.00, 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 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 popular job titles related to Transitional Care Manager jobs in Azle, TX?

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

What cities near Azle, TX are hiring for Transitional Care Manager jobs?

Cities near Azle, TX with the most Transitional Care Manager job openings:

Care Transition Navigator

VitalCaring Group

Hurst, TX

Part-time

Re-posted 7 days ago


Job description

Join VitalCaring – Where Your Passion Changes Lives!

Who We Are

Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.

What Sets Us Apart?

  • Drive Innovation. Deliver Impact - Join a mission-driven team where your work directly contributes to advancing patient care. As a key player in a forward-thinking healthcare organization, you'll represent innovative solutions that truly make a difference for patients and families - today and into the future
  • Make a Meaningful Impact – Help patients and families navigate their healthcare journey with compassion and dignity.
  • Thrive in a Supportive Team – Work with a team who genuinely care and invest in your success.
  • Grow Your Career – Take advantage of advanced training, mentorship, and career development opportunities.
  • Competitive Pay & Benefits – Be rewarded for your dedication and expertise with a compensation package that truly reflects your value. Our benefits are thoughtfully designed to support your well-being—offering the flexibility, security, and resources you need to thrive both at work and in life. We celebrate success at every level, with meaningful recognition for both individual contributions and team achievements.

Care Transition Navigator (CTN) – Home Health

Field-Based | Hospital-Focused | Patient Transition & Care Coordination

Role Overview

The Care Transition Navigator plays a critical role in ensuring safe, seamless transitions from the hospital to home health care. This position works directly within assigned hospital systems, partnering with case managers, physicians, patients, and families to coordinate care, reduce readmissions, and improve patient outcomes.

This is a high-impact, relationship-driven role that blends clinical insight, care coordination, and referral management to support both patient success and agency growth.

Key Responsibilities

  • Serve as the primary liaison between hospital teams, patients, and VitalCaring clinicians to ensure seamless transitions from hospital to home
  • Conduct bedside assessments to identify clinical needs, risk factors, and barriers to successful discharge
  • Partner with case managers and physicians to develop and execute safe, patient-centered transition plans
  • Drive timely admissions by coordinating referrals and ensuring smooth handoffs into home health services
  • Build strong, trusted relationships with hospital partners through consistent communication and follow-through
  • Complete post-discharge follow-up within 48 hours and ensure timely primary care coordination
  • Collaborate with internal teams and support initiatives focused on improving outcomes and reducing readmissions

Required Qualifications

  • Active RN, LVN/LPN, or PT license in the state of employment (or compact eligibility, if applicable)
  • Minimum of two (2) years of clinical experience; home health or post-acute experience preferred
  • Experience in healthcare coordination, case management, clinical care, or hospital-based roles
  • Strong understanding of patient care transitions, discharge planning, or post-acute services
  • Demonstrated ability to build relationships with healthcare providers and interdisciplinary teams
  • Excellent communication skills with the ability to engage patients, families, and clinicians effectively
  • High level of organization with the ability to manage multiple patients and priorities simultaneously
  • Proficiency with EMR systems and basic computer applications
  • Valid driver's license and reliable transportation

Preferred Qualifications

  • Experience in home health, hospice, or post-acute care
  • Background working within hospital systems (case management, discharge planning, or bedside coordination)
  • Knowledge of CMS guidelines and readmission reduction strategies
  • Familiarity with Homecare Homebase (HCHB) or similar EMR systems

Work Environment & Expectations

  • Field-based role with regular presence in assigned hospitals and healthcare facilities
  • High-touch, patient-facing position requiring strong interpersonal and clinical communication skills
  • Fast-paced environment requiring adaptability, critical thinking, and proactive follow-through
  • Performance expectations tied to both patient outcomes and successful care transitions/admissions
  • Requires strong time management to balance hospital coordination, patient interaction, and documentation

Benefits

Health & Wellness

Medical, Dental, and Vision coverage

Pharmacy benefits

Virtual care and mental health support

Flexible Spending Accounts (FSA) and Health Savings Account (HSA)

Supplemental health and life insurance

Financial & Protection

401(k) with company match

Employee referral program

Prepaid legal services

Identity theft protection

Work-Life Balance & Perks

Generous paid time off

Pet insurance

Tuition and continuing education reimbursement

All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.

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