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Transitional Care Nurse Practitioner Jobs (NOW HIRING)

Beth Israel Lahey Health

Transitional Care Nurse

Beverly, MA · On-site

$32.24 - $55.29/hr

Transitional Care Nurse When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Transitional Care Nurse (TCN) ensures that identified Beth ...

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How much do transitional care nurse practitioner jobs pay per year?

As of Aug 17, 2026, the average yearly pay for transitional care nurse practitioner in the United States is $134,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,000.00 and $152,500.00 per year, depending on experience, location, and employer.

What is a transitional care nurse practitioner?

Transitional Care Nurse Practitioners (TCNPs) are advanced practice registered nurses who specialize in managing and coordinating patient care as individuals transition between different healthcare settings, such as from hospital to home. They focus on ensuring continuity of care, preventing hospital readmissions, and supporting patients with complex health needs during transitions. TCNPs assess patient needs, develop care plans, educate patients and families, and collaborate closely with physicians and other healthcare professionals. Their role is crucial in improving patient outcomes and satisfaction by providing comprehensive, patient-centered care during vulnerable periods.

What are the key skills and qualifications needed to thrive as a transitional care nurse practitioner?

To thrive as a Transitional Care Nurse Practitioner, you need advanced clinical assessment skills, a Master’s or Doctoral nursing degree, and certification as a Nurse Practitioner (NP) with experience in transitional or acute care. Familiarity with care coordination platforms, electronic health records (EHRs), and telehealth systems is typically required. Exceptional communication, problem-solving, and patient education abilities help you effectively manage care transitions and collaborate with interdisciplinary teams. These competencies are vital to ensure continuity of care, reduce hospital readmissions, and optimize patient recovery during vulnerable transitions between care settings.

What are some common challenges faced by transitional care nurse practitioners when coordinating care between hospital and outpatient settings?

Transitional Care Nurse Practitioners often encounter challenges such as ensuring effective communication among multidisciplinary teams, reconciling medication discrepancies, and addressing gaps in patient education during discharge. Navigating varying electronic health record systems and maintaining continuity of care as patients move between settings can also be complex. Successful practitioners develop strong organizational skills, establish clear protocols, and build collaborative relationships with physicians, social workers, and community resources to support smooth transitions and reduce hospital readmissions.

What is the difference between Transitional Care Nurse Practitioner vs Geriatric Nurse Practitioner?

AspectTransitional Care Nurse PractitionerGeriatric Nurse Practitioner
CredentialsMaster's degree in nursing, RN license, certification in family or adult healthMaster's degree in nursing, RN license, certification in gerontology or family health
Work EnvironmentHospitals, transitional care units, outpatient clinicsLong-term care facilities, clinics, community health settings
Employer & IndustryHospitals, rehab centers, post-acute care providersSenior living communities, outpatient clinics, home health agencies

Transitional Care Nurse Practitioners focus on coordinating care for patients moving between settings, while Geriatric Nurse Practitioners specialize in health issues affecting older adults. Both roles require similar credentials but serve different patient populations and work environments.

More about Transitional Care Nurse Practitioner jobs

What cities are hiring for Transitional Care Nurse Practitioner jobs?

Cities with the most Transitional Care Nurse Practitioner job openings:

What states have the most Transitional Care Nurse Practitioner jobs?

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What job categories do people searching Transitional Care Nurse Practitioner jobs look for?

The top searched job categories for Transitional Care Nurse Practitioner jobs are:

Transitional Care Nurse Practitioner jobs near you
Infographic showing various Transitional Care Nurse Practitioner job openings in the United States as of August 2026, with employment types broken down into 2% Locum Tenens, 14% As Needed, 74% Full Time, and 10% Part Time. Highlights an 98% In-person, and 2% Hybrid job distribution, with an average salary of $134,369 per year, or $64.6 per hour.

Transitional Support Nurse Practitioner

Sutter Health

Burlingame, CA • On-site

$125K - $172K/yr

Full-time

Posted 14 days ago

Sutter Health rating

8.2

Company rating: 8.2 out of 10

Based on 327 frontline employees who took The Breakroom Quiz

55th of 887 rated healthcare providers

Job description

We are so glad you are interested in joining Sutter Health!
Organization:
MPHS-Mills-Peninsula Medical Center
Position Overview:
Provides advanced clinical management for medically complex patients participating in the Multidisciplinary Transition Support Program (MTSP), supporting safe, coordinated transitions from hospitalization to longitudinal care in collaboration with the supervising physician. Performs comprehensive transition-focused clinical assessments, develops and directs individualized transition support plans, and provides medication management, patient and caregiver education, care coordination, and ongoing clinical reassessment to optimize continuity of care and patient outcomes. Collaborates with physicians and the interdisciplinary team to facilitate safe transitions across the healthcare continuum. Participates in program development, quality improvement, and evaluation of the MTSP. Practices in accordance with organizational policies, evidence-based practice, the California Nurse Practice Act, and approved standardized procedures.
Job Description:
JOB ACCOUNTABILITIES
  • Performs comprehensive transition-focused clinical assessments and develops, implements, and directs individualized transition support plans for patients participating in the Multidisciplinary Transitional Support Program (MTSP).
  • Provides advanced clinical management across the continuum of care to support safe, coordinated transitions from hospitalization to the patient's longitudinal care team in collaboration with the supervising physician.
  • Monitors patient progress, performs ongoing clinical reassessment, modifies the plan of care as clinically indicated, and facilitates timely escalation of care.
  • Performs medication reconciliation, optimizes medication management, and provides patient and caregiver education to support safe transitions of care.
  • Collaborates with physicians and the interdisciplinary team to coordinate care across the healthcare continuum.
  • Identifies clinical, psychosocial, and social barriers to recovery and facilitates appropriate interventions and community resources.
  • Documents assessments, interventions, care plans, and patient outcomes accurately in the electronic health record.
  • Supports the development, implementation, and evaluation of clinical workflows, program processes, and best practices to advance the MTSP.
  • Participates in quality improvement, workflow optimization, program evaluation, and implementation of evidence-based transitional care practices.
  • Practices in accordance with approved standardized procedures, organizational policies, applicable regulatory requirements, and the California Nurse Practice Act.

SKILLS AND KNOWLEDGE
  • Knowledge of advanced nursing practice, clinical assessment, diagnostic reasoning, pharmacology, pathophysiology, and evidence-based management of medically complex adult patients.
  • Knowledge of transitional care, care coordination, medication management, chronic disease management, and continuity across healthcare settings.
  • Understanding of social determinants of health and available community resources.
  • Strong communication, collaboration, critical thinking, clinical decision-making, and organizational skills.
  • Proficiency with Electronic Health Record and Microsoft Office applications.
  • Ability to work independently while collaborating effectively with physicians and interdisciplinary teams.
  • Commitment to patient-centered care, professional accountability, continuous learning, and quality improvement.

MINIMUM QUALIFICATIONS
  • Master's or Doctoral degree from an accredited Nurse Practitioner program.
  • Minimum of five (5) years of inpatient Nurse Practitioner experience.
  • Strong clinical assessment, diagnostic reasoning, communication, and critical thinking skills.

PREFERRED QUALIFICATIONS
  • Acute Care Nurse Practitioner (AGACNP or ACNP) certification preferred.
  • Experience with discharge planning or transitions of care preferred.
  • Experience with Epic electronic health record preferred.

LICENSURE / CERTIFICATION
  • Current California Registered Nurse license and Advanced Practice Nurse licensure.
  • National Nurse Practitioner certification.
  • Basic Life Support (BLS).
  • Advanced Cardiovascular Life Support (ACLS).
  • DEA registration.

SCHEDULE
  • Four (4) 10-hour shifts per week.

Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Variable
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $204,630.40 to $296,691.20 / annual salary
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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