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Transitional Care Nurse Jobs in Indiana (NOW HIRING)

TEEMA Group

RN Care Manager

Evansville, IN · On-site

$85K - $95K/yr

RN Care Manager - NO Weekends | M-F Schedule | Evansville, IN 📍 Evansville, IN | Full-Time | Day ... This is your chance to transition into a structured, Monday-Friday role where you can make a real ...

Independence Home Health

Transitional Aide

IN · On-site

$18/hr

Ability to assist clients during transitional care periods * Strong communication and time ... where caregivers and nurses feel respected, supported, and part of a family. When you join ...

Care Career

Travel RN PCU

Evansville, IN · On-site

$1.9K - $2.6K/wk

Travel A Progressive Care Unit nurse (PCU nurse) has a unique job of caring for patients as they transition from the ICU. A progressive care nurse works in a hospital. A PCU nurse specializes in the ...

Care Career

Travel PCU RN - $2,988 per week

Anderson, IN · On-site

$2.9K/wk

Travel A Progressive Care Unit nurse (PCU nurse) has a unique job of caring for patients as they transition from the ICU. A progressive care nurse works in a hospital. A PCU nurse specializes in the ...

Parkview Health

Nurse Practitioner

Fort Wayne, IN · On-site

This position requires seeing patients in the Transitional Care Clinic, completing home visits, and rounding in Allen County Skilled Nursing Facilities to support Parkview patients overseen by ...

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All JobsTransitional Care Nurse JobsTransitional Care Nurse Jobs in Indiana

Transitional Care Nurse information

See Indiana salary details

$17

$36

$54

How much do transitional care nurse jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for transitional care nurse in Indiana is $36.30, according to ZipRecruiter salary data. Most workers in this role earn between $26.97 and $34.33 per hour, depending on experience, location, and employer.

What is a transitional care nurse?

A Transitional Care Nurse is a registered nurse who specializes in helping patients transition between different levels of care, such as from hospital to home or to a rehabilitation facility. Their primary goal is to ensure continuity of care, reduce hospital readmissions, and promote positive health outcomes. They coordinate with healthcare teams, provide patient education, and support patients and their families throughout the transition process. Transitional Care Nurses play a vital role in managing medication, follow-up appointments, and addressing any concerns patients may have after discharge.

What does a transitional care nurse do?

A transitional care nurse oversees the care of a patient as they move from one health care facility, such as a hospital or nursing home, to another facility or their home. The transitional care nurse ensures the relocation is as smooth as possible and helps the patient remain comfortable during the change. In this role, your job duties include creating a transitional care plan with the patient's physician and family members to determine when and how the move should be made. Once the patient is established in the new facility or back at home, you visit them regularly to assess their health and recovery. The transitional care model (TCM) of health care aims to reduce disruption in care, and thus lower the chances of patients relapsing and having to return to the hospital.

What are the key skills and qualifications needed to thrive as a transitional care nurse, and why are they important?

To thrive as a Transitional Care Nurse, you need expertise in patient assessment, care coordination, and discharge planning, typically backed by an RN license and experience in acute or post-acute care settings. Familiarity with care management software, electronic health records (EHRs), and sometimes case management certifications like CCM are common requirements. Strong communication, problem-solving, and organizational skills help build trust with patients and collaborate across multidisciplinary teams. These skills are crucial for ensuring seamless transitions between care settings, reducing hospital readmissions, and improving patient outcomes.

What are some common challenges faced by a transitional care nurse when coordinating patient care across different healthcare settings?

Transitional Care Nurses often encounter challenges such as fragmented communication between hospitals, primary care providers, and community services, which can impact the continuity of patient care. They must ensure that patients and families understand complex discharge instructions while also managing follow-up appointments and medication changes. Balancing a diverse caseload and addressing social determinants of health, such as transportation or home support, requires strong organizational and advocacy skills. Collaboration with multidisciplinary teams is essential to overcome these obstacles and promote positive patient outcomes.

What is the difference between Transitional Care Nurse vs Home Health Nurse?

AspectTransitional Care NurseHome Health Nurse
CredentialsRN license, possibly certification in care managementRN license, often certification in home health or hospice
Work EnvironmentHospitals, clinics, transitional care settingsPatients' homes, community settings
Employer & IndustryHospitals, healthcare systems, transitional care agenciesHome health agencies, hospice providers

Transitional Care Nurses and Home Health Nurses both provide patient care, but Transitional Care Nurses focus on coordinating care during patient transitions from hospital to home or other settings, often working in healthcare facilities. Home Health Nurses primarily deliver care directly in patients' homes, managing ongoing health needs. While their roles overlap in patient education and care management, their work environments and specific responsibilities differ.

What is the best career for transitional care nurses to transition to?

Transitional care nurses often transition into roles such as case managers, care coordinators, or outpatient nurse practitioners, leveraging their skills in patient education, discharge planning, and care management. Additional certifications like case management certification or advanced practice licenses can facilitate these transitions and expand career opportunities.
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Transitional Care Nurse jobs near you
Infographic showing various Transitional Care Nurse job openings in Indiana as of August 2026, with employment types broken down into 4% As Needed, 75% Full Time, 17% Part Time, and 4% Contract. Highlights an 96% In-person, and 4% Hybrid job distribution, with an average salary of $75,511 per year, or $36.3 per hour.

Registered Nurse - Care Transition Coordinator

DaMar Staffing Solutions of Indianapolis

Indianapolis, IN • On-site

$75K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

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Job description

Location: Marion County / Indianapolis, IN 46219 (Field-Based)

Company: DaMar Staffing Solutions of Indianapolis

Position Summary

DaMar Staffing Solutions is seeking a compassionate and organized Marion County Field Registered Nurse (RN) to support care transitions for individuals discharging from hospitals, nursing facilities, rehabilitation centers, and other inpatient settings into the community. This field-based role focuses on care coordination, patient advocacy, discharge planning, and reducing hospital readmissions through person-centered support services.

The RN will collaborate with healthcare providers, case managers, LTSS Coordinators, caregivers, and community partners to ensure patients receive the resources and support needed for successful community-based care.

Key Responsibilities

  • Coordinate transitions of care for high-risk and post-acute patients.
  • Conduct in-person, virtual, and telephonic outreach with patients, caregivers, and providers.
  • Participate in discharge planning and interdisciplinary care coordination meetings.
  • Complete clinical assessments and identify post-discharge needs including home health, transportation, behavioral health support, and community resources.
  • Educate patients and families on care plans, medications, and follow-up care.
  • Monitor high-risk members to reduce avoidable ER visits and hospital readmissions.
  • Maintain accurate documentation in compliance with Medicaid, CMS, and NCQA standards.
  • Support quality improvement initiatives and collaboration across healthcare and community-based organizations.

Qualifications

  • Active Indiana RN license in good standing.
  • Minimum of 2 years of experience in transitional care, case management, home health, discharge planning, managed care, or related settings.
  • Experience with Medicaid populations and behavioral health preferred.
  • Strong communication, documentation, and care coordination skills.
  • Reliable transportation and willingness to travel throughout Marion County up to 80%.

Compensation & Benefits

  • Competitive salary: $75,000 to $90,000
  • Mileage reimbursement
  • Health insurance and comprehensive benefits package
  • Mission-driven and community-focused work environment

About DaMar Staffing Solutions

DaMar Staffing Solutions partners with healthcare organizations and community programs to support workforce development, care coordination, and improved health outcomes throughout Indiana communities.

Company Description

DaMar Staffing Solutions of Indianapolis (“DaMar”) is a premier boutique recruitment firm. The DaMar model offers on demand solutions at an affordable price. DaMar Staffing Solutions is the place for professional level staffing for all industries .