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Transitional Care Nurse Jobs in Ontario (NOW HIRING)

Bayshore HealthCare

Clinical Manager

Kingston, ON · On-site

Perform additional duties as assigned to support the success of the Transitional Care Unit. What You'll Bring * A nursing diploma from an accredited program; Bachelor's degree is preferred. * A ...

Bayshore HealthCare

Nurse Practitioner

Kingston, ON · On-site

Bayshore Healthcare's Integrated Care Solutions (ICS) is hiring a full-time Nurse Practitioner to join our Transitional Care Unit in Amherstview, Ontario, operating in direct partnership with local ...

Baycrest

Registered Nurse - RN Resource Team

Toronto, ON

CA$41.15 - CA$58.98/hr

The Nursing Resource Team (NRT) provides flexible staffing support across clinical programs to ... transitional care. NRT offers a dynamic opportunity to practice and hone both clinical and ...

New

The Care Company Inc.

We are looking for awesome, self-driven nurses to work throughout the Central Region to help ALC ... Support the client through care transitions by collaborating and connecting the client with ...

The Care Company Inc.

We are looking for awesome, self-driven nurses to work throughout the Central Region to help ALC ... Support the client through care transitions by collaborating and connecting the client with ...

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Transitional Care Nurse information

See Ontario salary details

$65.5K

$80.3K

$98.5K

How much do transitional care nurse jobs pay per year?

As of May 28, 2026, the average yearly pay for transitional care nurse in Ontario is $80,342.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,000.00 and $92,500.00 per year, depending on experience, location, and employer.

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 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 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.

More about Transitional Care Nurse jobs
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What job categories do people searching Transitional Care Nurse jobs in Ontario look for? The top searched job categories for Transitional Care Nurse jobs in Ontario are:
What are popular job titles related to Transitional Care Nurse jobs in ON? For Transitional Care Nurse jobs in ON, the most frequently searched job titles are:
Transitional Care Nurse jobs near you
Infographic showing various Transitional Care Nurse job openings in Ontario as of May 2026, with employment types broken down into 62% Full Time, 23% Part Time, and 15% Contract. Highlights an 100% In-person job distribution, with an average salary of $80,342 per year, or $38.6 per hour.

Registered Nurse (RN)

St. Joseph's Healthcare Hamilton

Hamilton, ON • On-site

Other

Posted 23 days ago

Job description

UNIT PROFILE
Complex Care provides compassionate specialized care and inpatient services for patients and families who are dealing with a "life-altering" complex condition resultant from injury or disease marked by impairments in either or both mental and physical function. The level of support that patients need ranges from significant to total. It may include ventilation, special feeding systems, tracheotomy care, and special pain management. Our interdisciplinary team of professionals work collaboratively to support our patients' goals for transitional care and/or meet their needs for continuing care. Complex Care is a part of the health services continuum designed to provide medical management, skilled nursing and a range of interdisciplinary, diagnostic, therapeutic and technological services to achieve patient identified goals and optimize wellness and quality of life of individuals who have a chronic complex condition. Complex Care provides transitional care to support individuals needs in anticipation of a return to a community setting (ie. home or other residential living), or to receive palliative and end of life care.

POSITION SUMMARY
The Registered Nurse, under the Standards of Practice of the College of Nurses of Ontario and the Department of Nursing, functions as a member of the nursing team to provide preventative, restorative, educational and/or supportive care. Excellent knowledge, critical thinking, decision making and communication techniques are employed in assessing, planning and implementing nursing care.

QUALIFICATIONS
Current registration with the College of Nurses of Ontario required.
Current BCLS certification required.
Recent related clinical experience in medical/surgical/geriatric nursing preferred.
Previous experience with ventilator-dependent, bariatric and dialysis populations preferred.
Gentle Persuasive Approaches (GPA) certification preferred.
Wound Management training considered an asset.
Demonstrated ability to be self-directed and work independently as well as with a multidisciplinary team within the Hospital and the community.
Demonstrated excellent interpersonal and assessment skills.
Demonstrated organizational skills and ability to be flexible and adapt to changing needs of residents and resources.
Demonstrated ability to lead the unit healthcare team members (ie. RPNs, HCAs).
Demonstrated knowledge, sensitivity and expertise in the care of seniors and their families.
Good attendance and work record is essential
A resume regarding further education, special courses and experience should accompany the application

Note: Willingness and ability to crosstrain across Medical Rehabilitation and Complex Care and provide crossunit shift replacement coverage as required.

St. Joe's fosters an environment where we celebrate diversity, where teams reflect the diversity of the community in which we serve, enhancing the connection to patients, clients, community, and each other.

St. Joseph's Nursing Vision is to make a difference in the lives of those we care for, our organization, and the future of our community through achievement of excellence in nursing and commitment to a culture of nursing innovation, empowerment, leadership and accountability.

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