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How much do transitional care nurse jobs pay per hour?

As of May 28, 2026, the average hourly pay for transitional care nurse in the United States is $38.15, according to ZipRecruiter salary data. Most workers in this role earn between $28.37 and $36.06 per hour, 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.

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Transitional Care Nurse jobs near you
Infographic showing various Transitional Care Nurse job openings in the United States as of May 2026, with employment types broken down into 13% As Needed, 74% Full Time, and 13% Part Time. Highlights an 100% In-person job distribution, with an average salary of $79,354 per year, or $38.2 per hour.
Transitional Care Nurse - Home Health RN

Transitional Care Nurse - Home Health RN

Saint Luke's Hospital of Kansas City

Kansas City, MO • On-site

Other

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

Saint Luke's Health System (Kansas City) rating

7.1

Company rating: 7.1 out of 10

Based on 108 frontline employees who took The Breakroom Quiz

369th of 864 rated healthcare providers

Job description

Job Description
Saint Luke's Home Care & Hospice is seeking a Transitional Care Nurse to join our team!!

  • Full-time Monday through Friday with flex scheduling to cover one weekend every 1-2 months for telemonitoring
  • Bachelor of Science in Nursing required
  • RN in MO & KS required
  • Certification in Chronic Disease Management, Hospice and Palliative Care required (others will be taken under consideration)
  • 2 years of experience required
  • Clean driving record required
  • Coverage area is Kansas City Metro, may assist in rural areas within Leavenworth, Jackson, Clay, and Platte counties
  • Experience in Home Health, Hospice, Case Management preferred
The Transitional Care Nurse TCN , under the direction of the Director of Operations, serves as a key point of contact for care coordination and transition management for Saint Luke's Home Care and Hospice patients who move from the acute hospital and facility to the home settings and within levels of care when already home. The TCN will support patient self management, advocacy and oversee education and engagement, coaching and counseling of patient and family. Cross setting communication, teamwork and collaboration will be required for patient centered care planning and the nursing process will be utilized for ongoing assessment and outcome setting for each population managed
Job Requirements
Applicable Experience:
2 years
Certified Hospice and Palliative Nurse - Hospice & Palliative Credentialing Center, Registered Nurse (KS) - National Council of State Boards of Nursing (NURSYS), Registered Nurse (MO) - National Council of State Boards of Nursing (NURSYS)
Bachelor's Degree
Job Details
Full Time
Day (United States of America)
The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

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