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Transitional Care Nurse Jobs (NOW HIRING)

CommonSpirit Health

Transitional Care RN

Kearney, NE · On-site

As our Transitional Care Nurse (TCN) , you will serve as a pivotal leader in the Nebraska Rural Health Transformation Program (RHTP), a specialized, grant-funded initiative dedicated to advancing ...

CHI Health Good Samaritan

Transitional Care RN

Kearney, NE · On-site

$32.70 - $46/hr

Job Summary and Responsibilities As our Transitional Care Nurse (TCN) , you will serve as a pivotal leader in the Nebraska Rural Health Transformation Program (RHTP), a specialized, grant-funded ...

Your Health

Transitional Care Professional

Ladson, SC · On-site

The Transitional Care Professional position plays a crucial role in facilitating a smooth transition for patients from hospitals, rehabilitation centers and skilled nursing facilities to their homes ...

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Transitional Care Nurse information

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$18

$38

$56

How much do transitional care nurse jobs pay per hour?

As of Sep 5, 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 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 the United States as of August 2026, with employment types broken down into 2% As Needed, 70% Full Time, 21% Part Time, and 7% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $79,354 per year, or $38.2 per hour.

Transitional Care - Nurse Practitioner

Carle Health

Urbana, IL • On-site

$56.37 - $73.29/hr

Full-time

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

Carle Health rating

7.5

Company rating: 7.5 out of 10

Based on 214 frontline employees who took The Breakroom Quiz

232nd of 898 rated healthcare providers

Job description

Overview

Carle Health is seeking a Nurse Practitioner to join our Transitional Care Clinic (TCC) at Carle Foundation Hospital in Urbana, Illinois.

Opportunity Details

  • Typical schedule 10 hour/ 4 days per week
  • Provides health assessment for patients directed toward returning to a state of wellness, establishing the need for intervention, evaluating responses to and outcomes of therapy, and following a mutually agreed upon treatment plan.
  • Ensures documentation of care is complete and accurate.
  • Communicates with other health professionals, families, and referral agencies regarding health status and needs of particular patients or patient groups.
  • Serves as a role model in the enhancement of nursing practice and professional conduct following professional practice guidelines. Responsible for nursing care delivery by patient care support staff.
  • Perform assessments on patients referred to the TCC and determine eligibility for the program.
  • Place orders for scheduling patients in the TCC.
  • Complete full assessments and provide ongoing patient care and management while the patient is under the responsibility of the Transitional Care Clinic.
  • Place appropriate follow-up orders for patients evaluated in the TCC.
  • Monitor patient improvement and response to therapy over the 30-day post-hospital period.
  • Coordinate return of the patient responsibility to their Primary Care Provider
  • Case management
  • Home visits for appropriate TCC patients within 60 mile radius

Education Requirements:

  • Master's Degree in Nursing
  • Two years of experience as an APN in a primary care clinic or hospital setting preferred

Licensure/Certification Requirements:

  • Current Illinois registered nurse license and advanced practice nurse licensure
  • Basic Life Support (BLS) and APN National Certification

About Our Community

Champaign-Urbana has been defined as a micro-urban community, meaning we have many of the amenities of a much bigger city, with the feel of a smaller town. Almost equidistant to Chicago, St. Louis and Indianapolis for fun weekends away, the area offers excellent schools, a great downtown scene, the University of Illinois, Big 10 sports and an exciting college town atmosphere, including Krannert Center for the Performing Arts.

About Us

Find it here. Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health. Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation's highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Compensation and Benefits

The compensation range for this position is $56.37 - $73.29/hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits

What Carle Health employees say

Pay

Benefits

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About Carle

Sourced by ZipRecruiter

Each and every employee at Carle makes us better and stronger, so we can take care of our patients and our community. From clinical to professional and technical careers – our team of employees help us change lives. Carle is proud to be named a Great Place to Work®. Alongside Carle BroMenn Medical Center, Carle Health Methodist Hospital, and Carle Health Proctor Hospital, the Carle Foundation Hospital holds Magnet® designation, the nation’s highest honor for nursing care.

Industry

Health care and social assistance, hospitals and outpatient health care

Company size

10,000+ Employees

Headquarters location

Urbana, IL, US

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