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Transitional Care Specialist Jobs (NOW HIRING)

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Transitional Care Specialist information

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How much do transitional care specialist jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for transitional care specialist in the United States is $18.86, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $21.63 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Transitional Care Specialist, and why are they important?

To thrive as a Transitional Care Specialist, you need a background in nursing, social work, or a related healthcare field, along with strong knowledge of care coordination and discharge planning. Familiarity with electronic health records (EHRs), case management software, and relevant certifications such as CCM (Certified Case Manager) or CCTM (Certified in Care Coordination and Transition Management) is frequently required. Excellent communication, organization, and problem-solving skills help build rapport with patients and coordinate effectively with multidisciplinary teams. These competencies ensure smooth transitions between care settings, reduce hospital readmissions, and improve patient outcomes.

How does a Transitional Care Specialist typically collaborate with other healthcare professionals to ensure smooth patient transitions?

Transitional Care Specialists work closely with multidisciplinary teams, including nurses, social workers, physicians, and rehabilitation therapists, to coordinate patient care during transitions between healthcare settings. They facilitate communication between providers, ensure that discharge plans are clear, and help address any barriers to follow-up care. Regular team meetings and case conferences are common, allowing them to advocate for patient needs and ensure continuity of care. Effective collaboration is essential to reduce readmissions and improve patient outcomes.

What is the difference between Transitional Care Specialist vs Case Manager?

AspectTransitional Care SpecialistCase Manager
CredentialsRN, LPN, or relevant healthcare certificationsRN, social worker, or healthcare-related certifications
Work EnvironmentHospitals, clinics, post-acute care settingsHospitals, community health, insurance companies
Employer & IndustryHealthcare providers focusing on patient transitionsInsurance companies, healthcare organizations, social services
Search & Comparison IntentUnderstanding roles in patient transition careManaging patient care plans and resources

While both roles focus on patient care coordination, a Transitional Care Specialist primarily assists patients during transitions from hospital to home, ensuring smooth recovery. A Case Manager has a broader scope, managing overall patient care plans across various settings. Both roles require healthcare credentials and work in similar environments, but their specific focus differs.

What does a Transitional Care Specialist do?

A Transitional Care Specialist helps patients navigate the process of moving from one healthcare setting to another, such as from a hospital to home or a rehabilitation facility. Their main goal is to ensure continuity of care, reduce hospital readmissions, and improve patient outcomes by coordinating follow-up appointments, medication management, and patient education. They serve as a liaison between patients, families, and healthcare providers to address any barriers to a smooth recovery. Transitional Care Specialists often work with individuals who have complex medical needs, providing support and resources throughout the transition process.
More about Transitional Care Specialist jobs
Infographic showing various Transitional Care Specialist job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 69% Full Time, 21% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,220 per year, or $18.9 per hour.

Transitional Care Specialist - Fulltime

Lorian Health

San Diego, CA โ€ข On-site

$95 - $105K/hr

Full-time

Re-posted 5 days ago


Job description

For over 20 years, Lorian Health has been a trusted leader in home health care, dedicated to enhancing patients' quality of life and supporting their independence.
The Transitional Care Specialist is a corporate-level clinical operations leader responsible for designing, implementing, and overseeing Lorian's Transitional Care across all Home Health branches. This full-time role combines field-based clinical presence, including home visits and bedside visits in hospitals, skilled nursing facilities, and other care settings, with strategic oversight, performance monitoring, and cross-functional leadership to improve outcomes for clinically complex, high-risk patients and support timely transitions across the continuum of care.
Location: 9655 Granite Ridge Dr #500 San Diego, CA 92123
Responsibilities
  • Conduct home visits and bedside visits as needed to assess complex cases, support patient and family education, reinforce clinical planning, and model best practices for branch teams.
  • Travel regularly to branch locations, patient homes, hospitals, skilled nursing facilities, and other care settings in support of the program's clinical and operational goals.
  • Maintain a visible field presence to evaluate workflow effectiveness, identify barriers, and coach teams in real time.
  • Collaborate with MSWs, RNs, LVNs, therapists, hospice teams, and clinical managers to improve patient transitions and goals-of-care planning.
  • Support regular MSW rounds or related psychosocial review structures for complex transitional care cases.
  • Ensure all program-related actions, communication, and interventions are documented accurately and timely in HCHB or other designated systems to support compliance and audit readiness.
  • Track and evaluate program outcomes such as hospitalization avoidance, post-discharge retention, and hospice referral activity.
  • Ability to access patient homes, hospitals, branch offices, and other clinical environments as needed.
  • Ability to use standard office and clinical technology for documentation, communication, and reporting.

Qualifications
  • Minimum of 1 year of experience in home health or hospice
  • Current, active, and unrestricted clinical licensure in the State of California, as applicable to role requirements.
  • Bachelor's degree in Nursing, Social Work, healthcare administration, or related field preferred.
  • Strong understanding of transitional care workflows, high-risk patient management, hospitalization reduction strategies, and hospice transitions.
  • Advanced knowledge of home health clinical operations, interdisciplinary team coordination, and compliant documentation practices.
  • Ability to analyze workflow performance, identify gaps, and implement improvements across diverse branch environments.
  • Strong communication, facilitation, and relationship-building skills with the ability to influence teams across the organization.
  • Proficiency with EMR and reporting systems, including HCHB and other tracking tools used to monitor patient status, hospitalizations, and branch performance.

Salary ranges from $95-$105,000 commensurate with experience