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Transitional Care Specialist Jobs (NOW HIRING)

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Transitional Care Specialist information

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$12

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$27

How much do transitional care specialist jobs pay per hour?

As of Sep 7, 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 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.

What skills and qualifications are needed to thrive as a transitional care specialist?

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 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.

More about Transitional Care Specialist jobs
Infographic showing various Transitional Care Specialist 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 $39,220 per year, or $18.9 per hour.

Advanced Practice Transitional Care Nurse

Global Transitional Care

Los Alamitos, CA โ€ข On-site

Full-time

Re-posted 8 days ago


Job description

Company Description

Global Transitional Care (GTC) is the first third-party specialty group provider organization dedicated to providing comprehensive transitional care. Our mission is to enhance the care continuum and provide personalized clinical oversight for each individual patient.


GTC helps avoid complications and readmission to the hospital by helping to manage all aspects of care from inpatient stay to home for 30 days from date of discharge. Through a transitional care provider team, patients and their families will have access to a healthcare provider that is familiar to them and their case, 24 hours a day, 7 days a week.


GTC's goal in transitional care is to give the newly discharged patient and their healthcare team continuity of medical and post discharge care, further reducing adverse events, unnecessary return visits to the hospital or emergency room, and the knowledge to personally manage their own health condition.

Job Description

Under the supervision of the Medical Director, the Advanced Practice Transitional Care Nurse provides continuity of care throughout a patient's episode of acute care, from enrollment during hospitalization through a maximum of 31 days post hospitalization. In collaboration with other health team members, including the patient and family/caregiver, the AP-TCN coordinates and implements the individualized plan of care. AP-TCNs use their clinical judgment to determine the 'discharge readiness' of each patient. The AP-TCN also leads and supports care programs and research, and assists in marketing, business development, outreach, education, quality improvement, and other initiatives as needed.ย 


Major Responsibilities:

Conducts face-to-face visits with patient in healthcare facilities and in patients' homes

Initiates telephone outreach and is available by phone during office and on-call hoursย 

Works independently and keeps physicians informed of patient status.

Uses all components of the Transitional Care Model and nursing process including assessment, triage, planning, implementing and evaluating care to meet the patients' needs.

Collects, organizes, documents, and analyzes data, synthesizing it into understandable information

Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient's primary healthcare provider(s)

Effectively communicates, problem-solves, and maintains productive and effective interpersonal relationships while effectively prioritizing

Works with outside facilities and agencies on a routine basis, maintaining positive working relationships

Supports patients and their families, and provides compassionate care

Provides training, oversight and supervision of assigned TCN-RNs, conducting new-hire orientations, performance evaluations, reviewing patient satisfaction surveys, and reporting back to Director of Nursing and Medical Director


Qualifications

Authorization to work in the US

Graduate of an accredited Nurse Practitioner Program

Current Nurse Practitioner or Certified Nurse Specialist certification

Five (5) or more years as an RN, preferably in acute care or case management setting, current CA RN license

Medicare Provider Number (NPI)

BLS

Car, driver's license, auto insurance and safe driving history

English proficiency, bilingual a plus

Computer literacy (i.e. Microsoft Office Suite)

Must have a cell phone, computer, internet, and email access ย 


Preferred Qualifications:

Public Health and/or Case Management certification

Community Education Experience


Additional Information

All your information will be kept confidential according to EEO guidelines.