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Transitional Care Specialist Jobs (NOW HIRING)

Every Child's Hope

Youth Care Specialist

Kansas City, MO · On-site

$18 - $22.38/hr

Youth Care Specialists provide care and oversight to youth ages 16 - 21 living in the transitional living program and shelter program at Steppingstone. ***Current Openings*** Sunday - Thursday 2:30pm ...

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Transitional Care Specialist information

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How much do transitional care specialist jobs pay per hour?

As of Aug 10, 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 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.

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
What job categories do people searching Transitional Care Specialist jobs look for? The top searched job categories for Transitional Care Specialist jobs are:
Transitional Care Specialist jobs near you
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, 69% Full Time, 22% Part Time, and 7% 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 Clinic Nurse Practitioner

University of Maryland Medical System

Towson, MD • On-site

$544K/yr

Full-time

Re-posted 12 days ago

Job description

Job Requirements
The Advanced Practice Provider (APP) - Transitional Care and Community Outreach provides comprehensive outpatient care for patients in the Transitional Care Center. The APP delivers patient-centered primary and transitional care services aimed at improving access to care, supporting safe transitions from hospital to home, and addressing healthcare disparities within vulnerable populations.
In the Transitional Care Clinic, the APP evaluates and manages patients recently discharged from the hospital who require short-term medical management prior to establishing care with a primary care provider or while awaiting follow-up with their existing provider. The role focuses on reducing hospital readmissions, optimizing medication management, and ensuring safe and coordinated care transitions.
The APP collaborates with physicians, specialists, case managers, social workers, and other healthcare professionals to coordinate care and support improved patient outcomes.
The APP practices within the scope of professional licensure, national certification, institutional credentialing, and delineation of privileges in accordance with applicable state regulations and hospital policies.
Responsibilities may include:
  1. Performing comprehensive post-hospitalization evaluations including review of discharge summaries, hospital course, and treatment plans.
  2. Conducting patient assessments including medical history review, physical examination, and diagnostic evaluation.
  3. Managing acute and chronic medical conditions following hospitalization.
  4. Performing medication reconciliation and adjusting medication regimens based on clinical status and discharge instructions.
  5. Ordering and interpreting laboratory tests, diagnostic imaging, and other studies necessary to support ongoing care.
  6. Identifying and managing complications that may arise following hospitalization.
  7. Providing patient and family education regarding diagnoses, medications, treatment plans, and warning signs requiring medical attention.
  8. Facilitating safe care transitions through coordination with primary care providers, specialists, and community resources.
  9. Assisting patients in establishing care with a primary care provider when one is not currently established.
  10. Supporting initiatives aimed at reducing hospital readmissions and improving transitional care outcomes.
  11. Collaborates with physicians, specialists, case managers, social workers, and community resources to coordinate patient care.
  12. Facilitates referrals to specialty care, behavioral health services, rehabilitation programs, or community support services.
  13. Assists patients in accessing financial assistance programs, medication affordability resources, and community health programs when appropriate.

Work Experience
  1. Graduate of an accredited Nurse Practitioner or Physician Assistant program.
  2. Current and unrestricted state licensure as a Nurse Practitioner or Physician Assistant.
  3. Current national certification through an approved certifying body (ANCC, AANP, or NCCPA).
  4. Current Basic Life Support (BLS) certification required.
  5. Prior experience in primary care, hospital medicine, internal medicine, family medicine, or transitional care preferred.
  6. Bilingual candidates preferred

Benefits
  • Please review 2026-2027 UMMS Benefits Guide.pdf

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