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How much do transitional care jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for transitional care in Florida is $28.51, according to ZipRecruiter salary data. Most workers in this role earn between $21.20 and $26.92 per hour, depending on experience, location, and employer.

What is transitional care?

Transitional care refers to a set of coordinated healthcare services that help patients move smoothly from one care setting to another, such as from a hospital to their home or a rehabilitation facility. The goal is to ensure continuity of care and prevent complications, such as hospital readmissions. Transitional care typically involves communication among healthcare providers, medication management, follow-up appointments, and patient education. It is especially important for individuals with complex or chronic conditions who are at higher risk during care transitions.

How does a transitional care professional typically collaborate with other healthcare teams to ensure smooth patient transitions?

Transitional Care professionals work closely with physicians, nurses, social workers, and other allied health staff to coordinate patient care as individuals move between different healthcare settings, such as from hospital to home. This collaboration often involves regular interdisciplinary meetings, thorough documentation, and clear communication to ensure continuity of care and reduce readmission risks. Effective teamwork is essential, as Transitional Care professionals often serve as liaisons, advocating for patient needs and ensuring all members are updated on care plans. Building strong relationships across departments is a key part of the role, helping to identify and resolve potential barriers to successful transitions.

What are the key skills and qualifications needed to thrive in transitional care?

To excel in Transitional Care, professionals typically require a background in nursing, social work, or case management, along with knowledge of care coordination and discharge planning. Familiarity with electronic health records (EHRs), care management software, and possibly certification like CCM (Certified Case Manager) is often beneficial. Strong communication, empathy, and problem-solving abilities are crucial for effectively supporting patients and collaborating with healthcare teams. These skills ensure smooth care transitions, prevent hospital readmissions, and enhance patient outcomes during vulnerable periods.
What are the most commonly searched types of Transitional Care jobs in Florida? The most popular types of Transitional Care jobs in Florida are:
Transitional Care jobs near you
Infographic showing various Transitional Care job openings in Florida 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 $59,301 per year, or $28.5 per hour.

Clinical Care Nurse - Florida

CenterWell Primary Care

Miami, FL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community
The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients across transitions of care to improve patient outcomes.
Clinic locations may be available in the following areas: Florida - Westchester, Miami.
As a Clinical Care RN, you will contribute to Medicare Advantage Stars ratings by proactively identifying care opportunities, engaging patients and providers, and driving evidence-based interventions. You will balance direct patient education and outreach with data-driven quality improvement efforts. The Clinical Care RN aligns daily responsibilities with organizational values, integrity, respect, empathy, and commitment to health equity - to enhance patient health outcomes and satisfaction.

Role Scope

  • Transitions: Care transition support, follow-up coordination, and avoidable readmission prevention for discharged inpatient, observation and emergency department patients.
  • Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population.
  • Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic disease self-management, particularly in DM, HTN, CHF and COPD.

Duties and Responsibilities:

  • Analyze clinical data and trends from platforms such as Athena EMR and DataHub to identify gaps in care related to Stars and HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-impact opportunities.
  • Proactively identify recently discharged inpatient, observation and emergency department patients and coordinate timely post-discharge follow-up in alignment with TOC and Transitional Care Management (TCM) requirements, with the aim of addressing root causes of utilization and supporting patients to prevent avoidable readmissions or return visits.
  • Conduct targeted patient and provider outreach via phone, telehealth and in-clinic visits to close care opportunities, provide tailored education on preventive care, chronic disease management, and medication management.
  • Conduct post-discharge outreach to assess understanding of discharge instructions, bottles-out medication reconciliation, symptom monitoring, and follow-up appointment adherence. Identify and escalate barriers, collaborating with providers and care team to prevent readmissions and avoidable ED utilization.
  • Collaborate effectively with interdisciplinary teams, including providers, care assistants, center administrators, medical assistants, pharmacy, and quality improvement staff-to implement evidence-based interventions and optimize workflows.
  • Document all outreach efforts, clinical interactions, and outcomes accurately and in compliance with organizational and CMS regulatory standards.
  • Prepare, participate and discuss patients in center huddles and high-risk rounds with providers and the center-based and interdisciplinary team.
  • Participate in quality improvement projects, provider education sessions, team huddles to stay current with evolving clinical guidelines and organizational priorities.
  • Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
  • Support clinic operations through provider collaboration, care coordination, and community education initiatives.
  • Coordination and facilitation of center and market-based Wellness Events-focused in-person engagement for Stars care opportunity closures.
  • Maintain patient confidentiality in accordance with HIPAA.
  • Document patient encounters accurately and timely in the indicated platform (e.g., medical record).
  • Follow organizational policies related to safety, infection control, and attendance.
  • Perform other duties as assigned.

Use your skills to make an impact

Required Qualifications

Required Qualifications:

  • Must meet one of the following requirements: Associate's degree in nursing (ADN) -OR- Bachelor's degree in nursing (BSN).
  • Active, unrestricted RN license in the State of Florida.
  • 3+ years' clinical nursing experience with exposure to transitions of care, quality improvement, managed care, or population health management.
  • Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub, Compass Rose, SalesForce HealthCloud - per your prior employer's population health tools), and Microsoft Office Suite.
  • Willing and able to complete and maintain Basic Life Support training.

Preferred Qualifications:

  • Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements.
  • Experience with Transitions of Care, hospital discharge or ER follow up programs.
  • Strong clinical judgment, data analysis skills, and ability to apply evidence-based practices.
  • Excellent communication and motivational interviewing skills to educate and empower members.
  • Commitment to health equity, inclusiveness, and patient-centered care.
  • Bilingual in English and Spanish with full professional proficiency (strong preference).
  • Basic Life Support trained.

Additional Information:

Core Competencies:

  • Clinical quality improvement and strategic gap closure.
  • Transitions of Care coordination and post-discharge support.
  • Member and provider engagement with motivational interviewing.
  • Regulatory compliance and documentation accuracy.
  • Data interpretation and actionable reporting.
  • Cross-functional collaboration and teamwork.
  • Time management balancing administrative and outreach duties.

Values & Mission Alignment:

  • Demonstrate integrity, respect, and empathy in all interactions.
  • Uphold the mission to improve health outcomes and member satisfaction through proactive, compassionate care.
  • Champion continuous learning, innovation, and professional growth.

Work Information:

This role requires an in-center presence, involving daily commute to assigned clinic(s) and occasional (quarterly) travel within the market to alternative clinic(s) for strategic meetings.

  • Workstyle: Clinic-based, in-center 5 days per week.
  • Location: Must reside in designated market area, in reasonable commutable distance to assigned clinic(s).
  • Hours: Monday-Friday, 8:00 AM-5:00 PM; additional time may be required.

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driving Statement:

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$71,100 - $97,800 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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