Transitional Care Manager: Discharge & Care Coordination

AbsoluteCARE Medical Center & Pharmacy; Pittsburgh (Allegheny County); On-site; USD 70,000 - 100,000; Full time

Job summary

AbsoluteCare Medical Center & Pharmacy seeks a Transitional Care Manager to coordinate in-person discharge planning and post-discharge care for admitted members. You will work with inpatient teams, PCPs, and community resources to optimize transitions and reduce readmissions.

The role requires an active RN license, CPR, and 3+ years of community-based case management experience, with strong communication and problem-solving skills. Travel up to 80% is expected.

Qualifications

• Licensed RN in the practicing state with active CPR certification.
• 3+ years serving complex populations in community settings.
• Experience with discharge planning, care transitions and case management.

Responsibilities

• Meet with members during inpatient stay and develop PCCP.
• Coordinate post-discharge plans with PCPs, specialists, and community resources.
• Perform medication reconciliation and ensure timely follow-up.
• Monitor KPIs and mitigate barriers to safe discharge.
• Maintain privacy and adhere to accreditation standards.

Skills

Discharge planning

Care coordination

Trauma-informed care

Clinical judgement

Communication skills

MCG/ASAM knowledge

Education

RN license

Tools

Microsoft Office

Electronic Medical Records

Job description

AbsoluteCare Medical Center & Pharmacy seeks a Transitional Care Manager to coordinate in-person discharge planning and post-discharge care for admitted members. You will work with inpatient teams, PCPs, and community resources to optimize transitions and reduce readmissions.

The role requires an active RN license, CPR, and 3+ years of community-based case management experience, with strong communication and problem-solving skills. Travel up to 80% is expected.