RN Transitional Care Manager (Adult and Pediatric Skilled)

BAYADA Home Health Care • Boston, MA

1d • Hybrid

About The Position

We’re BAYADA Home Health Care, a leading home health care company, seeking an experienced Registered Nurse (RN) to fill the position of Transitional Care Manager (TCM) supporting our Adult and Pediatric Skilled clients in MA, NY, NH, and RI. This dynamic role allows you to leverage your clinical expertise, entrepreneurial mindset, and relationship-building skills while serving as a key liaison between referral sources, healthcare providers, and clients transitioning safely from acute and post-acute care settings to home. As part of BAYADA's Transitional Care Program, you will play an essential role in reducing readmissions, improving outcomes, and ensuring a seamless transition for medically complex clients.

Requirements

• Current, unrestricted Registered Nurse (RN) license.
• Minimum of five (5) years of nursing, discharge planning, home health, critical care, long-term care, care management, or related clinical experience.
• Demonstrated success building relationships with healthcare professionals and referral sources.
• Strong communication, presentation, and interpersonal skills.
• Ability to work independently, manage a large geographic territory, and prioritize multiple responsibilities.
• Strong clinical assessment and decision-making skills.
• Proficiency with Microsoft Office applications and technology platforms.
• Ability to travel extensively throughout New England, Primarily throughout Boston and Worcester weekly, and to RI, NH, and NY on a monthly basis.

Nice To Haves

• Bachelor's degree preferred.
• Previous experience in critical care, acute care, long-term care, discharge planning, case management, or transitional care strongly preferred.

Responsibilities

• Develop and maintain strong relationships with hospitals, skilled nursing facilities, physicians, case managers, discharge planners, and other referral sources.
• Educate referral partners, clients, and families on BAYADA's home health care services and the benefits of transitioning care to the home setting.
• Facilitate safe and effective transitions of medically complex and chronically ill clients from facility-based care to home care.
• Review medical documentation and collaborate with physicians and healthcare teams to assess eligibility for home health services.
• Coordinate communication between referral sources and BAYADA service offices to ensure successful admissions and continuity of care.
• Provide post-transition follow-up support to help improve patient outcomes and reduce avoidable hospital readmissions.
• Create and execute strategic referral development plans to grow market presence throughout the territory.
• Represent BAYADA at healthcare facilities, professional events, and community outreach activities.
• Collaborate with operational and clinical leaders to identify business development opportunities and drive referral growth.
• Track referral activity, maintain accurate records, and provide regular reporting on territory performance.

Benefits

• Base Salary: $95,000 - $110,000 annually , based on experience and qualifications.
• Quarterly Bonus Opportunity
• Opportunity to make a meaningful impact on patient outcomes while driving business growth.
• Comprehensive benefits package including medical, dental, and vision coverage.
• Paid holidays, vacation, and sick time.
• 401(k) with company match.
• Employer-paid life insurance.
• Employee Assistance Program (EAP).
• Career advancement and professional development opportunities with a nationally recognized healthcare leader.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior