The Learning Catalog

Care Transitions

Online Courses


Many older adults do poorly when they are moved from one care setting to another. This course examines the reasons why and suggests some models of care transitioning that have been shown to work well. Also, this course covers how health and human service workers play a central role in care transitions, especially today as people are moved more frequently from one care setting to another. Although careful medical planning is the basis of good care transitioning, successful transitions require the additional knowledge that the workforce providing health and long-term supports and services to older adults and people with disabilities brings of the whole person in his or her environment. The course’s overview of various care transition models will help you become more familiar with some of the methods and tools used in care transitions programs throughout the country.

*You can register for this course individually or as part of a certificate program.

Learner Feedback:

“Very comprehensive and relevant to a case manager’s work. I learned quite a bit, and still have to learn more since I have only been in the field for a little over a year. I am happy to have had this opportunity to learn and grow.”

“This course made me more aware of how religion, cultural and social factors are important when completing assessments.”


  • Demonstrate the ability to form relationships with consumers and families, perform assessments, coordinate care, and assist in planning discharges and post-discharge follow up.
  • Discuss how organizations can select care transition models that are a good fit for them.
  • Discuss how health care disparities need to be addressed when planning care transitions.
  • Demonstrate the ability to communicate with other health and human service team members during transitions of care.
  • Recognize how culture and ethnicity can influence care planning and transitions of care
  • Identify the barriers to successful transitions of care.

Course Outline

  • Pre-course Competency Assessment
  • Section I: Course Overview
  • Section II: Background and Scope
  • Section III: Key Content
  • Section IV: Diversity and Disparity in American Health Care
  • Section V: Ethical and Legal Dimensions
  • Section VI: Course Resources & References
  • Course Quiz
  • Post-course Competency Evaluation
  • Certificate of Completion

Course Policies

For information about refunds, cancellations, accommodations and to contact us please visit the policies page.

Accessibility Information

All online courses are self-paced and are designed as reading-based and include interactive multimedia components including simulations, video, audio, and discussion boards.

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