The Care Management Transition of Care Team Manager is a pivotal leadership role within the Denver Health Medical Plan driving excellence in the seamless transition of members from acute care settings (hospitals, emergency departments, skilled nursing facilities) to home, outpatient, or post-acute care. This role ensures coordinated, evidence-based care during high-risk transitions to reduce readmissions, improve outcomes, and align with value-based care models. As a leader, you will mentor clinical staff, optimize TOC protocols, and collaborate with providers to create a member-centered continuum of care. Core responsibilities include development, implementation and continuous refinement of TOC workflow. This role with lead a team of nurse care managers specializing in TOC providing coaching, performance feedback and quality assurance. Key metric monitoring includes timely post-discharge follow up and enrollment in the TOC program. Workflows are outcomes oriented, and work will prioritize identification of high-risk members, proactive coordination of care with inpatient teams and health plan utilization management to meet member needs.