Manager, Transition of Care Registered Nurse

Cinqcare • Washington, DC

22h

About The Position

The Manager of Transitions of Care (TOC) Registered Nurse will oversee the operational execution of telephonic transitions of care programs to support safe and effective post-discharge transitions for members. This role will manage a team of telephonic care coordinators (nurses) and collaborate with clinical, quality, pharmacy and analytics teams to ensure timely outreach, medication reconciliation, follow-up care, and patient education. The Manager will help optimize workflows, monitor key performance indicators (KPIs), and ensure adherence to clinical and regulatory standards to reduce readmissions, improve quality outcomes, and enhance overall care coordination.

Requirements

• Active Registered Nurse (RN) license in good standing required.
• Must hold an active, unrestricted Registered Nurse (RN) license in a Nurse Licensure Compact (NLC) state and maintain multistate licensure privileges.
• Bachelor of Science in Nursing (BSN) required.
• Minimum of 3-5 years of experience in transitions of care, care management, or population health programs, with a focus on telephonic care coordination.
• Experience working in value-based care models (e.g., ACOs, risk-based arrangements) is preferred.
• Demonstrated ability to reduce readmissions, improve care outcomes, and manage complex care transitions.
• Strong operational management skills with the ability to manage and optimize daily workflows.
• Proven ability to lead and support clinical teams in a telephonic or remote setting.
• Proficiency in using care management platforms, Electronic Health Records (EHRs), and reporting tools.
• Excellent communication, collaboration, and problem-solving skills across clinical, operational, and business teams.
• Strong analytical skills and ability to use data to drive decision-making and process improvements.
• Ability to sit for extended periods while performing office-based duties.
• Ability to use office equipment (computer, telephone, etc.).
• Ability to occasionally travel locally for meetings and training (up to 10% of time).

Nice To Haves

• Knowledge of transitions of care best practices and regulatory requirements.
• Experience with performance improvement initiatives and quality metric tracking.
• Familiarity with patient-centered care models and patient education strategies.

Responsibilities

• Supervise the daily operations of the telephonic transitions of care program, ensuring that post-discharge outreach is timely and effective.
• Implement and maintain standardized workflows and procedures for transitions of care, ensuring high-quality service delivery.
• Ensure members receive appropriate care post-discharge, including medication reconciliation, follow-up care, and education on managing their health conditions.
• Collaborate with internal teams (Clinical, Quality, Analytics) to monitor and report on key performance metrics, such as readmission rates, emergency department utilization, and care gaps.
• Support the alignment of TOC efforts with payer and value-based care arrangements to meet specific contract requirements.
• Monitor and enforce adherence to established workflows, clinical guidelines, and regulatory standards to ensure the effectiveness of care transitions.
• Assist in developing and tracking key performance indicators (KPIs) related to transitions of care (e.g., outreach timeliness, readmission reduction, patient satisfaction).
• Collaborate with the Quality Assurance team to review performance and identify areas for continuous improvement.
• Ensure accurate clinical documentation in accordance with regulatory and organizational standards.
• Lead and support a team of telephonic care coordinators, providing guidance, mentorship, and ongoing training to ensure high-quality care delivery.
• Foster a collaborative, accountable, and patient-centered team culture.
• Support team members’ professional development and provide coaching to optimize workload management and job satisfaction.
• Help manage staffing models to ensure appropriate national coverage for all transitions of care activities.
• Work closely with the analytics team to gather and analyze data on TOC performance, identifying trends, risks, and opportunities for improvement.
• Partner with internal teams (Clinical, Quality, Pharmacy, and Network teams) to address care gaps and ensure smooth transitions for members.
• Provide regular reports to leadership on the performance of transitions of care programs, highlighting key trends, successes, and areas for improvement.
• Assist in integrating TOC performance data into enterprise-level dashboards and workflows to enhance care management.
• Identify opportunities to enhance program effectiveness through process optimization, technology integration, and adherence to industry best practices.
• Stay informed on the latest evidence-based practices for transitions of care and industry trends.
• Contribute to the pilot and scaling of new initiatives aimed at improving patient outcomes, reducing readmissions, and enhancing the patient experience.
• May assist with outreach activities as needed to support program objectives.

Benefits

• Competitive Compensation: We offer competitive salaries to attract and retain the best talent.
• 401(k) with Employer Match: Plan for your future with our 401(k) plan and a generous 4% employer match.
• Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution.
• Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife.
• Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you.
• Generous Paid Time Off: Enjoy ample time off for rest and rejuvenation with generous PTO, holidays, and wellness time.
• Continuing Medical Education (CME) Allowance for APPs: Stay at the forefront of your field with our CME allowance.
• Commuter Benefits: Save on your commute with our commuter benefits program.
• Mileage Reimbursement: Get reimbursed for work-related travel expenses.

What This Job Offers

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