The Transitional Care Manager Specialist is an integral member of the care management team, working with patients and their families to assure a smooth transition following discharge from the hospital. This position works collaboratively with the Chief Medical Officer, providers, hospital based specialists, Care Coordinators and other health care professionals/agencies to ensure a smooth transition from the hospital to outpatient care that is coordinated across the health care continuum and is key in training and mentoring new RN’s / LMSW ‘s into the TCM role for the organization.