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Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives – and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better – advancing our mission to transform healthcare and serve as a leader of positive change.
As a part of the population health team, the Transition Assistant – ACO, Licensed Practical Nurse, is responsible for assigned patient care and related administrative duties under the direct supervision of a licensed healthcare practitioner. Responsibilities for this role include patient education and outreach, follow-up phone calls for disease management, managing patients at risk for readmissions, assisting in quality audits, and other duties as assigned. Inpatient TA ACO LPN will focus on increasing enrollment in the HMH Population Health Care Management Programs offered post-discharge, as well as focusing on disease management and prevention of readmissions in the MSSP and attributed value-based populations. The IP-TA will work under the direction of the Pop Health Manager-Central, and will visit all attributed, admitted MSSP and value-based patients and will share patient information from previous touches, if any, by the Population Health Care Coordination Team. IP-TA will work collaboratively with the inpatient case manager and the rest of the interdisciplinary team to ensure a safe transition from the hospital to the next level of care. The IP-TA will share the name of the nurse that will follow the patient once discharged, and will do a warm handoff to that nurse as needed. Population: MSSP and attributed value-based patients admitted to a Central Region HMH facility.
Responsibilities
A day in the life of a Transition Assistant – ACO, Licensed Practical Nurse at Hackensack Meridian Health includes:
Additional Essential Generic Job Functions: Inpatient
Qualifications
Education, Knowledge, Skills and Abilities Required:
Education, Knowledge, Skills and Abilities Preferred:
Licenses and Certifications Required:
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Our Network
Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
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