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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.

+ The inpatient TA ACO LPN will focus on increasing enrollment in the HMH Population Health Care Management Programs offered post-discharge, as well as focus 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.

+ The 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.

The hours for this position are 8am-4:30pm and it will require 1-2 days in the office, which is subject to change at any time.

Education, Knowledge, Skills and Abilities Required:

+ Graduate of an accredited program in Licensed Practical Nursing.

+ One to three years of patient care experience.

+ Exceptional communication skills to enable communication and collaboration with physician, patients, families, and ancillary staff.

+ Ability to work cooperatively with peers and supervisors.

+ Excellent critical thinking skills.

+ Ability to work in a fast pace team environment.

+ Ability to prioritize and multi-task.

+ Experience with relevant systems (e.g., electronic medical records, disease registries).

+ Proficient computer skills (i.e., Microsoft Office Suite, data entry ability, and clinical programs).

Education, Knowledge, Skills and Abilities Preferred:

+ Primary care experience.

+ Experience working with seniors.

+ Knowledge about population health management and clinical integration principles and processes.

+ Bi-lingual or multi-lingual.

Licenses and Certifications Required:

+ Current and valid NJ State Licensed Practical Nurse.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

164313

Starting at $28.93 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

+ **Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.**

+ **Experience: Years of relevant work experience.**

+ **Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.**

+ **Skills: Demonstrated proficiency in relevant skills and competencies.**

+ **Geographic Location: Cost of living and market rates for the specific location.**

+ **Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.**

+ **Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.**

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.