Transitions Assistant, Toc-northern New Jersey

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.

About the role

The Transitions of Care Assistance Assistant works closely with the Regional Manager, Transitions of Care (TOC) Navigator, physicians, and staff in coordinating and communicating gaps in quality care metrics for all TOC patients. They assist with patient navigation and preventative screening compliance. The TOC Assistant works independently to audit clinical data, promoting workflows that support quality patient care and compliance with documentation and clinical outcome metrics. The TOC Assistant will communicate with the healthcare team to assist patients in transitions of care across the healthcare continuum and is accountable, along with the TOC Navigator, for meeting clinical quality guidelines and facilitating high-quality, safe patient care. This position will be based in the Northern Region (Hackensack University Medical Center and Palisades Medical Center).

Responsibilities

• Audits clinical records for gaps in quality care metrics and follows a corrective plan with guidance from TOC Navigator to facilitate collections and reporting of required quality metrics.
• Assists in workflow design that promotes compliance with TOC standards and clinical quality metrics.
• Provides weekly reports to TOC Navigator to assist with quality metrics performance that will maximize metrics compliance.
• Works with providers, care coordinators, and hospital staff to ensure safe patient transitions.
• Accountable for preventative care metric documentation.
• Contacts TOC patients to make appointments for outstanding provider follow-ups, transportation, and discharge phone calls under the direction of the TOC Navigator.
• Performs both inpatient and outpatient audits for Managed Medicaid HMO payers.
• Communicates gaps in quality metrics to Regional Manager and TOC Navigator on a weekly basis.
• Assists practice in scheduling appointments and referrals to improve accessibility of office services and patient satisfaction, including timely transmission of Electronic Health Records to the next level of care provider.
• Travels to other assigned HMH hospitals to ensure compliance with TOC policies, procedures, and initiatives as directed by the Regional Manager.
• Works with management and TOC Navigator to utilize EPIC software to create and report on TOC outcome measures such as ER, inpatient, and outpatient quality metric results.
• Audits medical records to ensure documentation conforms to TOC standards for inclusion and exclusionary clinical guidelines.
• Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (e.g., age, culture, language, hearing and/or visually impaired). This includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
• Adheres to the standards identified in the Medical Center's Organizational Competencies.

Requirements

• Associate’s degree or relevant years in healthcare, medical insurance billing, auditing, or related field.
• Excellent analytical skills.
• Good reasoning and problem-solving ability.
• Highly developed interpersonal skills.
• Proficient at multitasking and prioritization.
• Ability to work independently as well as in a team environment.
• Highly organized.
• Good presentation skills.
• Demonstrated proficiency with PC and Google Docs skills.
• Ability to learn and become proficient in electronic medical records and software applications.

Qualifications (Preferred)

• Registry skills.
• Experience with auditing commercial medical insurance payers.
• Bilingual preferred.
• Experience in a variety of patient settings.

Pay

Minimum rate of $24.34 hourly. HMH is committed to pay equity and transparency for our team members. The posted rate of pay 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 differ from the posted rate based on factors including labor market data, experience, education, certifications, skills, geographic location, internal equity, budget, and grant funding.

Benefits

In addition to competitive compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including:

• Health, dental, and vision benefits.
• Paid leave.
• Tuition reimbursement.
• Retirement benefits.
• Performance-based incentives, bonuses, or commissions (for eligible positions).
• Shift differentials for work performed on evening, night, or weekend shifts (for eligible positions).