Transitions Assistant, TOC-Southern New Jersey

Hackensack Meridian Health; Woodbridge Township (NJ); On-site; USD 22,000 - 26,000; Full time

Job summary

Hackensack Meridian Health is seeking a Transitions of Care Assistance Assistant in Southern New Jersey. The role collaborates with TOC Navigator, physicians, and staff to audit data and coordinate patient transitions across the care continuum.

The position emphasizes documenting quality metrics, reporting weekly updates, and ensuring compliant workflows. Hospital travel and EHR proficiency are required, with a starting hourly rate noted.

Qualifications

• Associate's degree or equivalent experience in healthcare, medical billing or auditing.
• Strong analytical and problem-solving abilities.
• Ability to work independently and within a team; highly organized.

Responsibilities

• Audit clinical records for gaps in quality metrics and assist TOC Navigator.
• Design workflows to ensure TOC standards and metrics compliance.
• Provide weekly quality metric reports to TOC Navigator.
• Collaborate with providers, care coordinators, and hospital staff for safe patient transitions.
• Document preventative care metrics and ensure EHR data accuracy.
• Coordinate appointments and follow-ups; support timely EHR transmission.
• Travel to assigned HM hospitals to ensure TOC policy compliance.
• Utilize EPIC to create and report TOC outcome measures (ER, inpatient, outpatient).
• Identify patient population needs and tailor care to age/culture/language needs.

Skills

Analytical skills

Problem solving

Interpersonal skills

Multitasking

Independent work

Organization

Presentation skills

PC & Google Docs

Electronic Medical Records

EPIC software

Education

Associate degree

Tools

EPIC

Job description

Overview

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.

The Transitions of Care Assistance Assistant works closely with 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. This promotes 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. The TOC is accountable along with the TOC Navigator to meet clinical quality guidelines and facilitate high quality safe patient care.

This position will be based in our Southern New Jersey Region (Monmouth and Ocean County)

Responsibilities

A day in the life of a Transitions of Care Assistance Assistant at Hackensack Meridian Health includes:

• 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.
• Assist in workflow design that promotes compliance to TOC standards and clinical quality metrics.
• Provide weekly reports to TOC Navigator to assist with quality metrics performance that will maximize metrics compliance.
• Will work 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.
• Assist practice in scheduling appointments and referrals which improves accessibility of office services and patient satisfaction. In addition to the timely transmission of Electronic Health Records to the next level of care provider.
• Travel to other assigned HMH hospitals to ensure compliance with TOC policies, procedures and initiatives as directed by the Regional Manager.
• Work 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.
• Audit 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 (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process 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.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• 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.

Education, Knowledge, Skills and Abilities Preferred:

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

Starting Minimum Rate

Minimum rate of $24.34 Hourly

Job Posting Disclosure

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.