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Hackensack Meridian Health Transition Assistant in Neptune, New Jersey

Transition Assistant

Job ID



Accountable Care


HMH Hospitals Corporation

Job Location


Position Type

Full Time with Benefits

Standard Hours Per Week




Shift Hours

8:30am - 5pm

Weekend Work

No Weekends Required

On Call Work

No On-Call Required

Holiday Work

No Holidays Required


How have you impacted someone's life today? At Hackensack Meridian Health our teams are focused on changing the lives of our patients by providing the highest level of care each and every day. From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career, all within New Jersey's premier healthcare system.

As a part of the Community Care Management team. Responsibilities for this role include: patient education and outreach, follow-up phone calls, identifying patient care gaps, assisting in quality audits, assigned patient care and related administrative duties under the direct supervision of a licensed healthcare practitioner and other duties as assigned.


A day in the life of a Transition Assistant at Hackensack Meridian Health includes:
Works in collaboration with the care manager to support patients through identifying or recommending in network, community based assistance, or support programs to help meet patient goals.
Participates in making follow-up phone calls to target population as directed by care manager.
Reviews target patient lists or disease registries to identify low- and emerging-risk patients.
Where applicable - Monitor that appropriate home care, hospice care and other ancillary services (DME, infusion services etc.) are in place and are being delivered as directed by the care team.
Conducts follow-up telephone calls to low and rising risk patients to eliminate identified care gaps (IE preventative call campaign).
Assists with scheduling of care team visits to physician offices as needed.
Identifies patient complaints or issues that must be reported to the appropriate person (IE clinician, social worker, care manager, or supervisor.
Performs technical, administrative, and clerical duties as directed by the licensed healthcare practitioner and within the scope of training and certification.
Documents data and care in the population health care management system and maintains confidentiality.
Travel to various provider offices.


Education, Knowledge, Skills and Abilities Required:
Graduate of an accredited Medical Assistant Program.
1-3 years CMA experience in a physician practice.
Telephone etiquette and strong communication skills.
Ability to travel to various provider offices in Monmouth/Ocean County.
Strong Microsoft Office skills, knowledge of Excel.
Strong interest in working with patients - Ability to prioritize and multitask , and work in a fast paced diverse
team environment.
Education, Knowledge, Skills and Abilities Preferred:
Knowledge about population health management and clinical integration principles and processes.
Licenses & Certifications Required:
National Medical Assistant Certification.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

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Meridian Health is committed to the principles of equal employment opportunity and affirmative action and will not discriminate in the recruitment or employment practices on the basis of race, color, creed, national origin, ancestry, marital status, gender, age, religion, sexual orientation, gender identity/expression, disability, veteran status and any other category protected by federal or state law.