The Transition Advanced Practice Nurse (APN) will reflect the mission, vision and values of Hackensack Meridian Health (HMH). They will comply with all relevant policies and follow established procedures and protocols and will adhere to the HMH Code of Ethics and Corporate Compliance Program and be held accountable for their performance. They will be an integral part of the Care Management / Population Health team. The APN will hold a minimum of a Master's degree and fulfill all the requirements and education to maintain active board certification, as well as the agreed upon terms of employment. Reporting to the Supervisor of Care Transitions, the APN will function as part of a multidisciplinary health care team in accordance with the privileges approved by the credentialing committee to provide high-quality, cost-effective patient care within their scope of practice. They will be knowledgeable in acute disease management and possess strong clinical and critical thinking skills, as well as exceptional communication skills. They must be a true team player capable of and willing to support each team member. They will be expected to collaborate with attending physicians throughout the organization in overall goal achievement in patient experience and outcomes. They will provide clinical guidance to support the unit-based care managers, social workers and staff nurses. They will be a driving force to ensure patient hospital stay and care transitions are as smooth and as safe as possible, thus driving positive clinical outcomes, patient, family and physician satisfaction and preventing avoidable readmissions to the hospital. They will also closely work on discharge planning and length of stay projects as assigned and be held accountable. Minimum 1 holiday obligation/year
