Maryanne Grande v. Saint Clare’s Health System (076606) (Morris County and Statewide) ( 2017 )


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  •                                                      SYLLABUS
    (This syllabus is not part of the opinion of the Court. It has been prepared by the Office of the Clerk for the
    convenience of the reader. It has been neither reviewed nor approved by the Supreme Court. Please note that, in the
    interest of brevity, portions of any opinion may not have been summarized.)
    Maryanne Grande v. Saint Clare’s Health System (A-67-15) (076606)
    Argued January 31, 2017 -- Decided July 12, 2017
    SOLOMON, J., writing for the Court.
    In this action brought under New Jersey’s Law Against Discrimination (LAD), N.J.S.A. 10:5-1 to -49, the
    Court determines whether the Appellate Division correctly reversed the trial court’s grant of summary judgment in
    favor of defendant Saint Clare’s Health System and against plaintiff Maryanne Grande, R.N.
    Grande has been a practicing registered nurse (R.N.) since 1985. She was employed by Saint Clare’s from
    approximately 2000 through July 2010. Beginning in 2007, Grande suffered a series of work-related injuries.
    Grande sustained her final injury in February 2010. In early July 2010, Grande’s doctor cleared her to resume full-
    duty work. The hospital informed Grande that, before returning to full duty, she would have to undergo physical
    testing. Lori Briglio, the nurse case manager overseeing Grande’s workers’ compensation claim, instructed Grande
    to report to Kinematic Consultants, Inc. (KCI) for a functional capacity evaluation.
    Grande underwent the examination. The Report recommended maximum loads for Grande to bear,
    including that Grande frequently lift no more than sixteen pounds from waist to chest. The Report noted that
    Grande’s results “may be compatible with mild residual functional issues, as per complaints and/or diagnosis,” but
    concluded that “[i]t is improbable that this will significantly affect job performance ability.” The Report also
    explained that Grande qualified to return to work on “altered duty” based on the Report’s recommendations.
    On July 21, 2010, following the functional capacity evaluation, Dr. Spielman re-examined Grande. He
    provided her with a form that indicated she could return to work the next day with restrictions, “per [the] FCE.”
    Briglio advised the hospital that Dr. Spielman “agreed with the FCE report and advised that [Grande] should have
    permanent restrictions of lifting up to 50 lbs occasionally and that she should transfer patient with assistance only.”
    The following day, Grande was summoned to a meeting with her supervisors, at which she was fired. Grande
    testified in her deposition that she was told she had limitations that would prevent her from doing her job.
    After her termination, Grande again visited Dr. Spielman, who issued another return-to-work form on
    August 25, 2010, clearing Grande to return immediately to full-time, full-duty work with no limitations.
    Nearly a year after her discharge, Grande filed a two-count complaint against Saint Clare’s, alleging
    violations of N.J.S.A. 10:5-4.1, a subsection of the LAD. The first count alleged that Saint Clare’s unlawfully
    discriminated against Grande based on her disability, and the second count alleged unlawful discrimination based on
    a perceived disability. The trial court granted summary judgment in favor of Saint Clare’s, finding that Grande did
    not establish a prima facie case of discriminatory discharge because she “failed to articulate whether she was
    performing (or was able to perform) her job at a level that met the employer’s legitimate expectations.”
    A divided Appellate Division panel reversed because the record contained several material facts in dispute.
    According to the majority, “the motion court incorrectly resolved these materially disputed facts in favor of [Saint
    Clare’s] and rejected or minimized the importance of evidence a rational jury could find to support [Grande’s] case
    of unlawful discrimination due to her perceived physical disability.” The dissent found no genuine factual disputes.
    Saint Clare’s filed this appeal as of right pursuant to Rule 2:2-1(a)(2), limited to whether summary judgment was
    appropriately awarded to the hospital by the trial court on the facts in the record before it.
    HELD: On the record before the trial court, issues of material fact exist. The Court affirms and modifies the judgment
    of the Appellate Division and remands the matter to the trial court for further proceedings.
    1. The LAD prohibits an employer from terminating a disabled employee because of her disability unless the
    disability “reasonably precludes the performance of the particular employment.” N.J.S.A. 10:5-4.1. To prove a
    discriminatory discharge case by direct evidence, a plaintiff must produce evidence that an employer placed
    substantial reliance on a proscribed discriminatory factor in making its decision to terminate the employee. If direct
    evidence is unavailable, a plaintiff may prove her claim by circumstantial evidence. To evaluate circumstantial
    evidence cases, this Court has adopted the three-step burden-shifting test articulated by the United States Supreme
    Court in McDonnell Douglas Corp. v. Green, 
    411 U.S. 792
    , 
    93 S. Ct. 1817
    , 
    36 L. Ed. 2d 668
     (1973). The Court has
    modified the McDonnell Douglas framework in evaluating disability discrimination claims. (pp. 16-17)
    2. The first step of the modified framework requires that a plaintiff prove by a preponderance of the evidence that:
    (1) she is disabled within the meaning of the LAD; (2) she was performing her job at a level that met her employer’s
    legitimate expectations; (3) she was discharged; and (4) the employer sought someone else to perform the same
    work after she left. If a plaintiff successfully establishes a prima facie case, a presumption arises that the employer
    unlawfully discriminated against the plaintiff. An employer may terminate a disabled employee where continued
    employment “would be hazardous to the safety or health of [the employee], other employees, clients or customers.”
    N.J.A.C. 13:13-2.8(a)(2); Jansen v. Food Circus Supermkts., Inc., 
    110 N.J. 363
    , 374 (1988). (pp. 17-21)
    3. In addition to the above analysis, the LAD regulations require an evaluation of whether a reasonable
    accommodation would have allowed the disabled employee to perform her job. The Court holds that the reasonable-
    accommodation consideration belongs in the second-prong analysis. A plaintiff may satisfy the second prong of the
    prima facie case for an allegation of discriminatory discharge based on a disability by putting forth evidence either
    that she was actually performing her job or was able, with or without reasonable accommodation, to perform her job
    to her employer’s legitimate expectations. (pp. 20-24)
    4. Because Grande fails to show a hostility toward members of her class, this case must be resolved by applying the
    McDonnell Douglas circumstantial evidence framework. Grande relies on Zive v. Stanley Roberts, Inc., where the
    Court stated that the “slight burden of the second prong is satisfied” when a plaintiff “adduces evidence that [s]he
    has, in fact, performed in the position up to the time of termination.” 
    182 N.J. 436
    , 455 (2005). Zive did not
    involve an employee’s extended periods of absence from work. An issue of fact exists as to whether Grande’s
    periods of absence from work preclude her from demonstrating that she was actually performing her job at the time
    she was terminated. This factual dispute is material to Grande’s prima facie case. The Court reverses summary
    judgment in Saint Clare’s favor and remands for trial on the record as it stands. (pp. 24-30)
    5. The Court turns to Saint Clare’s alternate claim that Saint Clare’s is entitled to summary judgment on the basis of
    the defenses it asserted under the second McDonnell Douglas step. To prove that Grande’s perceived disability
    precluded her from performing as a R.N., Saint Clare’s must show that it reasonably arrived at its opinion. Saint
    Clare’s maintains that it met this burden by relying on the KCI Report. First, there is a dispute as to whether the
    lifting standards identified by the KCI Report are actually the standards applicable to Grande’s position. Second,
    there is a dispute as to whether the KCI Report conclusively establishes that Grande is unable to perform her job.
    These factual disputes are material to the issue of whether Grande’s disability precluded her from performing the
    essential functions of her job. Saint Clare’s also maintains that Grande’s history of injuring herself on the job
    sufficiently proved her inability to perform her job without posing a risk of harm to herself or others. The evidence
    that Grande presented a risk of injury to herself or patients is inadequate to resolve this material issue. (pp. 30-36)
    The judgment of the Appellate Division is AFFIRMED AS MODIFIED, and the matter is REMANDED
    to the trial court for proceedings consistent with this opinion.
    JUSTICE LaVECCHIA, CONCURRING, underscores that, for a disability discrimination claim to
    survive a summary judgment motion, the showing required of a terminated plaintiff regarding her ability to perform
    the essential functions of her job is a modest one and observes that this matter is a missed opportunity to reassess the
    convoluted frameworks adopted to evaluate LAD disability discrimination cases. To the extent those frameworks
    apply, in Justice LaVecchia’s view, this matter would be better and more directly analyzed as a direct evidence case.
    CHIEF JUSTICE RABNER and JUSTICES LaVECCHIA, ALBIN, PATTERSON, FERNANDEZ-
    VINA, and TIMPONE join in JUSTICE SOLOMON’s opinion. JUSTICE LaVECCHIA filed a separate,
    CONCURRING opinion.
    2
    SUPREME COURT OF NEW JERSEY
    A-67 September Term 2015
    076606
    MARYANNE GRANDE, R.N.,
    Plaintiff-Respondent,
    v.
    SAINT CLARE’S HEALTH SYSTEM,
    Defendant-Appellant.
    Argued January 31, 2017 – Decided July 12, 2017
    On appeal from the Superior Court, Appellate
    Division.
    Sean R. Gallagher (Polsinelli, PC) of the
    Colorado bar, admitted pro hac vice, argued
    the cause for appellant (McCarter & English,
    LLP and Polsinelli, PC, attorneys; Thomas F.
    Doherty, Sean R. Gallagher, and Gillian
    McKean Bidgood (Polsinelli, PC) of the
    Colorado bar, admitted pro hac vice, on the
    briefs).
    Noel C. Crowley argued the cause for
    respondent (Crowley & Crowley, attorneys).
    Richard M. Schall argued the cause for
    amicus curiae National Employment Lawyers
    Association of New Jersey (Schall & Barasch,
    LLC and Zuckerman & Fisher, LLC, attorneys;
    Richard M. Schall and Elizabeth R. Zuckerman
    on the brief).
    Benjamin Folkman argued the cause for amicus
    curiae New Jersey Association for Justice
    (Folkman Law Offices, PC, attorneys;
    Benjamin Folkman, Lauren M. Law, Eve R.
    Keller, Sarah A. M. Slachetka, Paul C.
    Jensen, Jr., on the brief).
    1
    JUSTICE SOLOMON delivered the opinion of the Court.
    We are called upon to determine whether in this action
    brought under New Jersey’s Law Against Discrimination (LAD),
    N.J.S.A. 10:5-1 to -49, the Appellate Division correctly
    reversed the trial court’s grant of summary judgment in favor of
    defendant Saint Clare’s Health System and against plaintiff
    Maryanne Grande, R.N.    Because we conclude that, on the record
    before the trial court, issues of material fact exist, we affirm
    and modify the judgment of the Appellate Division and remand the
    matter to the trial court for further proceedings.
    I.
    A.
    We glean the following facts from the record considered by
    the trial court, including Grande’s deposition, certifications
    by Saint Clare’s and its agents, various exhibits contained
    within each party’s summary judgment motion, and associated
    statements of material facts.
    Grande has been a practicing registered nurse (R.N.) since
    1985.   She was employed by Saint Clare’s from approximately 2000
    through July 2010.    Beginning in about 2006, Grande worked in a
    hospital unit in which approximately half of the patients were
    stroke victims who required additional assistance with their
    daily living needs.    Grande’s regular duties involved
    maintaining charts, administering medication, and general
    2
    patient care, including assisting patients with daily living
    activities such as washing, bathing, dressing, walking,
    repositioning patients in bed, and guarding ambulant patients
    against falls.   Thirty to forty percent of the patients in
    Grande’s unit wore armbands and had signage placed outside their
    hospital rooms to alert staff that they were at an increased
    risk of falling.
    In August 2008, the hospital performed job system analyses
    for various nursing positions.    The job analysis for R.N.s (Job
    Analysis) indicated the frequency with which job duties were to
    be performed and identified certain tasks as essential to the
    R.N. position regardless of how frequent their performance.    The
    Job Analysis categorized occasional tasks as those performed “1-
    33% of the day” and frequent tasks as those performed “34-66% of
    the day.”    Essential tasks were described as the “[e]ssential
    function[s] of [the] job.”    One essential duty of an R.N. is to
    lift fifty pounds from waist to chest “frequently.”   According
    to the certification of Heather Jordan, Saint Clare’s human
    resources supervisor, the weightlifting requirements within the
    Job Analysis are identical for all R.N.-staffed units in the
    hospital.1
    1 The only job description provided by the hospital is the Job
    Analysis, prepared in 2008, eight years after Grande began
    working at Saint Clare’s. The description indicates that it
    applies to “Job Title: Nursing, RN, LPN, NA; Acute Care,
    3
    Beginning in 2007, prior to the Job Analysis, Grande
    suffered a series of work-related injuries.      The first occurred
    in March 2007, when she injured her left shoulder while
    repositioning a patient in bed.       Grande was unable to continue
    working that day, immediately saw a doctor, and reported the
    incident to Saint Clare’s.   She had surgery on her shoulder in
    April, followed by physical therapy.       Grande spent about three
    months recovering at home before returning to work on a full-
    time but “light duty” basis, which included chart
    administration, compliance review, and similar administrative
    tasks.   Less than a month later, Grande returned to full duty,
    including patient care.
    The second injury occurred in May 2008, when Grande felt
    pain in her right shoulder while repositioning a patient in bed.
    Grande reported the incident immediately to Saint Clare’s and
    saw a doctor, who performed a magnetic resonance imaging (MRI).
    The test found no injury, and Grande returned to full duty
    within two weeks.   The record is unclear as to whether Grande’s
    work was restricted following the May 2008 injury.
    Medical-Surgical, Emergency Services.” It makes no distinction
    between R.N.s working in the stroke ward and those in acute
    care, medical-surgical, or emergency services. There is nothing
    in the record that indicates a similar job description existed
    prior to 2008.
    4
    In November 2008, Grande re-injured her left shoulder while
    lifting the legs of a 300-pound patient.       As before, Grande
    immediately saw a doctor and reported the incident to her
    employer.    Grande was unable to return immediately to work,
    underwent a second surgery on her left shoulder, and returned to
    full duty about six months after the incident.
    Grande sustained her final injury in February 2010 when she
    was alone in a room caring for an overweight patient who was
    moving from a stretcher to a bed.      While Grande stood on the far
    side of the bed, the patient began to fall.       Grande leapt onto
    the bed, grabbed the patient’s shoulders from behind, and pulled
    the patient onto the bed and on top of herself.       After doing so,
    Grande felt a sharp pain and believed she had re-injured her
    left shoulder, but an MRI revealed that she had injured her
    cervical spine.   Grande underwent surgery and spent four months
    recovering and rehabilitating before returning to work.         On her
    first day back, however, she left the hospital after just four
    hours because of residual pain.       Two weeks later, Grande
    returned to full-time, light-duty work.
    In early July 2010, Grande’s doctor cleared her to resume
    full-duty work.   The hospital informed Grande that, before
    returning to full duty, she would have to undergo physical
    testing.    Lori Briglio, the nurse case manager overseeing
    Grande’s workers’ compensation claim, instructed Grande to
    5
    report to Kinematic Consultants, Inc. (KCI) for a functional
    capacity evaluation (FCE).
    Grande complied and underwent the examination, which tested
    her ability to perform a variety of physical tasks, including
    turning her head, demonstrating mobility in her limbs, lifting
    objects from different heights, turning in different directions,
    pushing and pulling, and carrying weights.     The report
    documenting the evaluation (KCI Report) provided results in
    several categories and compared Grande’s ability with her
    employer’s requirements and with the standards set forth in the
    Dictionary of Occupational Titles (D.O.T.).2    The Report
    specified that Grande’s job demanded that she perform tasks
    involving pushing, pulling, and lifting from waist to chest
    frequently (34-66% of the time), but that she was able to
    perform these functions only occasionally (1-33% of the time).
    Accordingly, the Report recommended maximum loads for Grande to
    2 The D.O.T. was “a catalogue of the occupational titles used in
    the U.S. economy” and was intended to provide “reliable
    descriptions of the type of work performed in each occupation.”
    John C. Dubin, The Labor Market Side of Disability-Benefits
    Policy and Law, 
    20 S. Cal. Rev. L. & Soc. Just. 1
    , 3 n.7 (2011)
    (citation omitted). The U.S. Department of Labor published its
    last updated edition of the D.O.T. standards in 1991. 
    Ibid.
    The D.O.T. was subsequently replaced with the Occupational
    Information Network, also known as the O*NET database, last
    revised in 2010. See About O*NET, O*NET Resource Center,
    https://www.onetcenter.org/overview.html.
    6
    bear, including that Grande frequently lift no more than sixteen
    pounds from waist to chest.
    The KCI Report also provided several conclusions about
    Grande’s performance throughout the evaluation and her work
    abilities.   The Report acknowledged that Grande had
    “demonstrated maximum effort” throughout the evaluation and
    confirmed that the documented results “are considered to be
    valid.”   The Report noted that Grande’s results “may be
    compatible with mild residual functional issues, as per
    complaints and/or diagnosis,” but concluded that “[i]t is
    improbable that this will significantly affect job performance
    ability.”
    The Report also explained that Grande qualified to return
    to work on “altered duty” based on the Report’s recommendations.
    Due to Grande’s previous cervical surgery, the Report
    recommended that Grande be “allowed changes in activities during
    periods of prolonged or repetitive” neck movements.     The Report
    also recommended that Grande “seek appropriate assistance with
    heavier physical activities such as patient transfers, guarding
    ambulatory patients or handling loads” greater than fifty
    pounds.
    Overall, the KCI Report concluded that Grande
    demonstrate[d] ability for Medium category
    work (occasional lift and work up to 50 lbs.)
    with the above noted job movement demand
    7
    changes.    She demonstrate[d] ability for
    administrative/supervisory    duties,   verbal
    instruction    to    patients/care     givers,
    assisting   physicians   with    examinations,
    assisting with wound care/dressing changes,
    dispensation    of    medications,     pushing
    wheelchairs, assisting with moderate patient
    care, handling loads up to 50 lbs., etc.
    Shortly after the KCI Report was issued, Briglio contacted
    KCI via e-mail to clarify several aspects of the Report,
    including the portions of the job description that Grande could
    not fulfill and the accommodations she would require.3     In an
    addendum, KCI responded that Grande “demonstrates ability for
    Medium category work (occasional lift and work up to 50 lbs.)
    with noted job movement demand changes” and reiterated that
    Grande could return to work with certain accommodations.
    Nonetheless, the addendum concluded with the following
    disclaimer:   “Please note that determination for final return to
    work abilities for [Grande] is deferred to her treating
    physician, in this case, Joel H. Spielman, M.D.”
    On July 21, 2010, following the functional capacity
    evaluation, Dr. Spielman re-examined Grande.   He provided her
    with a form that indicated she could return to work the next day
    with restrictions, “per [the] FCE.”   Briglio, in turn, advised
    the hospital that Dr. Spielman “agreed with the FCE report and
    3 Briglio’s e-mail is not in the record before this Court, but
    KCI’s response quotes from her e-mail.
    8
    advised that [Grande] should have permanent restrictions of
    lifting up to 50 lbs occasionally and that she should transfer
    patient with assistance only.”
    The following day, Grande was summoned to a meeting with
    her supervisors, at which she was fired.     Grande testified in
    her deposition that she was told she had limitations that would
    prevent her from doing her job.4
    After her termination, Grande again visited Dr. Spielman,
    who issued another return-to-work form on August 25, 2010,
    clearing Grande to return immediately to full-time, full-duty
    work with no limitations.   Grande submitted the new work
    authorization to Saint Clare’s, but Saint Clare’s refused to
    rehire her.
    B.
    Nearly a year after her discharge, Grande filed a two-count
    complaint against Saint Clare’s, alleging violations of N.J.S.A.
    10:5-4.1, a subsection of the LAD.     The first count alleged that
    Saint Clare’s unlawfully discriminated against Grande based on
    4 In Grande’s complaint, she alleged that the hospital provided
    her with a letter confirming her termination and stating that
    the results of the functional capacity evaluation “indicated
    specific restrictions” and the hospital was “unable to make
    accommodations or find a comparable position that w[ould]
    accommodate [Grande’s] medical requirements.” A copy of that
    letter is not in the record before us.
    9
    her disability, and the second count alleged unlawful
    discrimination based on a perceived disability.5
    Saint Clare’s denied liability and, following discovery,
    filed a motion for summary judgment.   In a certification
    supporting that motion, Saint Clare’s human resources
    supervisor, Jordan, asserted that “Grande was physically unable
    to perform an essential function of her job” and expressed
    “concern[] that Ms. Grande would be re-injured or that a patient
    would be injured if [Grande] returned to full duty.”    Jordan
    also certified that the decision to terminate Grande’s
    employment was based on the findings in the KCI Report and the
    July 2010 recommendation of Grande’s own physician.
    Grande filed a cross-motion for summary judgment.    She
    conceded that she had periods of disability due to work-related
    accidents but asserted that she surpassed the D.O.T. weight-
    lifting requirements for nurses in her field, as reflected on
    the KCI Report.   Grande also alleged that the weight-lifting
    requirements specified in the KCI Report were “fictitious”
    because the standards were “far higher” than those required by
    the D.O.T. and “ha[d] not been shown to have ever been adopted
    5 Earlier versions of the LAD used the word “handicap” rather
    than “disability.” See Victor v. State, 
    203 N.J. 383
    , 398 n.3
    (2010). We use the term “disability,” except where language is
    quoted from an opinion or statute.
    10
    by Saint Clare’s.”   She also contended that the hospital
    improperly interpreted the KCI Report’s recommended lifting
    restrictions as actual limitations on her abilities,
    highlighting that she had, in fact, lifted ninety-two pounds
    from waist to shoulders during the evaluation, far above her
    employer’s fifty-pound requirement.
    The trial court granted summary judgment in favor of Saint
    Clare’s, finding that Grande did not establish a prima facie
    case of discriminatory discharge because she “failed to
    articulate whether she was performing (or was able to perform)
    her job at a level that met the employer’s legitimate
    expectations.”
    A divided Appellate Division panel reversed, vacating
    summary judgment and remanding because the record contained
    several material facts in dispute that could only be resolved by
    a jury.   According to the majority, “the motion court
    incorrectly resolved these materially disputed facts in favor of
    [Saint Clare’s] and rejected or minimized the importance of
    evidence a rational jury could find to support [Grande’s] case
    of unlawful discrimination due to her perceived physical
    disability.”   The majority explained:
    Here, plaintiff produced competent evidence,
    in the form of her treating physician’s
    certification, stating she had been medically
    cleared   to    return   to    work   without
    restrictions. Defendant has not rebutted that
    11
    medical opinion with the opinion of another
    physician. Instead, defendant relies on the
    results of a “functional capacity evaluation
    [FCE]   test”   conducted   by   an  alleged
    independent company retained by defendant’s
    Department of Human Resources. KCI’s report
    contains facially equivocal findings with
    respect to plaintiff’s abilities to perform
    the core requirements of a nurse.
    The dissenting member of the panel emphasized that “[t]he
    law should not place a hospital in a position of sacrificing
    employee and patient safety in order to avoid potential
    liability for discrimination” and that the hospital “could
    sensibly rely on [Grande’s] actual work history [and history of
    injuries] when it placed safety interests above [her] continued
    employment.”   The dissent also found no genuine factual disputes
    because “at the time the hospital made its decision to terminate
    [Grande], her treating physician had stated she could return to
    work, but only with lifting restrictions” -- a recommendation
    which was modified “only after the hospital had already
    terminated [Grande’s] employment.”
    Saint Clare’s filed this appeal as of right pursuant to
    Rule 2:2-1(a)(2), limited to whether summary judgment was
    appropriately awarded to the hospital by the trial court on the
    facts in the record before it.    We granted amicus curiae status
    to the New Jersey Association for Justice (NJAJ) and the
    National Employment Lawyers Association of New Jersey (NELA-NJ).
    II.
    12
    A.
    Saint Clare’s argues that the LAD, its implementing
    regulations, and New Jersey employment discrimination
    jurisprudence authorize Grande’s termination.     Saint Clare’s
    concedes that Grande is disabled under the LAD but agrees with
    the trial court that she failed to establish a prima facie case
    because she could not prove she was performing her job to the
    hospital’s legitimate expectations.    Saint Clare’s highlights
    that Grande was working light duty at the time of her discharge,
    and both the KCI Report and Grande’s physician confirmed that
    she could return to her regular duties only with lifting
    restrictions.
    Even if Grande established a prima facie case, Saint
    Clare’s maintains, the termination of her employment was legal.
    The hospital cites various provisions of the LAD, including
    N.J.S.A. 10:5-5(q), -2.1, -4.1, and -29.1, which provide that an
    employer may terminate a disabled employee who, in the
    reasonable opinion of the employer, is unable to perform
    adequately her job duties.    The hospital also relies on N.J.A.C.
    13:13-2.8, which allows an employer to terminate a disabled
    employee if her continued employment “would be hazardous to the
    safety or health of such individual, other employees, clients or
    customers.”     Saint Clare’s maintains that its decision to
    discharge Grande was appropriate because, unlike the employer’s
    13
    improper reliance on a deficient medical report in Jansen v.
    Food Circus Supermkts., Inc., 
    110 N.J. 363
     (1988), Saint Clare’s
    decision was based on objective evidence -- the functional
    capacity evaluation -- as well as Grande’s own undisputed
    history of injuries on the job.
    B.
    Grande contends that Saint Clare’s admission -- that it
    fired her because of her perceived disability -- is direct
    evidence of discrimination and, thus, Jansen does not require
    her to prove a prima facie case.       Instead, Grande maintains that
    the burden rests on Saint Clare’s to assert an affirmative
    defense, which the hospital failed to do by competent medical or
    scientific evidence.   Grande argues that because Saint Clare’s
    failed to follow up with her treating doctor, there is no
    competent evidence that she was a risk to herself or patients or
    that she could not perform her job duties.
    Finally, Grande claims that certain factual issues remain
    in dispute, including (1) the applicability of Saint Clare’s
    purported lifting requirements to R.N.s in Grande’s position;
    (2) the number of injuries she sustained; (3) whether she would
    need assistance handling loads over fifty pounds; and (4) that
    she is likely to suffer future injury.
    C.
    14
    Amici NJAJ and NELA-NJ agree with both parties that Jansen
    provides the controlling test on disability discrimination under
    the LAD.   NJAJ asserts that Saint Clare’s made the same error
    here as the employer in Jansen -- it improperly assumed that
    there was a probability of future injury without relying on an
    expert report linking Grande’s perceived disability to a
    probability of substantial harm.
    NELA-NJ adds that because Grande presented direct evidence
    of discrimination, the only issue is “whether Saint Clare’s met
    its burden of proving ‘it would have made the same decision even
    in the absence of the impermissible consideration’” (quoting
    Bergen Commercial Bank v. Sisler, 
    157 N.J. 188
    , 209 (1999)).
    NELA-NJ also cautions that Saint Clare’s should not be given
    “carte blanche” to decide what the essential functions of a
    particular job are, as this would allow an employer to “invent
    unrealistic job requirements for the sole purpose of eliminating
    disabled people from consideration.”   It urges that the proper
    approach is to allow a fact-finder to weigh the employer’s
    statements, the written job description, the work experience of
    current and former employees, and other factors, such as the
    D.O.T. standards, to determine whether the employer’s criteria
    are realistic or designed to discriminate against a disabled
    person.
    III.
    15
    Turning to the law relevant to the parties’ arguments, the
    LAD prohibits an employer from terminating a disabled employee
    because of her disability unless the disability “reasonably
    precludes the performance of the particular employment.”
    N.J.S.A. 10:5-4.1.    The law governing an action “seeking redress
    for an alleged violation of the LAD” depends upon whether the
    employee “‘attempt[s] to prove employment discrimination by . .
    . direct or circumstantial evidence.’”      Smith v. Millville
    Rescue Squad, 
    225 N.J. 373
    , 394 (2016) (quoting Sisler, 
    supra,
    157 N.J. at 208
    ).    Plaintiffs are permitted to prove their claim
    using either or both methods.    Sisler, 
    supra,
     
    157 N.J. at 208
    .
    A.
    To prove a discriminatory discharge case by direct
    evidence, a plaintiff “must produce evidence ‘that an employer
    placed substantial reliance on a proscribed discriminatory
    factor in making its decision’” to terminate the employee.
    Smith, supra, 225 N.J. at 394 (quoting A.D.P. v. ExxonMobil
    Research & Eng’g Co., 
    428 N.J. Super. 518
    , 533 (App. Div.
    2012)).   “The evidence produced must, if true, demonstrate not
    only a hostility toward members of the employee’s class, but
    also a direct causal connection between that hostility and the
    challenged employment decision.”      Sisler, 
    supra,
     
    157 N.J. at
    208
    (citing Price Waterhouse v. Hopkins, 
    490 U.S. 228
    , 277, 109 S.
    16
    Ct. 1775, 1804, 
    104 L. Ed. 2d 268
    , 305 (1989) (O’Connor, J.,
    concurring)).
    “After the plaintiff sets forth ‘direct evidence of
    discriminatory animus, the employer must then produce evidence
    sufficient to show that it would have made the same decision if
    illegal bias had played no role in the employment decision.’”
    Smith, supra, 225 N.J. at 395 (quoting Fleming v. Corr.
    Healthcare Sols., 
    164 N.J. 90
    , 100 (2000)).
    B.
    If direct evidence of discrimination is unavailable, a
    plaintiff may prove her claim by circumstantial evidence.     To
    evaluate circumstantial evidence cases, this Court has adopted
    the three-step burden-shifting test articulated by the United
    States Supreme Court in McDonnell Douglas Corp. v. Green, 
    411 U.S. 792
    , 
    93 S. Ct. 1817
    , 
    36 L. Ed. 2d 668
     (1973).   Andersen v.
    Exxon Co., U.S.A., 
    89 N.J. 483
    , 492-93 (1982).   Nevertheless,
    this Court has modified the McDonnell Douglas framework in
    evaluating disability discrimination claims.   See 
    id. at 498
    (noting that, in “physical handicap” cases, “it will not be
    necessary to go through all of the strict steps of the McDonnell
    Douglas formula”).
    1.
    The first step of our modified framework requires that a
    plaintiff establish a prima facie case.   Jansen, 
    supra,
     
    110 N.J. 17
    at 382.   When a plaintiff alleges she was fired discriminatorily
    based on a disability, she must prove by a preponderance of the
    evidence that:    (1) she is disabled within the meaning of the
    LAD; (2) she “was performing [her] job at a level that met [her]
    employer’s legitimate expectations”; (3) she was discharged; and
    (4) the employer sought someone else to perform the same work
    after she left.   
    Ibid.
     (quoting Clowes v. Terminix Int’l, Inc.,
    
    109 N.J. 575
    , 597 (1988)).
    As to the first prong of the prima facie case, an employee
    who is perceived to have a disability is protected just as
    someone who actually has a disability.      Victor v. State, 
    203 N.J. 383
    , 410 (2010); Rogers v. Campbell Foundry, Co., 
    185 N.J. Super. 109
    , 112-13 (App. Div.), certif. denied, 
    91 N.J. 529
    (1982).
    The second prong –- whether the employee is able to perform
    at a level that meets “legitimate or reasonable expectations” --
    is to be evaluated by an objective standard.      Viscik v. Fowler
    Equip. Co., 
    173 N.J. 1
    , 21 (2002).      Thus, deficiencies in an
    employee’s performance are reserved for consideration at later
    stages in the analysis.    
    Ibid.
       For the second prong, “[a]ll
    that is necessary is that the plaintiff produce evidence showing
    that she was actually performing the job prior to termination.”
    Zive v. Stanley Roberts, Inc., 
    182 N.J. 436
    , 454 (2005).
    18
    The fourth prong requires proof that the “employer sought a
    replacement with qualifications similar to [the employee’s] own,
    thus demonstrating a continued need for the same services and
    skills.”   Sisler, 
    supra,
     
    157 N.J. at 218-19
     (emphasis omitted)
    (quoting Erickson v. Marsh & McLennan Co., 
    117 N.J. 539
    , 553
    (1990)).
    2.
    If a plaintiff successfully establishes a prima facie case,
    “a presumption arises that the employer unlawfully discriminated
    against the plaintiff.”   Clowes, 
    supra,
     
    109 N.J. at 596
    .   The
    analysis then proceeds to the second step of the test, where
    “the employer’s burden varies depending on whether the employer
    seeks to establish the reasonableness of the otherwise
    discriminatory act or advances a non-discriminatory reason for
    the employee’s discharge.”   Jansen, 
    supra,
     
    110 N.J. at 382
    .
    If the employer claims that it has a non-discriminatory
    reason for the discharge, “the burden of production -- not the
    burden of proof or persuasion -- shifts to the employer.”    
    Ibid.
    The employee may respond by proving by a preponderance of the
    evidence that the reason proffered by the employer “was not the
    true reason for the employment decision but was merely a pretext
    for discrimination.”   
    Id. at 382-83
     (quoting Andersen, 
    supra,
     
    89 N.J. at 493
    ).   As with the traditional McDonnell Douglas
    framework, the burden of proving that the employer intentionally
    19
    discriminated remains at all times with the employee.      Id. at
    383.
    If, in the second step, “the employer defends by asserting
    that it reasonably concluded that the handicap prevented the
    employee from working,” the employer bears the burden of proof
    as to its defense, and not a mere burden of production.       Id. at
    383; see N.J.A.C. 13:13-2.8(a)(3); see also N.J.S.A. 10:5-29.1
    (stating that “[u]nless it can be clearly shown that a person’s
    disability would prevent [her] from performing a particular job,
    it is an unlawful employment practice to deny an otherwise
    qualified person with a disability the opportunity to . . .
    maintain employment”).    To carry its burden, the employer must
    prove “it . . . reasonably arrived at its opinion that the
    [employee] is unqualified for the job.”    Andersen, supra, 
    89 N.J. at 496
    .    The employer must produce evidence that its
    decision was based on “an objective standard supported by
    factual evidence” and not on general assumptions about the
    employee’s disability.    N.J.A.C. 13:13-2.8(a)(3).
    One possible basis for the employer’s affirmative defense
    is safety.   Recognizing the importance of safety in the
    workplace, the LAD regulations and this Court have made clear
    that an employer may terminate a disabled employee where
    continued employment “would be hazardous to the safety or health
    of [the employee], other employees, clients or customers.”
    20
    N.J.A.C. 13:13-2.8(a)(2); Jansen, supra, 
    110 N.J. at 374
    .     “When
    asserting [that] safety defense, the employer must establish
    with a reasonable degree of certainty that it reasonably arrived
    at the opinion that the employee’s handicap presented a
    materially enhanced risk of substantial harm in the workplace.”
    Jansen, 
    supra,
     
    110 N.J. at 383
    .    Importantly, “[a]n employer may
    not base a decision to discharge an employee for safety reasons
    on subjective evaluations or conclusory medical reports.”
    Greenwood v. State Police Training Ctr., 
    127 N.J. 500
    , 511
    (1992).
    C.
    In addition to the above analysis, the LAD regulations
    require an evaluation of whether a reasonable accommodation
    would have allowed the disabled employee to perform her job.
    The Administrative Code mandates that an employer “consider the
    possibility of reasonable accommodation before firing, demoting
    or refusing to hire or promote a person with a disability on the
    grounds that his or her disability precludes job performance.”
    N.J.A.C. 13:13-2.5(b)(2); see also Viscik, 
    supra,
     
    173 N.J. at 19-20
     (noting that reasonable accommodation arises as issue in
    disability discrimination cases in two instances:    where
    plaintiff affirmatively pleads failure to accommodate and where
    employer defends on grounds that employee was terminated due to
    inability to perform job).
    21
    We have yet to determine, outside of a failure-to-
    accommodate claim, at what point in the McDonnell Douglas
    analysis a court is to consider the availability of a reasonable
    accommodation.   In discriminatory discharge cases, the Appellate
    Division has addressed reasonable accommodations in its analysis
    of the second prong of a plaintiff’s prima facie case, where the
    employee must produce evidence that she was performing her job
    to her employer’s expectations.    See, e.g., Svarnas v. AT&T
    Commc’ns, 
    326 N.J. Super. 59
    , 74-81 (App. Div. 1999) (discussing
    whether reasonable accommodation would have allowed chronically
    absent employee to perform essential job requirements).     That
    approach is consistent with the evaluation of discriminatory
    discharge claims under the Americans with Disabilities Act
    (ADA), 
    42 U.S.C.A. §§ 12101
     to 12213.    See, e.g., Taylor v.
    Phoenixville Sch. Dist., 
    184 F.3d 296
    , 306 (3d Cir. 1999)
    (plaintiff alleging discriminatory discharge under ADA must
    establish, as second prong of prima facie case, that she “is
    otherwise qualified to perform the essential functions of the
    job, with or without reasonable accommodations by the employer”
    (quoting Gaul v. Lucent Techs., 
    134 F.3d 576
    , 580 (3d Cir.
    1998))).
    In assessing “allegations of unlawful discrimination, this
    Court has looked to federal law as a key source of interpretive
    authority.”   Grigoletti v. Ortho Pharm. Corp., 
    118 N.J. 89
    , 97
    22
    (1990).   Moreover, our courts have evaluated an employer’s
    obligation to reasonably accommodate an employee’s disability
    under the LAD in accordance with the ADA.   Royster v. N.J. State
    Police, 
    227 N.J. 482
    , 499 (2017).
    Accordingly, we hold that the reasonable-accommodation
    consideration belongs in the second-prong analysis.    A plaintiff
    may satisfy the second prong of the prima facie case for an
    allegation of discriminatory discharge based on a disability by
    putting forth evidence either that she was actually performing
    her job or was able, with or without reasonable accommodation,
    to perform her job to her employer’s legitimate expectations.
    An employer may rebut a plaintiff’s reasonable-
    accommodation showing by providing evidence that the proposed
    accommodation is unreasonable.   See N.J.A.C. 13:13-2.5(b); -
    2.5(b)(3)(i) to (iv).6   As we recognized in Andersen, 
    supra,
    6 In Raspa v. Office of Sheriff of Cty. of Gloucester, the
    plaintiff conceded that his medical limitation -- degenerating
    eyesight -- rendered him “unable to perform any of the essential
    functions” of his position as a corrections officer, and the
    evidence showed “no objectively viable and reasonable
    accommodation would ever make” the plaintiff qualified to
    perform those essential functions. 
    191 N.J. 323
    , 328, 338
    (2007). This Court held that “an employee must possess the bona
    fide occupational qualifications for the job position that
    employee seeks to occupy in order to trigger an employer’s
    obligation to reasonably accommodate the employee.” 
    Id. at 327
    .
    The Court also held that “the LAD does not require that an
    employer create an indefinite light duty position for a
    permanently disabled employee if the employee’s disability,
    absent a reasonable accommodation, renders him otherwise
    unqualified for a full-time, full-duty position.” 
    Id. at 340
    .
    23
    where “the job qualifications [are] virtually a mirror
    reflection of the physical boundaries of the [employee’s]
    handicap,” proof by the employee that she could perform the job
    with or without a reasonable accommodation is “tantamount to
    proving” that the disability does not hinder the employee’s job
    performance.   
    89 N.J. at
    499 n.5.
    IV.
    Before turning to the proofs necessary to establish
    Grande’s LAD claim, we must first determine whether this is a
    case of direct or circumstantial evidence.      We note that the
    Appellate Division did not directly address this question, but
    the majority opinion references Jansen, indicating that, like
    the trial court, it was applying the McDonnell Douglas
    circumstantial evidence framework to Grande’s claim.
    The parties contend that this is a direct evidence case
    because Saint Clare’s admits that Grande’s disability motivated
    its decision to terminate her.   We disagree.    Saint Clare’s
    concedes that Grande is disabled under the LAD and admits that
    it fired her because her perceived disability precluded her from
    We conclude that Raspa stands for the proposition that an
    employer is not required to accommodate a disabled employee by
    creating a permanent, light-duty position. In a wrongful
    discharge case, an employee may nonetheless show in her prima
    facie case that an accommodation other than the creation of a
    new, light-duty position would allow her to perform her job to
    her employer’s legitimate expectations.
    24
    performing as a R.N.     Nonetheless, Grande has produced no
    evidence of discriminatory animus toward disabled employees.
    She alleges that the lifting standards identified in the KCI
    Report and the 2008 Job Analysis do not reflect the actual
    requirements of her job.    Grande has not shown, however, that
    those requirements apply only to R.N.s with disabilities or are
    otherwise entirely unrelated to the performance of a R.N.’s
    duties.     See A.D.P., supra, 428 N.J. Super. at 534-35 (finding
    direct evidence of discrimination when employer’s policy applied
    only to employees identified as alcoholics and employee’s
    discharge, based on noncompliance with policy, was unrelated to
    job performance).
    We acknowledge that, in LAD claims alleging discrimination
    based on other protected classes, such as race, sex, national
    origin, or marital status, an employer’s admission that a
    protected characteristic motivated its employment decision would
    be direct evidence of discrimination.     See, e.g., Smith, supra,
    225 N.J. at 397-99 (finding direct evidence of marital status
    discrimination when employer stated that employee would not have
    been fired if he had reconciled with his wife).    However, the
    LAD provides that an employer may lawfully terminate a disabled
    employee if the disability precludes job performance.     N.J.S.A.
    10:5-4.1.    Therefore, more than Saint Clare’s admission is
    needed to establish direct evidence of discrimination here;
    25
    evidence of animus or hostility toward the disabled must also be
    produced.   Because Grande fails to show a “hostility toward
    members of [her] class,” Sisler, 
    supra,
     
    157 N.J. at 208
    , we
    agree with the Appellate Division that this case must be
    resolved by applying the McDonnell Douglas circumstantial
    evidence framework.
    V.
    Having concluded that this is a circumstantial evidence
    case, we apply the McDonnell Douglas framework to determine the
    proofs necessary to establish Grande’s LAD claim and whether
    summary judgment was appropriately granted in Saint Clare’s
    favor.   We review Saint Clare’s motion for summary judgment
    using the same standard applied by the trial court -- whether,
    after reviewing “the competent evidential materials submitted by
    the parties” in the light most favorable to Grande, “there are
    genuine issues of material fact and, if not, whether the moving
    party is entitled to summary judgment as a matter of law.”
    Bhagat v. Bhagat, 
    217 N.J. 22
    , 38 (2014) (citing Brill v.
    Guardian Life Ins. Co. of Am., 
    142 N.J. 520
    , 540 (1995)).      An
    issue of material fact is “genuine only if, considering the
    burden of persuasion at trial, the evidence submitted by the
    parties on the motion, together with all legitimate inferences
    therefrom favoring the non-moving party, would require
    26
    submission of the issue to the trier of fact.”   
    Ibid.
     (quoting
    R. 4:46-2(c)).
    A.
    We first consider Saint Clare’s argument that it was
    entitled to summary judgment because Grande failed to state a
    prima facie case.   Once again, under our modified McDonnell
    Douglas analysis, Grande must establish a prima facie case by
    putting forth evidence that:   (1) she is disabled within the
    meaning of the LAD; (2) she was actually performing her job or
    was able, with or without reasonable accommodation, to perform
    her job at a level that met Saint Clare’s legitimate
    expectations; (3) she was discharged; and (4) Saint Clare’s
    sought someone else to perform the same work after she left.
    See Jansen, 
    supra,
     
    110 N.J. at 382
    .
    It is undisputed that Saint Clare’s perceived Grande as
    disabled and terminated her from her R.N. position.    Further,
    neither party claims that whether Saint Clare’s filled or
    eliminated Grande’s nursing position is pertinent to the summary
    judgment motion under consideration.   Therefore, only the second
    prong remains at issue.
    Saint Clare’s argues that Grande failed to satisfy that
    second prong because her lengthy absences are proof that she was
    not performing her job.   Cf. Svarnas, 
    supra,
     
    326 N.J. Super. at 77
     (stating that employer is not required to accommodate
    27
    “chronic and excessive absenteeism”).     Although Grande worked
    for Saint Clare’s for ten years and was never warned that her
    job was at risk, she was absent for over twelve months due to
    her injuries, worked about two months on light-duty assignments,
    and was on light duty, concededly at the hospital’s request, at
    the time she was fired.
    Grande argues that she made a showing sufficient to
    withstand summary judgment under the second prong by putting
    forth evidence that she was employed for ten years and her
    performance was “exemplary.”     She relies on Zive, supra, where
    this Court stated that the “slight burden of the second prong is
    satisfied” when a plaintiff “adduces evidence that [s]he has, in
    fact, performed in the position up to the time of termination.”
    
    182 N.J. at 455
    .   Grande further claims that, at the time of her
    termination, she was able to resume full-time, full-duty work,
    and her periods of absence, in light of her ten-year history
    with the hospital, did not keep her from satisfying her prima
    facie case.
    In Zive, the employee suffered a stroke, after which he did
    not take time off from work but instead worked from home for
    three months while recovering.    
    Id. at 442-43
    .   When the
    employee wished to return to work at the company, he was told
    that his services would no longer be required.     
    Id. at 443
    .   The
    employer defended its decision to terminate the employee by
    28
    claiming that he failed to meet an unusually high sales goal.
    
    Id. at 450-51
    .   This Court was not persuaded, reasoning that the
    employee had extensive experience in his field, had worked for
    his employer for eight years, had been actively engaged in
    management and administration, and had never been told that his
    job was at stake.   
    Id. at 456
    .    Importantly, Zive did not
    address the employer’s obligation to consider reasonable
    accommodations prior to terminating a disabled employee, as
    required by the LAD regulations.       See N.J.A.C. 13:13-2.5(b)(2).
    Zive, thus, did not involve an employee’s extended periods of
    absence from work and did not address the required reasonable-
    accommodation consideration.
    We nevertheless agree with Grande that the modest burden to
    withstand summary judgment as to the second prong of the prima
    facie case has been met.   An issue of fact exists as to whether
    Grande’s periods of absence from work were sufficiently “chronic
    and excessive,” Svarnas, supra, 
    326 N.J. Super. at 77
    , to
    preclude her from demonstrating that she was actually performing
    her job at the time she was terminated.       While this factual
    dispute is material to Grande’s prima facie case, we express no
    opinion on the issue.
    We additionally note that, as the parties acknowledged in
    oral argument, the record is rather undeveloped as to any
    reasonable accommodation that would allow Grande to perform the
    29
    essential functions of her job despite her disability.    While
    the record is silent as to specifics, it does indicate that
    Saint Clare’s considered accommodations that could potentially
    allow Grande to continue her employment, but that no reasonable
    accommodation existed.    Grande maintains that she needed no
    accommodation.   Therefore, we see no reason to allow additional
    discovery to develop the record in this regard, and we remand
    for trial on the record as it stands.
    B.
    Having concluded that factual disputes exist as to Grande’s
    prima facie case, we now turn to Saint Clare’s alternate claim
    that, even if Grande has established a prima facie case, Saint
    Clare’s is entitled to summary judgment on the basis of the
    defenses it asserted under the second McDonnell Douglas step.
    Saint Clare’s admits that it fired Grande because of her
    disability but claims that the firing was justified because
    Grande was both unable to perform the essential functions of her
    job and unable to do so without posing a risk of harm to herself
    or others.    The hospital bears the burden of proof as to its
    defenses.    Jansen, 
    supra,
     
    110 N.J. at 383
    .
    1.
    To prove its claim that Grande’s perceived disability
    precluded her from performing as a R.N., Saint Clare’s must show
    that “it reasonably arrived at [its] opinion.”    Andersen, 
    supra,
    30
    
    89 N.J. at 499-500
    .    That is, Saint Clare’s must demonstrate
    that its opinion is “based upon an objective standard supported
    by factual evidence”; general assumptions about Grande’s
    disability are insufficient.     N.J.A.C. 13:13-2.8(a)(1).
    Saint Clare’s maintains that it met this burden by relying
    on the KCI Report, which is more comprehensive than the cursory
    medical examination we found insufficient in Andersen, 
    supra,
     
    89 N.J. at 500
    .     In Andersen, an applicant sought a position as a
    truck driver and underwent a “preplacement physical
    examination.”    
    Id. at 489
    .   The applicant disclosed to the
    examining doctor that he had had back surgery thirteen years
    prior.   
    Ibid.
       The doctor performed a cursory physical
    evaluation and asked the applicant only to “raise his hands and
    bend over and touch his toes.”     
    Ibid.
       The doctor then concluded
    that the applicant was unfit for the job because “people with
    back problems would not be hired.”     
    Ibid.
       This Court held that
    such a deficient medical report was an insufficient basis on
    which the employer could reasonably arrive at its opinion that
    the applicant’s disability precluded job performance.        
    Id. at 500
    .
    While we acknowledge that the KCI Report here is more than
    a cursory evaluation, we find it presents material issues of
    fact that could not be resolved on the record before the trial
    court.    First, there is a dispute as to whether the lifting
    31
    standards identified by the KCI Report as Saint Clare’s
    requirements are actually the standards applicable to Grande’s
    position.   Saint Clare’s 2008 Job Analysis indicates that R.N.s
    are required, as essential functions of their job, to lift fifty
    pounds from waist to chest frequently (34% to 66% of the day)
    and several other loads occasionally (1% to 33% of the day),
    including twenty-five pounds from floor to waist, ten pounds
    from chest to overhead, twenty pounds in a two-hand carry, and
    ten pounds in a one-hand carry.     The Job Analysis does not
    identify any activity that is performed at a frequency greater
    than 66% of the day.
    The KCI Report, on the other hand, lists the following as
    the hospital’s requirements:    constantly (67% to 100% of the
    day) lift twenty pounds, frequently lift fifty pounds, and
    occasionally lift 100 pounds.    The addendum to the KCI Report
    indicates that the Report’s standards were based on a job
    description provided by the hospital but does not confirm
    whether that job description is the 2008 Job Analysis.      The
    record is also silent as to why the KCI standards differ from
    those listed on the Job Analysis.      Grande contends that the
    standards on neither the KCI Report nor the Job Analysis reflect
    what she actually does in her position.      Thus, from the record
    before us, we cannot discern which tasks were essential to
    Grande’s job.
    32
    Second, there is a dispute as to whether the KCI Report
    conclusively establishes that Grande is unable to perform her
    job.    The Report indicates that, in some categories, Grande’s
    ability was below the hospital’s standards.     The Report also
    states, however, that while the results “may be compatible with
    mild residual functional issues,” “[i]t is improbable that this
    will significantly affect job performance ability.”     The
    addendum to the report makes clear that “determination for final
    return to work abilities . . . is deferred to [Grande’s]
    treating physician.”     Dr. Spielman had cleared Grande to return
    to full-time, full-duty work on July 8, 2010, four days before
    the FCE was performed.     Although Dr. Spielman subsequently
    restricted Grande’s work pursuant to the FCE, Grande disputes
    that such restrictions were permanent.7    The hospital claims that
    Dr. Spielman recommended permanent lifting restrictions; Grande
    alleges Dr. Spielman told her she could resume her regular
    duties; and the KCI Report does not indicate whether its
    recommendations were permanent or temporary.
    7 Because the August 2010 return-to-work certificate issued by
    Grande’s doctor clearing her to return to full-time, full-duty
    work with no limitations postdated her discharge by Saint
    Clare’s, it is not relevant to our determination.
    33
    These factual disputes are material to the issue of whether
    Grande’s disability precluded her from performing the essential
    functions of her job.
    2.
    Saint Clare’s also maintains that Grande’s history of
    injuring herself on the job sufficiently proved her inability to
    perform her job without posing a risk of harm to herself or
    others.
    To assert this defense, Saint Clare’s “must establish with
    a reasonable degree of certainty that it reasonably arrived at
    the opinion that [Grande’s] handicap presented a materially
    enhanced risk of substantial harm in the workplace.”   Jansen,
    
    supra,
     
    110 N.J. at 383
    .   The New Jersey Administrative Code
    explains the employer’s burden as follows:
    Refusal to select a person with a disability
    may be lawful where it can be demonstrated
    that the employment of that individual in a
    particular position would be hazardous to the
    safety or health of such individual, other
    employees, clients or customers where hazard
    cannot be eliminated or reduced by reasonable
    accommodation. Such a decision must be based
    upon an objective standard supported by
    factual or scientifically validated evidence,
    rather   than   on   the  basis   of   general
    assumptions that a particular disability would
    create a hazard to the safety or health of
    such individual, other employees, clients or
    customers. A “hazard” to the person with a
    disability is a materially enhanced risk of
    serious harm.
    [N.J.A.C. 13:13-2.8(a)(2) (emphases added).]
    34
    Thus, the Administrative Code requires that an employer base its
    conclusion to terminate an employee on “factual or
    scientifically validated evidence.”   
    Ibid.
    Here, viewing the facts in the light most favorable to
    Grande, she sustained at least three disabling injuries for
    which she was required to be absent from work.   After each of
    the first two injuries, however, she was cleared to return to
    work and did so.   After the final injury, Grande’s physician
    also cleared her to return to regular duty prior to her
    termination.
    There is no indication in the record that plaintiff caused
    injury to the patients in the course of incurring her own
    injuries.   Moreover, the KCI report only recommends that Grande
    be assisted in attempting to lift more than fifty pounds, even
    though she was able to lift much heavier loads during testing.
    The Report says nothing about Grande’s ability to otherwise
    perform her job without causing injury to patients or to
    herself.
    Furthermore, there is no expert testimony that Grande’s
    perceived susceptibility to injury posed a “materially enhanced
    risk of serious harm” to herself or her patients.    N.J.A.C.
    13:13-2.8(a)(2); accord Jansen, supra, 
    110 N.J. at 374-75
    .      We
    conclude, therefore, that the evidence that Grande presented a
    35
    risk of injury to herself or patients is inadequate to resolve
    conclusively this material issue.
    In affirming the requirements set forth in Jansen, we
    remain cognizant of the need for safe work environments.   Our
    holding today is not intended to limit an employer’s ability to
    promulgate safety standards or to require of its employees the
    physical ability to safely perform their duties.   Nonetheless,
    when terminating a disabled employee because of an inability to
    abide by such standards, an employer must prove that its
    standards relate to the employee’s duties and that no reasonable
    accommodation exists that will allow the employee to continue in
    her position.
    VI.
    For the reasons set forth above, the judgment of the
    Appellate Division is affirmed as modified, and the matter is
    remanded to the trial court for further proceedings.
    CHIEF JUSTICE RABNER and JUSTICES LaVECCHIA, ALBIN,
    PATTERSON, FERNANDEZ-VINA, and TIMPONE join in JUSTICE SOLOMON’s
    opinion. JUSTICE LaVECCHIA filed a separate, CONCURRING
    opinion.
    36
    SUPREME COURT OF NEW JERSEY
    A-67 September Term 2015
    076606
    MARYANNE GRANDE, R.N.,
    Plaintiff-Respondent,
    v.
    SAINT CLARE’S HEALTH SYSTEM,
    Defendant-Appellant.
    JUSTICE LaVECCHIA concurring.
    I concur in the majority opinion remanding this disability
    discrimination matter for trial.       I agree that plaintiff has met
    her pretrial obligation to present a prima facie case of
    unlawful discrimination under our Law Against Discrimination
    (LAD), N.J.S.A. 10:5-1 to -42, entitling her to a determination
    by a jury of the material factual disputes between the parties.
    However, I write separately to address two matters.
    First, I write to underscore that, in order for a
    disability discrimination claim to survive a summary judgment
    motion, the showing required of a terminated plaintiff regarding
    her ability to perform the essential functions of her job is a
    modest one.   Although this matter involves a number of disputes
    as to plaintiff’s job requirements and defendant’s justification
    for terminating her, such disputes do not deprive plaintiff of
    her opportunity to have the matter heard by a jury.       And,
    1
    plaintiff’s pretrial showing certainly should not require her to
    resolve issues that more properly belong in the employer’s
    required presentation.    Second, I write to observe that this
    matter is a missed opportunity to reassess the convoluted
    frameworks we have adopted to evaluate LAD disability
    discrimination cases.    To the extent those frameworks apply, I
    also agree with the parties that this matter would be better and
    more effectively analyzed as a direct evidence case.
    I.
    All parties agree that Jansen v. Food Circus Supermarkets,
    Inc., 
    110 N.J. 363
     (1988) -- our preeminent decision on the
    subject of disability discrimination -- provides the starting
    point for analysis in this matter.    In effectuating our LAD’s
    charge regarding disability discrimination, this Court in
    Jansen, 
    supra,
     initially turned to the McDonnell Douglas1 test,
    as it had for other claims involving allegations of
    “discrimination in hiring because of race, creed, color,
    national origin, ancestry, age, marital status, or sex.”     
    110 N.J. at 380
    .   After reciting the McDonnell Douglas framework,
    the Jansen Court observed that in the disability discrimination
    context, the employer often admits that it subjected an employee
    to disparate treatment because of a disability, “but claims that
    1  McDonnell Douglas Corp. v. Green, 
    411 U.S. 792
    , 
    93 S. Ct. 1817
    , 
    36 L. Ed. 2d 668
     (1973).
    2
    [the treatment] was justified.”       Id. at 381 (quoting Andersen v.
    Exxon Co., 
    89 N.J. 483
    , 498 (1982)).
    The Court stated that when the employer makes such an
    admission, “fairness suggests that the employer bear the burden
    of persuasion that ‘the nature and extent of the handicap
    reasonably precludes the performance of the particular
    employment.’”   
    Ibid.
     (quoting N.J.S.A. 10:5-4.1 (1988)).2
    Accordingly, the Court placed that burden on the employer
    because it recognized that the employer “is in a better position
    to prove that it reasonably arrived at the conclusion that the
    handicap precluded employment.”       
    Ibid.
       That burden-of-proof
    obligation was viewed as consistent with the statutory direction
    in N.J.S.A. 10:5-4.1 and the LAD’s implementing regulation,
    N.J.A.C. 13:13-2.8.
    The Court recognized both the strong public policy
    underlying the LAD’s protection of disabled employees and the
    countervailing interest of employers in the ability to fire or
    refuse to hire employees who cannot safely perform a job.
    Jansen, supra, 
    110 N.J. at 374
    .       To balance those interests in
    Jansen -- a case involving an employee with epilepsy -- the
    2  Jansen quotes a prior version of the statute, which has been
    amended to refer to whether “the nature and extent of the
    disability reasonably precludes the performance of the
    particular employment.” L. 2003, c. 180 (codified at N.J.S.A.
    10:5-4.1).
    3
    Court stated that “[t]he appropriate test is not whether the
    employee suffers from epilepsy or whether he or she may
    experience a seizure on the job, but whether the continued
    employment of the employee in his or her present position poses
    a reasonable probability of substantial harm.”   
    Id. at 374-75
    .
    The Court determined that the trial and appellate courts had
    erred by equating the future probability of a seizure on the job
    with the future probability of injury, when Jansen’s employer
    had made no showing that Jansen’s seizures posed a risk of
    injury to himself or others.   
    Id. at 377
     (“The assumption that
    every epileptic who suffers a seizure is a danger . . . reflects
    the prejudice that the [LAD] seeks to prevent.”).   The Court
    explained that the employer had not “reasonably arrived at” its
    decision to fire Jansen because the employer relied on a
    deficient medical report, which did not distinguish between the
    probability of future seizures and actual risk of harm, and did
    not consider Jansen’s work history or his own doctors’ reports.
    
    Id. at 379-80
    .
    The Jansen Court reiterated that, as part of a prima facie
    case, a plaintiff must establish: (1) that he was disabled
    within the meaning of the LAD, “(2) that he was performing his
    job at a level that met his employer’s legitimate expectations,
    (3) that he nevertheless was fired, and (4) that the [employer]
    sought someone to perform the same work after he left.”    
    Id.
     at
    4
    382 (alteration in original) (quoting Clowes v. Terminix Int’l,
    Inc., 
    109 N.J. 575
    , 597 (1988)).       However, the Jansen Court did
    not dwell on whether Jansen had presented a prima facie case
    because the issue in dispute focused on the affirmative safety
    defense advanced by Jansen’s employer.3      The Court held that
    where an employer defends its disparate treatment of a disabled
    employee by raising a safety defense, the employer bears the
    burden of proof to show that its conclusion that the employee
    could not perform the job was a reasonable one.       Id. at 383.
    Zive v. Stanley Roberts, Inc., 
    182 N.J. 436
    , 451-56 (2005),
    focused on the second prong of McDonnell Douglas and assessed
    the quantum of proof required to be produced by a plaintiff when
    presenting a prima facie case of disability discrimination.         In
    Zive, we expressly kept the plaintiff’s burden as to the second
    prong “slight” when a plaintiff had been performing the job
    prior to being terminated based on perceived disability.       182
    3  The Jansen Court briefly referred to the second prong of a
    prima facie case, respecting an employee’s ability to perform a
    job, noting that “[i]n some cases, . . . the handicap is so
    directly related to the job qualifications that the applicant’s
    proof of his or her physical ability to do the job is tantamount
    to proof that the handicap would not hinder his or her
    performance.” Id. at 382. However, the Court also noted that
    the employer is in the best position to put forward facts
    relating to the qualifications for a position with respect to a
    safety defense, id. at 381, suggesting that, should the nexus
    between a disability and job qualifications be in dispute, the
    employer would bear the burden of persuading the factfinder of
    the necessity of imposing those qualifications.
    5
    N.J. at 455.   We instructed courts not to consider the
    employer’s evidence disputing job performance related to the
    essentials of one’s job in the context of the plaintiff’s
    pretrial prima facie case.     Ibid.
    The majority recognizes that there are disputed facts about
    plaintiff’s essential job functions and whether she can perform
    them.   I agree that those issues must be resolved by a jury, and
    therefore I concur in this judgment.     That said, Jansen and Zive
    provide all the guidance necessary to understand the standards
    governing plaintiff’s pretrial prima facie case, and plaintiff
    has met those standards.     The majority differentiates this case
    from Zive, asserting that Zive did not address reasonable
    accommodation or an employee’s extended absence from work prior
    to seeking return from a workers’ compensation leave due to a
    work injury.
    In my view, issues of reasonable accommodation or
    absenteeism due to disability have no business being compressed
    into plaintiff’s pretrial prima facie case.     Because plaintiff
    did not plead a failure to accommodate claim, reasonable
    accommodation was not at issue as part of plaintiff’s pretrial
    case.   As for absenteeism, Saint Clare’s did not rely on
    plaintiff’s absences as a reason for terminating her employment.
    Courts faced with disability discrimination claims should remain
    focused pretrial on the key question of whether there are
    6
    triable issues of fact on which a jury could base a finding that
    an employer has unlawfully discriminated against an employee.
    II.
    Jansen insightfully instructed that if an employer wants to
    assert safety as its justification for terminating an employee,
    it must bear the burden of persuasion on that point.   Although
    the context is different, the facts of this case are similar to
    the facts of Jansen.    Like in Jansen, in this case an employer
    has terminated an employee, admittedly on the basis of a
    physical disability.   This case is also like Jansen in that
    there has been no expert report produced for trial that clearly
    addresses the probability of future harm due to the asserted
    disability.   Under Jansen, 
    supra,
     the question to be addressed
    is whether Saint Clare’s has established “with a reasonable
    degree of certainty that it reasonably arrived at the opinion
    that the employee’s handicap presented a materially enhanced
    risk of substantial harm in the workplace.”   
    110 N.J. at 383
    .
    As in Jansen, the elements of an employee’s pretrial prima
    facie case to prove discriminatory intent are not the center of
    this dispute because Saint Clare’s has admitted that it
    terminated Grande based on her disability.    And, under Zive,
    plaintiff has adduced some proof that she was capable of
    performing her job.    While Saint Clare’s asserts that lifting is
    an essential function of plaintiff’s job as a registered nurse
    7
    and that plaintiff did not demonstrate during her KCI
    examination that she met the employer’s lifting standards, those
    facts are heavily disputed.     Consistent with the regulations
    implementing the LAD, Saint Clare’s bears the ultimate burden of
    demonstrating that “as a result of [plaintiff’s] disability,
    [she] cannot perform the essential functions of the job even
    with reasonable accommodation.”       N.J.A.C. 13:13-2.8; see also
    N.J.S.A. 10:5-29.1 (requiring clear showing of employee’s
    inability to perform job).
    To the extent that Saint Clare’s is asserting a safety
    defense, it also bears the burden of proof on that defense.
    Plaintiff will be required to rebut Saint Clare’s proofs on that
    defense before the factfinder, once the groundwork for a safety
    defense has been established.    She has already proffered
    evidence of her differing view of the facts about the job and
    her ability to perform it.
    So, in this case, there are material factual disputes
    regarding whether plaintiff has demonstrated her objective
    ability to do the job -- with or without reasonable
    accommodation, as the majority adds -- according to legitimate
    job standards.   Those factual issues to be resolved are distinct
    from the employer’s claimed safety concerns.      Still, N.J.S.A.
    10:5-29.1 requires that “[u]nless it can be clearly shown that a
    person’s disability would prevent [her] from performing a
    8
    particular job, it is an unlawful employment practice to deny to
    an otherwise qualified person with a disability the opportunity
    to . . . maintain employment” (emphasis added).   Thus, at trial,
    Saint Clare’s must bear the burden as to whether its conclusion
    that plaintiff could not perform her job was reasonably arrived
    at, in addition to the burden as to its safety defense.
    In other words, whether plaintiff’s termination was
    “justified by lawful considerations” remains to be decided at
    trial.   There has been no concession here by plaintiff that she
    cannot do the job.   There is a dispute over the “essential
    functions” of the job.4   There is a factual dispute over whether
    the KCI Report contains sufficient proof that plaintiff cannot
    perform essential lifting duties of the job, even assuming the
    asserted essential lifting requirements are legitimate.    And,
    the factual questions about the disputed standards are
    4  Grande’s job description does not mention lifting in the
    summary. The list of essential requirements for the job
    contains “Lift and Carry Tasks,” which list the amount of weight
    a nurse must be required to lift or carry. There is no mention
    of frequency and no mention that heavy lifting must be done
    regularly. The U.S. Department of Labor’s Dictionary of
    Occupational Titles (D.O.T.), to which the KCI Report refers,
    lists nursing as a “medium” strength demand job, which requires
    the employee to occasionally lift fifty pounds and frequently
    lift twenty pounds. A point of disagreement between the parties
    arises from comparing Grande’s actual job description and the
    D.O.T. standards for nursing (which both indicate that the
    strength demands are “medium”) with the job standards that Saint
    Clare’s told KCI to use for the FCE, the validity of which is
    challenged.
    9
    complicated by the apparent lack of historical evidence that
    this employer subjected its nursing force to strength testing
    either at the time of hiring or as a condition of continued
    employment.   The standards, which plaintiff claims are newly
    asserted, are being applied to her after she is returning to
    work from a workers’ compensation leave.   Finally, the employer
    may still prove its safety defense.
    To the extent that the majority mentions absenteeism as an
    issue to be explored at trial, I must point out that absenteeism
    was not relied upon as a reason for plaintiff’s termination and
    should not become a new reason to justify the adverse job
    action, particularly when the employee’s absences were all due
    to legitimate job injuries for which the employer bears some
    responsibility under the social compact established under
    workers’ compensation law.   To use plaintiff’s prior injuries as
    a rationale to terminate her, or to use them as a predictor of
    future inability to do the job, risks contravention of this
    state’s public policy.   And, as the Appellate Division majority
    underscored, probability, not mere possibility, is the test for
    reasonably predicting future safety issues.
    III.
    In addition to the points discussed above, I am compelled
    to point out the following with respect to the future direction
    of this important area of law.
    10
    A.
    First, numerous courts have been reflecting on the
    development of discrimination litigation and on steps to
    simplify proof obligations in these cases rather than add to
    them.   In particular, disability discrimination claims have
    provoked such attention, likely because they frequently involve
    an exclusive focus on the asserted justifications for disparate
    treatment rather than an inquiry into employer motivation.
    In my view, this Court in Jansen took initial steps in
    directing how such claims should be handled straightforwardly.
    It would be my preference for this Court to continue down that
    path.
    Courts across the country have struggled to articulate the
    most appropriate standard for disability discrimination claims,
    which differ from other types of discrimination claims in that
    they often involve an admission by the defendant that a
    plaintiff’s disability motivated a discriminatory action.    As
    the majority notes, we have looked to federal discrimination law
    for guidance interpreting our own analogous statutes.     Ante at
    __ (slip op. at 22) (quoting Grigoletti v. Ortho Pharm. Corp.,
    
    118 N.J. 89
    , 97 (1990)).   The Court of Appeals for the Eighth
    Circuit has summarized the traditional difference between direct
    and indirect approaches to proving claims under the Americans
    11
    with Disabilities Act (ADA), 
    42 U.S.C.A. §§ 12101
     to 12213, as
    follows:
    “[A]n employee may survive an employer’s
    motion for summary judgment in one of two
    ways.”    The first is to produce “direct
    evidence of discrimination,” which is evidence
    that shows “a specific link between the
    alleged   discriminatory   animus    and   the
    challenged decision, sufficient to support a
    finding by a reasonable fact finder that an
    illegitimate criterion actually motivated the
    adverse employment action.” If the employee
    does    not    have   direct    evidence    of
    discrimination, he or she may “show[] a
    genuine dispute for trial under the burden-
    shifting framework established in McDonnell
    Douglas Corporation v. Green, 
    411 U.S. 792
    ,
    802-05, 
    93 S. Ct. 1817
    , 
    36 L. Ed. 2d 668
    (1973).”
    [Evance v. Trumann Health Servs., LLC, 
    719 F.3d 673
    , 677 (8th Cir. 2013) (alterations in
    original)   (internal    citations   omitted)
    (quoting St. Martin v. City of St. Paul, 
    680 F.3d 1027
    , 1033 (8th Cir. 2012)).]
    Dissatisfaction with the strict categorization of evidence
    along those two lines exists, however.   In the Seventh Circuit,
    a majority of judges have “join[ed] in the growing chorus of
    opinions . . . that have expressed frustration with the
    confusing ‘snarls and knots’ of this ossified direct/indirect
    paradigm, and that have suggested a more straightforward
    analysis of whether a reasonable jury could infer prohibited
    discrimination.”   Hitchcock v. Angel Corps, Inc., 
    718 F.3d 733
    ,
    737 (7th Cir. 2013) (quoting Coleman v. Donahoe, 
    667 F.3d 835
    ,
    863 (7th Cir. 2012) (Wood, J., concurring)); see also Good v.
    12
    Univ. of Chi. Med. Ctr., 
    673 F.3d 670
    , 680 (7th Cir. 2012)
    (“[D]irect and indirect methods for proving and analyzing
    employment discrimination cases . . . have become too complex,
    too rigid, and too far removed from the statutory question of
    discriminatory causation.”).
    Such cases highlight that the relevant inquiry in a
    discrimination case is whether there is a triable issue of fact
    over the allegation that plaintiff has been subjected to
    invidious discrimination.   Whether a plaintiff attempts to prove
    discrimination with circumstantial evidence, direct evidence, or
    some combination of both, the summary judgment analysis should
    be crafted to address the core issue of causation.     In the
    disability context, a number of subsidiary issues can complicate
    evaluation of a plaintiff’s claim.    Those issues include, but
    are not limited to:   (1) the nature and extent of the
    plaintiff’s disability, including the medical evidence relied
    upon by an employer to support an employment decision; (2)
    whether the employer considered available reasonable
    accommodations before making its decision; and (3) whether a
    particular accommodation would be reasonable or would pose an
    undue burden for the employer.
    In the federal context, courts assessing ADA claims have
    adopted various approaches to these issues but have not
    13
    shoehorned all of them into the McDonnell Douglas framework,
    even in cases where circumstantial proofs were at issue.
    Several courts have even expressed skepticism that McDonnell
    Douglas is useful at all in a case where the employer concedes
    that an employee’s disability motivated its employment decision.
    For example, in Osborne v. Baxter Healthcare Corp., 
    798 F.3d 1260
    , 1266 n.6 (10th Cir. 2015), the court stated that the
    McDonnell Douglas framework was inapplicable because the
    defendant “indisputably rescinded [the plaintiff’s] job offer
    because of her disability.”   The court relied on a prior holding
    that “[i]f the employer admits that the disability played a
    prominent part in the decision, or the plaintiff has other
    direct evidence of discrimination based on disability, the
    burden-shifting framework may be unnecessary and inappropriate.”
    Osborne, supra, 798 F.3d at 1266 n.6 (quoting Morgan v. Hilti,
    Inc., 
    108 F.3d 1319
    , 1323 n.3 (10th Cir. 1997)); see also TWA v.
    Thurston, 
    469 U.S. 111
    , 121-22, 
    105 S. Ct. 613
    , 621-22, 
    83 L. Ed. 2d 523
    , 533 (1985) (observing in federal age discrimination
    context that “the McDonnell Douglas test is inapplicable where
    the plaintiff presents direct evidence of discrimination”).
    This case provided the Court with the opportunity to
    clarify and simplify the pretrial analysis of disability
    discrimination claims where no analysis of purported pretext or
    mixed motives is required.    The majority does not seize that
    14
    opportunity.     I would step back and critically rethink our law.
    In keeping with this Court’s prior jurisprudence and the
    progressive policies expressed in the LAD and its implementing
    regulations, the Court should always adopt a remedial approach
    to LAD claims and, in implementing the statute, should do so in
    a manner that will most effectively further the purpose of
    eradicating invidious discrimination.     See Nini v. Mercer Cty.
    Cmty. Coll., 
    202 N.J. 98
    , 108-09 (2010) (explaining that
    “special rules of interpretation . . . apply” to LAD).
    B.
    Second, it is worth recalling that the elements of the
    McDonnell Douglas prima facie case exist as a tool to help
    plaintiffs raise an inference of disparate treatment by an
    employer.     Here, the employer explicitly admits to treating an
    employee differently based on a disability or perceived
    disability.    Accordingly, application of the McDonnell Douglas
    burden-shifting framework does not serve a useful purpose.
    The Jansen paradigm focuses attention in disability
    discrimination cases on whether the employer has met its burden
    to justify terminating the employee.     Although it referenced the
    McDonnell Douglas framework, the Jansen Court treated its
    analysis of the proofs in that matter as if it were dealing with
    a direct-evidence case.    By focusing the parties directly on the
    area of dispute and the obligation of the employer to bring the
    15
    adverse action within the sphere of justifiable disparate
    treatment on the basis of disability, the Jansen Court set forth
    a straightforward method of dealing with what was essentially
    direct evidence of disability discrimination.   The Jansen Court
    differentiated between the employer who “seeks to establish the
    reasonableness of the otherwise discriminatory act” and one who
    “advances a non-discriminatory reason for the employee’s
    discharge.”   
    110 N.J. at 382
    .   In the former setting, where no
    assertion of pretext is involved, the Court clearly kept the
    burden of persuasion on the employer to justify its reason for
    concluding that the employee could not reasonably do the job:
    If . . . the employer defends by asserting
    that it reasonably concluded that the handicap
    prevented the employee from working, the
    burden of proof -– as distinguished from the
    burden of production -– shifts to the employer
    to prove that it reasonably concluded that the
    employee’s handicap precluded performance of
    the job. When asserting the safety defense,
    the employer must establish with a reasonable
    degree of certainty that it reasonably arrived
    at the opinion that the employee’s handicap
    presented a materially enhanced risk of
    substantial harm in the workplace.
    [Id. at 383.]
    Disability discrimination in employment is different from
    other forms of unlawful discrimination because, unlike
    discrimination based on other proscribed characteristics like
    race or sex, discrimination based on disability is not
    prohibited if “the nature and extent of the disability
    16
    reasonably precludes the performance of the particular
    employment.”   N.J.S.A. 10:5-4.1.      This Court, like others, has
    recognized the difference implicated in disability
    discrimination claims.     See Zive, 
    supra,
     
    182 N.J. at 447
     (noting
    “[t]he LAD prevents only unlawful discrimination against
    disabled individuals”).    As discussed above, disability
    discrimination claims may involve burden-shifting related to the
    employer’s justification for terminating an employee or its
    obligation to make a reasonable accommodation; however, the
    shifting of burdens on those issues should not be confused with
    McDonnell Douglas burden-shifting as part of a plaintiff’s
    initial showing of disparate treatment.
    Like all of the parties, including Saint Clare’s, and the
    amici before the Court, I would recognize that this case
    involves direct evidence of discrimination rather than
    circumstantial evidence.    By properly identifying the type of
    evidence at issue, the Court could have more plainly identified
    the remaining issues for trial:     the plaintiff should be
    expected to bear the burden of showing that she was the victim
    of disparate treatment based on disability or perceived
    disability, and the employer should bear the burden of proof to
    justify its action.
    17
    C.
    Whether this matter is called a direct evidence case or a
    circumstantial evidence case may not ultimately be of much
    consequence because the majority has correctly directed this
    matter to proceed to trial.
    That said, to the extent that the majority asserts that
    this cannot be a direct evidence case because plaintiff does not
    present any evidence that Saint Clare’s has exhibited hostility
    toward disabled persons as a class, I disagree.   We should not
    perpetuate confusion over the role of hostility in
    distinguishing between direct and circumstantial evidence cases.
    That misunderstanding can be traced to a comment in Bergen
    Commercial Bank v. Sisler, 
    157 N.J. 188
     (1999).   Explaining the
    different methods of proof available, we observed in Sisler that
    to qualify as direct evidence, “[t]he evidence produced must, if
    true, demonstrate not only a hostility toward members of the
    employee’s class, but also a direct causal connection between
    that hostility and the challenged employment decision.”   
    Id.
     at
    208 (citing Price Waterhouse v. Hopkins, 
    490 U.S. 228
    , 277, 
    109 S. Ct. 1775
    , 1804, 
    104 L. Ed. 2d 268
    , 305 (1989) (O’Connor, J.,
    concurring)).   To read the remark in Sisler -- which was not
    necessary to the holding in that case -- to mean that a showing
    of “hostility” toward an entire protected group is essential to
    18
    every direct evidence claim creates an untenable requirement in
    order to establish unlawful discrimination by direct evidence.
    The above-quoted statement in Sisler, stemming from Justice
    O’Connor’s concurring opinion in Price Waterhouse, can fairly
    stand only for the proposition that stray remarks or other
    evidence that an employer disfavors a protected group, though
    probative, are not enough to provide direct evidence of a
    discriminatory intent underlying any particular employment
    decision.   See Price Waterhouse, 
    supra,
     
    490 U.S. at 277
    , 
    109 S. Ct. at 1804
    , 
    104 L. Ed. 2d at 305
     (O’Connor, J., concurring).
    The comment by Justice O’Connor was critical to her position in
    the “mixed-motive” context of Price Waterhouse.   In a mixed-
    motive case, because an alternative, non-discriminatory motive
    is in play, a plaintiff alleging disparate treatment “must show
    by direct evidence that an illegitimate criterion was a
    substantial factor in the [adverse] decision” in order to shift
    the burden of production to the employer.   
    Id. at 276
    , 
    109 S. Ct. at 1804
    , 
    104 L. Ed. 2d at 304
    .   Sisler cannot reasonably be
    understood as asserting that a hostility showing toward a class
    of protected individuals is necessary to all direct evidence
    employment discrimination claims.
    Outside of the mixed-motive context, a blanket requirement
    that “hostility” be shown to allow reliance on direct evidence
    is misguided.   That is particularly true in the area of
    19
    disability discrimination, where we have long recognized that
    unconscious discrimination -- based on generalities,
    stereotypes, and assumptions regarding the capabilities of
    individuals with disabilities -- can be just as invidious as
    discrimination based on malice.    See Jansen, 
    supra,
     
    110 N.J. at 378
     (“We do not suggest that the employer . . . is evil or even
    inconsiderate.    The essence of discrimination . . . is the
    formulation of opinions about others not on their individual
    merits, but on their membership in a class with assumed
    characteristics.”).    The LAD is animated by the public policy
    that individuals with disabilities must be afforded every
    reasonable opportunity to fully participate in society.       See
    N.J.S.A. 10:5-4.1.    It is an employer’s burden to show that
    essential functions of a job cannot be performed by a disabled
    employee.   See N.J.S.A. 10:5-29.1; N.J.A.C. 13:13-2.8.
    To recognize that plaintiff’s claim rests on direct
    evidence is not to say that there are no factual disputes left
    to be resolved.    Here there are several important factual
    disputes.    Plaintiff says that her employer has concocted the
    asserted “essential” lifting functions of the job by which she
    is being measured.    She says she is not disabled and can do the
    job.    She says that the testing by KCI showed that she can
    perform the necessary lifting associated with her job.       And,
    finally, although she never requested accommodation and was
    20
    never offered any accommodation by her employer, the employer
    failed to explain why it could not “meet her needs,” to the
    extent it perceived that she needed disability accommodation,
    even though there was no discussion with her or her doctor
    concerning those needs.
    Jurisprudence on the ADA supports that disputes over what
    is an essential function of the job and whether an employee can
    perform the job notwithstanding a disability, or perceived
    disability, are for a jury to decide.      They are not issues for
    the employer to decide unilaterally.      One need only look to our
    own Circuit Court of Appeals to see that such factual issues
    compel a matter to proceed to trial.      See Deane v. Pocono Med.
    Ctr., 
    142 F.3d 138
     (3d Cir. 1998) (en banc) (addressing similar
    claim brought under ADA by registered nurse terminated by her
    employer hospital due to alleged inability to meet physical
    lifting requirements).    In Deane, the Third Circuit “decline[d]
    to apply conclusive effect to either the job description or [the
    hospital’s] judgment as to whether heavy lifting is essential to
    [the plaintiff’s] job.”    
    Id. at 148
    .5
    5  The Third Circuit relied on Interpretive Guidance issued by
    the Equal Employment Opportunity Commission to clarify the
    definition of “essential function.” Deane, 
    supra,
     
    142 F.3d at 148
    . The guidance states that although “inquiry into the
    essential functions is not intended to second guess an
    employer’s business judgment with regard to production
    standards,” the question of whether a given function is
    essential “is a factual determination that must be made on a
    21
    To conclude, I agree that summary judgment was improperly
    granted to Saint Clare’s.   I concur in the majority’s
    determination that this matter should be remanded for trial
    because there are numerous factual disputes to be resolved by
    the jury.
    case by case basis [and] all relevant evidence should be
    considered.” 29 C.F.R. pt. 1630, app. § 1630.2(n).
    22