Care Transition Manager Social Worker LMSW PRN

Care Transition Manager Social Worker (LMSW/LCSW)

PRN

Bring your passion to Texas Health so we are Better + Together

• Texas Health Ft. Worth, 1301 Pennsylvania Avenue, Ft. Worth, TX 76104

• Care Transition Management department

• PRN, mainly weekdays between 7:30 AM–5:00 PM, on an as-needed basis. Weekends are optional.
• During training, hours will vary between 7:30 AM–5:30 PM
• Requires 5-weeks of training Monday to Friday

• Supporting the 815-bed Magnet-designated, full-service hospital that has served the Ft. Worth and surrounding community since 1930
• Care Transition is a rewarding career with family-friendly hours

• Master's Degree in Social Work (Individuals hired as a CTSW prior to May 11, 2017, will be grandfathered to the CTSW position with BSW, at the entity they were employed at on May 11, 2017)
• 3 years' experience in hospital/medical social work (Preferred)
• 1 year discharge planning/care management (Preferred)
• LMSW — Licensed Master Social Worker Upon Hire Required
• LCSW — Licensed Clinical Social Worker Upon Hire Required
• CPR — Cardiopulmonary Resuscitation Upon Hire Required
• ACM — Accredited Case Manager Upon Hire Preferred
• CCM — Certified Case Manager Upon Hire Preferred
• Other ANCC certifications Upon Hire Preferred

• Working knowledge of medical necessity criteria (preferred)
• Knowledge of Microsoft Outlook and Office (Word, Excel)
• Customer service skills
• Ability to engage in complex clinical decision-making and discharge planning
• Strong oral and written communication skills
• Strong commitment to interdisciplinary collaboration
• Critical thinking, analysis, and conflict resolution skills
• Psychosocial and crisis intervention skills
• Ability to prioritize and meet deadlines
• Identify community resources and service needs and facilitate appropriate referrals as needed
• Ensure patients are transitioned to appropriate levels of care in a timely and effective manner
• Review the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients and collaborate with the interdisciplinary team to identify high‑risk patients whose THRIL score may not have indicated appropriately
• Promote discussion and assist in identifying a primary care physician (PCP) for patients without a PCP
• Complete Transition Evaluations on patients within 24 hours of identification and begin discharge planning

• Benefits include 401k, cafeteria discounts
• Supportive, team environment with outstanding opportunities for growth
• Explore our Texas Health careers site ((Use the "Apply for this Job" box below).) for info like Benefits, Job Listings, recent Awards and more

Feel free to email your questions to recruitment.

Texas Health requires a resume when an application is submitted. Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.