Care Transition Manager Social Worker PRN

Care Transition Manager Social Worker LMSW/LCSW

Bring your passion to Texas Health so we are Better Together

Work location: Texas Health Cleburne 201 Walls Dr. Cleburne TX 76033

Work hours: PRN Days - Between 8:00 am - 5p to cover sick/pto time. Occasional weekends required(Saturday on site 8am-5p and Sunday can be remote or on site between 8am-5p)

Department highlights:

Robust Unit Based Council (UBC) and engaged leadership team

The Care Transition team ensures that patients are transitioned to appropriate level of care in a timely and effective manner. Provides education care and resources to patients across various specialties to identify transition needs and discuss post- acute care options

Manageable Case Load

Team that works together to ensure work life balance for all

Heres What You Need

Masters Degree Social Work Required (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 Or
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 Or
Other ANCC Upon Hire Preferred

What You Will Do

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.

Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner.

Reviews the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients and collaborates with the interdisciplinary team to identify high risk patients whose THRIL score may not have indicated appropriately.

Promotes discussion and assists in the identification of a primary care physician (PCP) for patients without a PCP

Completes Transition Evaluations on patients within 24 hours of identification and begins discharge planning

Additional perks of being a Texas Health Social Worker

Benefits include 401k discounts in the cafeteria.

A supportive team environment with outstanding opportunities for growth.

Explore our Texas Health careers site for info like Benefits Job Listings by Category recent Awards weve won and more.

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