Care Transition Manager, Social Worker – PRN, Days

Here’s What You Need

·        Master’s degree in social work required

·        Three years of experience in hospital/medical social work preferred

·        One year of experience of discharge planning/care management

·        Hospital Case management preferred

·        LMSW – Licensed Master Social Worker upon hire required or LCSW – Licensed Clinical Social Worker upon hire required and CPR -Cardiopulmonary Resuscitation upon hire required and ACM – Accredited Case Manager upon hire preferred or CCM – Certified Case Manager upon hire preferred or Other – ANCC upon hire preferred

What You Will Do

Ensure 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

·        Identify high risk patients whose THRIL score

·        Promotes discussion and assists in the identification of a primary care physician (PCP) for patients

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

·        Interviews and assesses patients and caregivers as part of the transition evaluation

·        Identifies transition needs and discusses funding of post-transition care with patients and caregivers

Additional perks of being a Texas Health Employee:

·        Benefits include 401k, Employee Assistance Program (EAP), Discount Programs, as well as other benefits.

·        Delivery of high-quality patient care

·        Strong Unit Based Council (UBC).

·        A supportive, team environment with outstanding opportunities for growth.

Learn more about our culture, benefits, and recent awards!

Entity Highlights:

Texas Health Plano Highlights:

Texas Health Presbyterian Hospital Plano is a 366-bed, Magnet-designated hospital and recognized clinical leader, providing technologically advanced care to Plano, Frisco and surrounding communities since 1991. This full-service facility features a full range of specialties including emergency medicine, cardiology, adult and adolescent behavioral health, pediatrics, an adult intensive care unit, state of the art and technologically advanced surgical services and Level III NICU. Texas Health Plano has more than 1,600 employees and over 1,360 physicians on its medical staff in more than 65 specialties. The hospital is an Advanced Level III Trauma Facility, accredited Chest Pain Center by The Joint Commission, named “Best Place to Have a Baby” in Collin County and a Gold-Level Mother Friendly business. Texas Health Plano is the recipient of the Disease Specific Care Certifications from the Joint Commission in Chest Pain, Joint Replacement – Hip and Joint Replacement – Knee and an Advanced Certification as a Primary Stroke Center. We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.

If you’re ready to join us in our mission to improve the health of our community, then let’s show the world how we’re even better together!

Do you still have questions or concerns? Email your questions to: recruitment@texashealth.org

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