Care Transition Manager, Social Worker – Full time, 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 Social Worker

·        Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, student Loan forgiveness as well as several other benefits.

·        Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.

·        Strong Unit Based Council (UBC).

·        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 we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.

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