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Hospital & Health Care

Care Transition Manager Social Worker LMSW/LCSW PRN

Fort Worth, TXOnsiteFull TimeManager / HeadPosted 2 months agoVisa sponsorship available

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Required skills

  • LMSW
  • LCSW
  • CPR
  • discharge planning
  • care management
  • clinical decision-making
  • interdisciplinary collaboration
  • conflict resolution
  • psychosocial intervention
  • crisis intervention

Nice to have

  • ACM
  • CCM
  • medical necessity criteria
  • Microsoft Outlook
  • Microsoft Word
  • Microsoft Excel

Role summary

Texas Health is seeking a PRN Care Transition Manager Social Worker (LMSW/LCSW) to join their team in Fort Worth, TX. This role focuses on facilitating patient transitions to appropriate levels of care, utilizing clinical decision-making, discharge planning, and community resource navigation. The position requires a Master's Degree in Social Work and licensure as an LMSW or LCSW. Preferred qualifications include experience in hospital social work, discharge planning, and case management certifications. Key responsibilities involve reviewing patient risk scores, collaborating with interdisciplinary teams, and completing transition evaluations within 24 hours.

Care Transition Manager Social Worker LMSW/LCSW

PRN

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

· Work location: Texas Health Ft. Worth, 1301 Pennsylvania Avenue, Ft. Worth, TX 76104

· Care Transition Management department

  • Work hours: PRN, mainly weekdays between 7:30AM-5:00PM, on an as needed basis, Weekends are optional; During training, hours will vary between 7:30AM-5:30PM
  • (***Does Require 5-weeks of training Monday to Friday***)

Care Transition Management department highlights:

· 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



Here’s What You Need

· Master's 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 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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