Social Worker, Care Transition Manager, PRN, Days

Heres What You Need

Masters Degree in 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.

1 year in hospital / medical social work is highly preferred 2 or more years is preferred and

1 Year discharge planning / care 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

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

Completes Transition Evaluations and collects Social Determinants of Health (SDOH) data on patients within 48 hours of identification and begins discharge planning. Assesses and interviews patient and caregivers as part of this evaluation and as needed.

Reviews the Risk of Unplanned Readmission (RUR ) scores daily for all assigned patients.

Assists in the identification of a primary care physician (PCP) for patients without a PCP and attempts to schedule follow up appointments with either a PCP specialist clinic visiting physician or other transitional care visit prior to discharge.

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 PTO medical dental Paid Parental Leave flex spending tuition reimbursement Student Loan Repayment Program 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.

Entity Highlights

99-bed facility with more than 500 physicians on our medical staff who practice a full range of addition to our modern facility and high-tech equipment we have a dedicated team of physicians and staff who go above and beyond to provide the highest quality medical care to every patient who comes through our door. As a result weve been recognized as the best provider of healthcare services by our patients peers and the community numerous times.

If youre ready to join us in our mission to improve the health of our community then lets show the world how were even better together!

Learn more about our culture benefits and recent awards.

Do you still have questions or concerns Feel free to email your questions to

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Care Transition Social Worker

Bring your passion to Texas Health so we are Better Together

Work location : Texas Health Flower Mound 4400 Long Prairie Rd TX 75028

Work hours : PRN Days

Department highlights :

• Modern facility and high-tech equipment
• Great team dynamics that provide a great support.
• The department prides itself in high performing staff with excellent critical thinking skills.

Required Experience :

Manager

Key Skills

Motivational Interviewing,Acute Care,Crisis Intervention,Behavioral Health,Intake Experience,Hospice Care,Case Management,Home Care,Child Welfare,Experience with Children,Social Work,Addiction Counseling

Employment Type : Grant

Experience : years

Vacancy : 1