Care Transition Manager, Social Worker - PRN

Texas Health Resources; Dallas (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401k

Paid PTO

Medical insurance

Dental insurance

Paid Parental Leave

Tuition reimbursement

Student Loan Repayment

Flex spending

Job summary

Texas Health Resources invites an experienced Social Worker to join the Care Transition team in Dallas. This PRN role supports care management and transition planning for hospital patients, coordinating discharge needs and care levels with physicians, patients, and families.

You will assess patients, coordinate with care teams, and ensure timely transitions while maintaining high-quality patient care and adherence to hospital standards.

Qualifications

• Master's degree in social work is required.
• Three years of hospital/medical social work experience preferred.
• One year of discharge planning/care management experience required.
• LMSW/LCSW upon hire is required; CPR required; ACM/CCM preferred or ANCC preferred.

Responsibilities

• Ensure patients are transitioned to appropriate levels of care in a timely and effective manner.
• Review THRIL scores daily for all assigned patients to identify high risk cases.
• Promote discussion and help identify a PCP for patients.
• Complete Transition Evaluations within 24 hours and begin discharge planning.
• Interview and assess patients and caregivers as part of transition evaluation.
• Identify transition needs and discuss funding of post-transition care with patients and caregivers.

Skills

Discharge planning

Care management

Hospital case management

CPR certification

Patient care coordination

Education

Master's degree in Social Work

LMSW or LCSW required upon hire

ACM or CCM preferred

ANCC preferred

Job description

Care Transition Manager, Social Worker (SW) - Care Management

Bring your passion to Texas Health So We Are Better + Together

Work location: Texas Health Dallas, 8200 Walnut Hill Ln, Dallas, TX 75231

Work hours: PRN, As needed. Weekdays, weekends, holidays

Care Transition Department highlights:

• Engaged leadership team
• Manageable case load
• Team that works together to ensure work/life balance for all

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 Repayment 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 https://jobs.texashealth.org/ for info like Benefits https://jobs.texashealth.org/benefits , Job Listings by Category https://jobs.texashealth.org/professions , recent Awards https://jobs.texashealth.org/awards we've won and more.

Entity Highlights

For more than a half-century, Texas Health Hospital Dallas has been at the forefront of health care in North Texas. We're an 875-bed, Magnet-designated, full-service hospital serving our community in and around Dallas since 1966. We specialize in cancer care, cardiology, neurosciences, women's services and emergency medicine, we've got it. Plus, we're a renowned Level III neonatal intensive care unit, a Comprehensive Stroke and Bariatric Surgery Center of Excellence and provide wellness services, outpatient surgery and women's imaging services. *Texas Health Dallas is a joint Commission-certified Comprehensive Stroke Center, a Level I Trauma Center, a Comprehensive Heart Attack Center, and a designated Magnet hospital. We're a top choice in North Texas for cancer and emergency services, bariatric services, cardiac care and much more. As part of the Texas Health family and its 28,000+ employees, we're one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.

Do you still have questions or concerns? Feel free to email your questions to [e-mail] .

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Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.