Care Transition Navigator (MSW) — Flexible PRN Schedule

Texas Health Resources; Texas; Sur place; USD 65 000 - 85 000; Temps partiel

Avantages offerts par ce poste

401k

Employee Assistance Program (EAP)

Discount Programs

Résumé du poste

Texas Health Resources is seeking a Care Transition Manager SW (Social Worker) to support case management at Plano location. This role focuses on timely discharges, care coordination, and evidence-based practices within a multidisciplinary team.

The ideal candidate holds a Master’s in Social Work and LMSW/LCSW licensure, with prior hospital social work and discharge planning experience. PRN, flexible daytime schedule with two holidays per year.

Qualifications

• Master’s degree in social work is required.
• Three years hospital/medical social work experience preferred.
• One year discharge planning/care management experience.
• LMSW or LCSW licensure required on hire; CPR certification required; ACM/ CCM preferred.

Responsabilités

• Ensure patients transition to appropriate levels of care in a timely, effective manner.
• Review THRIL scores daily for assigned patients.
• Identify high-risk patients and coordinate with PCPs.
• Complete Transition Evaluations within 24 hours and begin discharge planning.
• Interview patients and caregivers during transition evaluations.
• Discuss post-transition funding needs with patients and caregivers.

Connaissances

Discharge planning

Care coordination

Hospital social work

CPR certification

Formation

Master’s degree in social work

LMSW or LCSW licensure

Description du poste

Texas Health Resources is seeking a Care Transition Manager SW (Social Worker) to support case management at Plano location. This role focuses on timely discharges, care coordination, and evidence-based practices within a multidisciplinary team.

The ideal candidate holds a Master’s in Social Work and LMSW/LCSW licensure, with prior hospital social work and discharge planning experience. PRN, flexible daytime schedule with two holidays per year.