Care Transition Social Worker - Full Time Days

Texas Health Resources; Cleburne (TX); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

401k

Discounts in cafeteria

Growth opportunities

Job summary

Texas Health Resources is seeking a Care Transition Manager Social Worker (LMSW/LCSW) at Texas Health Cleburne. You will oversee discharge planning, coordinate care transitions, and collaborate with a multidisciplinary team to ensure patients receive timely care and post-acute options.

The role requires an MSW and licensure (LMSW or LCSW) on Hire, CPR, and preferred credentials from ACM/ CCM or ANCC. On-site work with a supportive team and opportunities for growth are highlighted.

Qualifications

• Master's degree in Social Work is required.
• State licensure as LMSW or LCSW upon hire is required.
• CPR certification upon hire is required.
• ACM/ CCM or ANCC credentials preferred or upon hire.

Responsibilities

• Assist with complex discharge planning and care management.
• Identify community resources and coordinate referrals for patients.
• Ensure timely transition to appropriate levels of care.
• Engage interdisciplinary team to support patient needs and THRIL score monitoring.

Skills

Customer service

Oral & written communication

Critical thinking

Team collaboration

Education

MSW degree required

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

26009345

Care Transition Manager Social Worker LMSW/LCSW

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

Work location:

Texas Health Cleburne 201 Walls Dr. Cleburne, TX 76033

Work hours:

Full Time Days - Between 8:00 am - 5p Occasional weekends required

Department Highlights

• Robust Unit Based Council (UBC) and engaged leadership team
• The Care Transition team ensures that patients are transitioned to appropriate level of care in a timely and effective manner. Provides education, care and resources to patients across various specialties to identify transition needs and discuss post- acute care options
• Manageable Case Load
• Team that works together to ensure work life balance for all

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 [e-mail].