Care Transition Manager, Social Worker - Full time, Days

Texas Health Resources • Dallas, TX

93d

About The Position

The Care Transition Manager Social Worker (SW) position at Texas Health Dallas involves ensuring that patients are transitioned to appropriate levels of care in a timely and effective manner. The role includes reviewing the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients, identifying high-risk patients, promoting discussions to assist in the identification of a primary care physician (PCP), and completing transition evaluations on patients within 24 hours of identification. The position requires interviewing and assessing patients and caregivers as part of the transition evaluation and discussing funding of post-transition care with patients and caregivers. The work hours are full-time, Monday to Friday from 8:00 AM to 4:30 PM.

Requirements

• Master’s degree in social work required.
• Three years of experience in hospital/medical social work preferred.
• One year of experience in 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.
• CPR - Cardiopulmonary Resuscitation upon hire required.
• ACM – Accredited Case Manager upon hire preferred or CCM – Certified Case Manager upon hire preferred or Other – ANCC upon hire preferred.

Responsibilities

• Ensure patients are transitioned to appropriate levels of care in a timely and effective manner.
• Review the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients.
• Identify high-risk patients whose THRIL score indicates a need for intervention.
• Promote discussion and assist in the identification of a primary care physician (PCP) for patients.
• Complete Transition Evaluations on patients within 24 hours of identification and begin discharge planning.
• Interview and assess patients and caregivers as part of the transition evaluation.
• Identify transition needs and discuss funding of post-transition care with patients and caregivers.

Benefits

• 401k
• PTO
• Medical
• Dental
• Paid Parental Leave
• Flex Spending
• Tuition Reimbursement
• Student Loan Forgiveness

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Master's degree
• Number of Employees: 5,001-10,000 employees