Care Transition Manager, Social Worker - PRN

Texas Health Resources•Dallas, TX

5d•Onsite

About The Position

The Care Transition Manager, Social Worker (SW) - Care Management role at Texas Health Dallas is a PRN position focused on ensuring patients are transitioned to appropriate levels of care in a timely and effective manner. This role involves managing a caseload, working with an engaged leadership team, and contributing to a supportive team environment that prioritizes work/life balance. The position is located at Texas Health Dallas, 8200 Walnut Hill Ln, Dallas, TX 75231, and requires flexibility in working weekdays, weekends, and holidays as needed.

Requirements

Master’s degree in social work required
One year of experience of discharge planning/care management
LMSW – Licensed Master Social Worker upon hire required or LCSW – Licensed Clinical Social Worker upon hire required
CPR -Cardiopulmonary Resuscitation upon hire required

Nice To Haves

Three years of experience in hospital/medical social work preferred
Hospital Case management preferred
ACM – Accredited Case Manager upon hire preferred or CCM – Certified Case Manager upon hire preferred or Other – ANCC upon hire preferred

Responsibilities

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