Care Transition Manager Social Worker LMSW PRN

#REF!•Fort Worth, TX

19d•Onsite

About The Position

Care Transition Manager Social Worker LMSW/LCSW PRN Bring your passion to Texas Health so we are Better + Together · Work location\: Texas Health Ft. Worth, 1301 Pennsylvania Avenue, Ft. Worth, TX 76104 · Care Transition Management department Work hours\: PRN, mainly weekdays between 7\:30AM-5\:00PM, on an as needed basis, Weekends are optional; During training, hours will vary between 7\:30AM-5\:30PM (Does Require 5-weeks of training Monday to Friday ) Care Transition Management department highlights: · Supporting the 815-bed, Magnet-designated, full-service hospital that has served the Ft. Worth and surrounding community since 1930 · Care Transition is a rewarding career with family-friendly hours

Requirements

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)
LMSW - Licensed Master Social Worker Upon Hire Required Or LCSW - Licensed Clinical Social Worker Upon Hire Required
CPR - Cardiopulmonary Resuscitation Upon Hire Required
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

Nice To Haves

3 Years’ experience in hospital/medical social work Preferred
1 Year discharge planning/care management Preferred
ACM - Accredited Case Manager Upon Hire Preferred
CCM - Certified Case Manager Upon Hire Preferred Or Other ANCC Upon Hire Preferred

Responsibilities

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