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
· 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 recruitment@texashealth.org.
Texas Health Hospital Rockwall is proud to serve the growing areas of Rockwall County, Kaufman County, Hunt County, eastern Dallas County, southern Collin County and outlying areas. Our commitment is to provide not only safe, high quality care but to combine that with compassion, understanding and personal attention. This commitment has garnered us many local and national awards, including recognition as a CMS 5 Star hospital awarded to just 10% of those hospital surveyed nationally!
Located on 33 acres in Rockwall just south of interstate 30, Texas Health Rockwall offers 60 inpatient beds for acute medical and surgical needs. The hospital continues to grow and visiting campus today you will find a Women's Imaging and Breast Center, a bariatric clinic, an ambulatory surgery center and a variety of physician practices all dedicated to our evolving community health needs. You will see that our long awaited expansion is well underway! This expansion, focused on a healthy future in this high growth area of North Texas, will double the size of our hospital adding more patient beds, a Level 2 NICU, Cardiac Cath Lab and expanding other departments including Labor & Delivery, OR and the emergency room.
What makes us different? Simply put, it is how we approach caring for you. From the focus on safety to the personal attention we provide, our patients should feel right at home at Texas Health Rockwall. As Cindy Perrin, hospital president says, "The difference is found in the heart of our facility – our staff and physicians - and in the way we love, respect and care about our community and each other. We treat our hospital like our home, treat each other like family, and treat our patients like neighbors. It's just who we are!
Texas Health Hospital Rockwall is a joint venture owned by Texas Health Resources and physicians dedicated to the community and meets the definition under federal law of physician-owned hospital.