Care Transition Manager, Social Worker PRN, Days

Heres What You Need

Masters degree in social work required

Three years of experience in hospital / medical social work preferred

One year of experience of 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 and CPR -Cardiopulmonary Resuscitation upon hire required and ACM Accredited Case Manager upon hire preferred or CCM Certified Case Manager upon hire preferred or Other ANCC upon hire preferred

What You Will Do

Ensure 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

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

Additional perks of being a Texas Health Employee :

Benefits include 401k Employee Assistance Program (EAP) Discount Programs as well as other benefits.

Delivery of high-quality patient care

Strong Unit Based Council (UBC).

A supportive team environment with outstanding opportunities for growth.

Learn more about our culture benefits and recent awards!

Entity Highlights :

Texas Health Plano Highlights :

Texas Health Presbyterian Hospital Plano is a 366-bed Magnet-designated hospital and recognized clinical leader providing technologically advanced care to Plano Frisco and surrounding communities since 1991. This full-service facility features a full range of specialties including emergency medicine cardiology adult and adolescent behavioral health pediatrics an adult intensive care unit state of the art and technologically advanced surgical services and Level III NICU. Texas Health Plano has more than 1600 employees and over 1360 physicians on its medical staff in more than 65 specialties. The hospital is an Advanced Level III Trauma Facility accredited Chest Pain Center by The Joint Commission named Best Place to Have a Baby in Collin County and a Gold-Level Mother Friendly business. Texas Health Plano is the recipient of the Disease Specific Care Certifications from the Joint Commission in Chest Pain Joint Replacement Hip and Joint Replacement Knee and an Advanced Certification as a Primary Stroke Center. We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.

If youre ready to join us in our mission to improve the health of our community then lets show the world how were even better together!

Do you still have questions or concerns Email your questions to :

#LI-AW1

Care Transition Manager SW Care Management

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

Work location : Texas Health Plano 6200 West Parker Road Plano TX 75093

Work hours : PRN; Days Weekdays and weekends (3 shift min. per schedule - which runs a month. 2 holidays per year)

Care Management Highlights :

Flexible daytime hours

Opportunity to work with a diverse group of highly educated professionals

Care coordination with focus on timely discharges

Ability to pick your own schedule

Multidisciplinary team focus

Team oriented with focus on providing compassionate patient centered care

Evidence based practice

Required Experience :

Manager

Key Skills

Motivational Interviewing,Acute Care,Crisis Intervention,Behavioral Health,Intake Experience,Hospice Care,Case Management,Home Care,Child Welfare,Experience with Children,Social Work,Addiction Counseling

Employment Type : Grant

Experience : years

Vacancy : 1