Care Transition Manager Social Worker Full time 40 hours

Care Transition Manager Social Worker Job ID: 26003270 Work Location & Schedule Texas Health Ft. Worth, 1301 Pennsylvania Avenue, Ft. Worth, TX 76104 Full-time, 40 hours/week, Monday–Friday Between the hours of 7:00 AM–5:00 PM Training up to 5 weeks, 7:30 AM–5:30 PM 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 Qualifications Master’s Degree in Social Work required 3 years’ experience in hospital/medical social work preferred 1 year of discharge planning/care management preferred LMSW – Licensed Master Social Worker upon hire required LCSW – Licensed Clinical Social Worker upon hire required CPR certification upon hire required ACM – Accredited Case Manager upon hire preferred CCM – Certified Case Manager upon hire preferred or other ANCC upon hire preferred Responsibilities Working knowledge of medical necessity criteria preferred Knowledge of Microsoft Outlook and Office (Word, Excel) Customer service skills Engage in complex clinical decision‑making and discharge planning Strong oral and written communication skillsCommitment to interdisciplinary collaboration Critical thinking, analysis and conflict resolution skills Psychosocial and crisis intervention skills Prioritize and meet deadlines Identify community resources and service needs and facilitate appropriate referrals as needed 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 and collaborate with the interdisciplinary team to identify high‑risk patients whose THRIL score may not have indicated appropriately Promote discussion and assist in the identification of a primary care physician (PCP) for patients without a PCP Complete transition evaluations on patients within 24 hours of identification and begin discharge planning Benefits 401(k) PTO Medical & dental coverage Paid parental leave Flexible spending account Tuition reimbursement Student loan repayment program Other benefits #J-18808-Ljbffr Texas Health Resources