Care Transition Manager, SW; PRN in Plano, Texas at Texas Health Resources
Job Description
Care Transition Manager SW (Social Worker) Case 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 - Flexible, M-F and weekends. 8a-5p. Two holidays per year required
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
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 Social Worker
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.
Entity 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 a Level III NICU. Texas Health Plano has more than 1,600 employees and over 1,360 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.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .
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