Care Transition Manager Social Worker LMSW/LCSW PRN - ( 26009294 )

Description

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

Qualifications

Heres What You Need

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 weve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .

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Primary Location : Fort Worth

Job : Social Services

Organization : Texas Health Fort Worth 1301 Pennsylvania Ave TX 76104

Job Posting : Sep 8, 2026, 10:58:09 PM

Shift : Day Job

Employee Status : Regular

Job Type : Standard

Schedule : Per Diem