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Care Transition Manager SW – Case Management

_Bring your passion to Texas Health so we are Better + Together!_

**Work location:** Texas Health Frisco, 12400 N Dallas Parkway, Frisco, TX 75033

**Work hours:** Full time; Days 8:00a-4:30p (Rotating holidays and some weekends)

Care Management Highlights:

• Engaged leadership team

• Manageable case load

• Team that works together to ensure work/life balance for all

Here’s What You Need

• Master’s 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, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, student loan repayment programs as well as several other benefits.

• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.

• Strong Unit Based Council (UBC).

• A supportive, team environment with outstanding opportunities for growth.

Entity Highlights:

Texas Health Frisco is a 93-bed, acute-care, full-service hospital and medical office community offering primary care and multispecialty medicine. Our location in the North DFW area provides convenient care to the residents of Frisco and surrounding areas.

We specialize in women’s services, outpatient surgery, NICU and emergency medicine. Plus, we are a Pathway to Excellence Hospital, Joint Commission certified and we’re a Baby Friendly designated facility.

If you’re ready to join us in our mission to improve the health of our community, then let’s show the world how we’re even better together!

Learn (https://jobs.texashealth.org/why-texas-health/) more about our culture, benefits, and recent awards.

**_Do you still have questions or concerns?_** Feel free to email your questions to [email protected]

\#LI-AW1

Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.