About this opportunity
Texas Health Resources lists this Care Transition Manager Social Worker PRN opportunity in cleburne, Texas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Care Transition Manager Social Worker LMSW/LCSW
Bring your passion to Texas Health so we are Better + Together
Work location: Texas Health Cleburne 201 Walls Dr. Cleburne, TX 76033
Work hours: PRN Days - Between 8:00 am - 5p to cover sick/pto time. Occasional weekends required.
Department highlights:
Robust Unit Based Council (UBC) and engaged leadership team
The Care Transition team ensures that patients are transitioned to appropriate level of care in a timely and effective manner. Provides education, care and resources to patients across various specialties to identify transition needs and discuss post- acute care options
Manageable Case Load
Team that works together to ensure work life balance for all
Here's 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 ( we've won and more.
Do you still have questions or concerns? Feel free to email your questions to
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.
Worksite address
cleburne, TX, 76031, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.