Job Title: Care Transition Social Worker PRN
Company Name: Texas Health Resources
Location: Azle, Texas
Texas Health Azle seeks to hire a Care Transition Manager Social Worker
to work PRN (as needed) at (Texas Health Azle Hospital).
The address is (108 Denver Trail Azle, TX 76020)
Salary range is Min. $27.00/hr to Max. $45.38/hr – based on relevant experience
There are opportunities for more work hours at multiple THR hospitals
Responsible for ensuring patients are timely and effectively transitioned to appropriate levels of care.
Collaborates with interdisciplinary team to identify high risk patients.
Interviews/Assesses patients / caregivers as part of transition evaluation and as needed.
Identifies transition needs (including medications), develops transition plan within 24 hours of referral, and discusses funding of post transition care with patients / caregivers documents appropriately.
Validates transition plan with Interdisciplinary Team (Physician, Clinical Nurse Leader, Nursing, etc.).
Educates interdisciplinary team and patients / caregivers regarding available post acute care services and needs.
Communicates transition plan and post acute management plan with patients / caregivers and post acute care stakeholders.
Executes and updates transition plan and post acute management plan as needed.
Facilitates care conferences for complex transitions and/or placement.
Identifies community resources / service needs facilitates appropriate referrals as needed (acute and non-acute).
Actively communicates with all appropriate post acute care providers throughout patient stay. Communicates final transition plan 24 – 48 hours prior to transition.
Serves as a point of contact for all identified stakeholders.
The ideal candidate will possess the following qualifications
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
Strong oral and written communication skills
Strong commitment to interdisciplinary collaboration and communication
Strong skills in the preparation of clinically pertinent medical record documentation
Critical thinking and analysis skills and conflict resolution skills
Psychosocial and crisis intervention skills
Position requires flexible scheduling, including weekend and evening shift work as necessary
Ability to prioritize and meet deadlines.
Preferred experience with electronic health record and automated case management systems.
Individual must be self-directed and goal/outcomes/measurement driven
Why Texas Health Resources?
Texas Health Harris Methodist Hospital Azle is a community-based hospital serving the suburban areas of Azle, Lake Worth, Springtown and the surrounding areas. Located about 20 miles northwest of downtown Fort Worth, Texas Health Azle provides numerous services, including emergency medicine, surgical care, cardiology, wound care, pain management, radiology, rehabilitation services and an adult intensive care unit. Texas Health Azle is a Level IV trauma center, accredited in Chest Pain Management with distinction by the Joint Commission, and a 2013 National 100 Top Hospital by Truven Health Analytics, which makes our facility intensely qualified to serve our community and your professional aspirations.
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