Care Transition Manager Social Worker LMSW PRN
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Job Location:
Fort Worth, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
10-11-2025
Vacancies:
1 Vacancy
Job Summary
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
Heres What You Need
Masters 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 .
Required Experience:
Manager
Key Skills
- Motivational Interviewing
- Acute Care
- Crisis Intervention
- Behavioral Health
- Intake Experience
- Hospice Care
- Case Management
- Home Care
- Child Welfare
- Experience with Children
- Social Work
- Addiction Counseling
About Company
With 24 hospitals around Dallas-Fort Worth, Texas Health Resources provides care in most North Texas communities. Call 1-877-THR-WELL for more information.
