Care Transition Manager Social Worker LMSW Full time
Compensation
Pay not listed
The week · per this posting · Monday – Friday
Ask the employer about the pay range, the work setting, nights and shift pattern and time off.
Job Description
Care Transition Manager Social Worker
LMSW/LCSW
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
- Full-time, 40 hours/week, Monday-Friday, Between the hours of 7:00AM-5:00PM
- Training up to 5-weeks between 7:30AM-5:30PM 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
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, PTO, medical, dental, Paid Parental Leave, flexible spending, tuition reimbursement, Student Loan repayment program, as well as several other benefits.
- 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 recruitment@texashealth.org.
Key Responsibilities
The role involves ensuring patients transition to appropriate levels of care effectively and timely, which includes reviewing daily Texas Health Readmission Indicator List (THRIL) scores and collaborating with the team to identify high-risk patients. Responsibilities also include facilitating referrals to community resources and assisting patients in identifying a primary care physician.
Requirements
Candidates must possess a Master's Degree in Social Work and hold an LMSW or LCSW license upon hire, along with current CPR certification. Preferred qualifications include three years of experience in hospital/medical social work and one year in discharge planning or care management.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Care Transition Manager Social Worker LMSW Full time at Texas Health Resources a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Master Social Worker (LMSW) — ranked against 237 active Master Social Worker (LMSW) listings on WeekdayDoc. Contributing factors include no weekend requirements.
Social Worker Career Context
Of the 50 active Master Social Worker (LMSW) listings this role was benchmarked against, 38% are remote, 34% have no call, 64% require no weekends.
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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