Social Worker, Care Transition Manager, PRN, Days
Company: Texas Health Resources
Location: Denton
Posted on: May 24, 2025
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Job Description:
25000600Care Transition Social WorkerWhat You Will DoResponsible
for ensuring patients are transitioned to appropriate levels of
care in a timely and effective manner:Completes Transition
Evaluations and collects Social Determinants of Health (SDOH) data
on patients within 48 hours of identification and begins discharge
planning. Assesses and interviews patient and caregivers as part of
this evaluation and as needed.Reviews the Risk of Unplanned
Readmission (RUR ) scores daily for all assigned patients.Assists
in the identification of a primary care physician (PCP) for
patients without a PCP and attempts to schedule follow up
appointments with either a PCP, specialist, clinic, visiting
physician or other transitional care visit prior to
discharge.Identifies transition needs and discusses funding of
post-transition care with patients and caregivers.Additional Perks
Of Being a Texas Health Employee
Keywords: Texas Health Resources, Keller , Social Worker, Care Transition Manager, PRN, Days, Executive , Denton, Texas
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