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Texas Health Resources Care Transition Manager RN Registered Nurse PRN in Fort Worth, Texas

Care Transition Manager, Registered Nurse - PRN

Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for a qualified Care Transition Manager like you to join our Texas Health family.

Position Highlights

  • Work location: Texas Health Fort Worth, 1301 Pennsylvania Avenue, Ft. Worth, TX 76104

  • Work environment: Care Management

  • Work hours: PRN, mainly week days, on an as needed basis (Does *Require 5-weeks of training Monday to Friday *)

  • Salary: $39.00 per hour, plus 401K retirement

At Texas Health Fort Worth we take seriously our mission to improve the health of those in our community. We are a 726-bed, Magnet-designated, full-service hospital serving our community since 1930. Our location in Fort Worth provides convenient care to the residents of Fort Worth and the surrounding areas.

If you’re looking for cardiovascular care, high-risk obstetrics, gynecology, neurosciences, sports medicine and emergency medicine, we’ve got it. Plus we’re an accredited Cycle III Chest Pain Center, an Emergency Center of Excellence and provide gynecology, neonatal intensive care, respiratory therapy and orthopedic medicine.

And talk about award winning. Texas Health Fort Worth is Joint Commission-certified in both Heart Failure and Chest Pain, a Comprehensive Stroke Center, an Acute Heart Failure Center, a Level II Trauma Center, a designated Magnet hospital and the Best Place to Have a Baby in Tarrant County. We are a top-notch choice in North Texas for emergency services, women’s services, cardiac care and much more.

As part of the Texas Health family, we employ over 24,000 employees and are among the areas top five largest employers. Come be a part of our exceptional team as we continue to provide outstanding care and deliver award winning results. You belong here.

Position Qualifications

• Bachelor’s degree in Nursing required. (Individuals hired as a Care Transition Supervisor prior to May 11, 2017 will be grandfathered with an ADN at the entity they were employed at on May 11, 2017.) OR

• 3 years staff nurse at an acute care hospital required

• 1 years discharge planning/care management highly preferred

• Weekday availability highly preferred

• RN – Registered Nurse upon hire required

• CPR – Cardiopulmonary Resuscitation upon hire required and

• ACM – Accredited Case Manager upon hire preferred Or

• CCM – Certified Case Manager upon hire preferred Or

• ANCC upon hire preferred

Position Responsibilities Texas Health Fort Worth Care Transition Managers are responsible for ensuring patients are timely and effectively transtioned to appropriate levels of care.

In addition to the required qualifications, a successful Care Transition Manager will

• Review 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.

• Promote discussion and assists in the identification of a primary care physician (PCP) for patients without a PCP

• Complete Transition Evaluations on patients within 24 hours of identification and begin discharge planning.

• Interview and assess patients and caregivers as part of the transition evaluation and as needed.

• Identify transition needs and discuss funding of post-transition care with patients and caregivers.

• Identify Geometric Mean Length of Stay (GMLOS) and update the Anticipated Date of Discharge (ADOD) as necessary while considering excess days risk.

• Identify community resources and service needs and facilitate appropriate referrals as needed.

• Assignspatients to and support appropriate transition programs (e.g. ACO members) when applicable

• Communicate with the multidisciplinary team (physicians, nursing, therapy), patient, family and post-acute care stakeholders in order to coordinate care.

• Educate patients, caregivers, and the multidisciplinary team regarding available post-acute care services and needs.

• Execute and update the discharge plan as needed.

• Communicate final transition plan 24-48 hours prior to transition.

• Facilitate care conferences for complex transitions, placement and palliative care needs.

• Serve as a point of contact for all identified stakeholders.

• Ensurespatients are provided post-acute options based on clinical necessity and patient choice while also considering the payor source:

• Servesas a content expert regarding payor information. Educate the multidisciplinary team, patients and caregivers regarding payor requirements and barriers.

• Communicate with payors as needed.

• Proactively identify patients who no longer meet continued stay criteria and communicates with the physician team.

• Attempt to schedule PCP, specialist or clinic follow up appointments for patients.

Why Texas Health As a Texas Health Care Transition Manager you may be able to enjoy top-notch benefits including 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.

At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make Texas Health Dallas a great place to work.

Here are a few of our recent awards:

  • 2021 FORTUNE Magazine’s “100 Best Companies to Work For®” (7th year in a row)

  • Becker's Healthcare "150 Great Places to Work in Healthcare" (4 years running)

  • “America’s Best Employers for Diversity” list by Forbes

  • A “100 Best Workplaces for Millennials" by Fortune and Great Place to Work®

Additional perks of being a Texas Health Fort Worth Care Transition Manager:

  • Gain a sense of accomplishment by contributing in a teamwork environment

  • Positively impact patients’ quality of life

  • Receive excellent mentorship, comprehensive training and dedicated clinical leadership resources

  • Enjoy 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 .

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.