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

Care Transition Manager RN/Registered Nurse

Full-time

We’re looking for a qualified Care Transition Manager RN to join our Texas Health family.

Position Highlights

  • Work location: Texas Health Fort Worth-1301 Pennsylvania Ave Fort Worth, TX 76104

  • Work environment: Care Transition

  • Work hours: Full-time; Monday-Friday (40 hours/week)

  • Salary range: $37.17 - $55.05 per hour (based on relevant experience)

Texas Health Harris Methodist Hospital Fort Worth is a 726-bed, Magnet-designated regional referral center that has served the residents of Tarrant County and surroundings communities since 1930. Hospital services include cardiovascular care, high-risk obstetrics, gynecology, orthopedics and sports medicine, neonatal intensive care, and trauma/emergency medicine. In early 2014, Texas Health Fort Worth will be opening a new 75,000 square foot Emergency Services Center, one of the largest in the region. Texas Health Fort Worth has more than 4,000 employees, 200 volunteers and nearly 1,000 physicians on its medical staff. Texas Health Fort Worth recently received national recognition for its oncology program and was named “Best Place to Have a Baby” in Tarrant County. The hospital is also a designated Cycle III Chest Pain Center by the Society of Chest Pain Centers We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.

Qualifications

  • Bachelor’s Degree in Nursing (BSN) Required

  • 3 Years Staff Nurse at an acute care hospital Required

  • 1 Year discharge planning/care management Preferred

  • RN - Registered Nurse Upon Hire Required

  • CPR - Cardiopulmonary Resuscitation Upon Hire Required

  • ACM - Accredited Case Manager Upon Hire Preferred

  • CCM - Certified Case Manager Upon Hire Preferred

  • ANCC Upon Hire Preferred

Skills:

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

Critical thinking, analysis and conflict resolution skills

Flexible scheduling as necessary

Psychosocial and crisis intervention skills

Ability to prioritize and meet deadlines

Position Responsibilities

  • 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.

  • Interviews and assesses patients and caregivers as part of the transition evaluation and as needed.

  • Identifies transition needs and discusses funding of post-transition care with patients and caregivers.

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

  • Identifies community resources and service needs and facilitates appropriate referrals as needed.

  • Assigns patients to and supports appropriate transition programs (e.g. ACO members) when applicable

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

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

  • Executes and updates the discharge plan as needed.

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

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

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

  • Why Texas Health As a Texas Health Care Transition Manager RN you’ll 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. 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®

  • 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.

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