DSRIP BH Transition Coordinator at JPS Health Network (Dallas, TX)

| Dallas-Fort Worth, TX
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Who We AreJPS Health Network is a $950 million, tax-supported health care system in North Texas. Licensed for 578 beds, the network features 75 locations across Fort Worth, with John Peter Smith Hospital -home to Tarrant County's first and only Level 1 Trauma Center, only psychiatric emergency services site, and the largest hospital-based family medical residency program in the nation - and more than 40 community-based clinics. All told, our network employs more than 7,200 people.

Acclaim is our multispecialty medical practice group featuring over 300 providers serving the JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance
outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three rules:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

For more information, visit www.jpshealthnet.org.
To view all job vacancies, visit www.jobs.jpshealthnet.org/ or www.teamacclaim.org.

Job Title:

DSRIP BH Transition Coordinator

Requisition Number:


Employment Type:

Full Time


Behavioral Health

Compensation Type:


Job Category:

Behavioral Health

Hours Worked:

Mon-Fri 9A-5:30P


Stop Six/Walter B. Barbour Health Center

Shift Worked:


Job Description:

Description: The DSRIP Behavioral Health Transition Coordinator is responsible and accountable for the coordination of patient care across the care continuum with an emphasis on patient stabilization in the least restrictive setting and the outcome of reducing acute behavioral health readmissions.
Typical Duties:
  1. Coordinates the care of an identified behavioral health population throughout the healthcare continuum.
  2. Meets with the team and contributes to the development of a comprehensive plan of care based on a systematic assessment of the physiological and psychosocial needs of the patient.
  3. Evaluates and modifies plans of care as needed. May provide ongoing follow-up between hospitalizations/outpatient visits.
  4. Monitors patient progress towards established goals. Regularly communicates changes to the patient, family, healthcare team and other agencies involved.
  5. Collaborates with patient, family and healthcare team to arrange for identified home care needs. Acts as a hospital liaison for agencies and individuals involved with selected patients.
  6. Consults on patient care issues in area(s) of expertise. Functions as a resource to patients and families. May perform specific assessments or procedures for patients if trained and competent to do so.
  7. Documents all patient care activities appropriately in the medical record.
  8. Develops and maintains data system to track patients and outcomes.
  9. Identifies quality Improvement initiatives.
  10. Maintains timely, effective communications with the department leadership regarding all events or proposed changes which might impact regulatory issues, census variance, policies or procedures.
  11. Performs other related job duties as assigned.


    Required Education and Experience:
  • Bachelor's degree in Nursing or Social Work from a professional school of Nursing.
  • OR
  • Master's degree in Social Work or Counseling from an accredited college or university.
  • AND
  • 3 years of work experience in behavioral health.

  • Preferred Education and Experience:
  • BSN & ANCC certified in mental health nursing.
  • Master's Degree in Social Work with experience in an acute and outpatient behavioral health care settings.
  • 2 plus years of experience in Population or Disease Management.

  • Required Licensure/Certification/Specialized Training:
  • Must have a current licensure in one of the following: Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) from the Texas State Board of Social Work Examiners or the Texas State Board of Examiners of Professional Counselors.
  • OR
  • Current licensure by the Board of Nurse Examiners for the State of Texas or proof of reciprocity of licensure between the State of Texas and another state.
  • AND
  • Certification in Non-Aggressive Crisis Management; must be obtained while in orientation and maintained throughout employment.
  • Current JPS recognized CPR certification and must be maintained throughout employment. May be obtained subsequent to hiring.

Location Address:
3301 Stalcup Road
Fort Worth, Texas, 76119
United States
More Information on JPS Health Network
JPS Health Network operates in the Healthtech industry. The company is located in Fort Worth, TX. JPS Health Network was founded in 1906. It has 5001 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 38 open jobs at JPS Health Network, click here.
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