Case Manager Long-term Care (Healthcare)

TL;DR

Case Manager Long-term Care (Healthcare): Coordinating comprehensive care needs for members across service delivery systems and community supports with an accent on in-home and nursing facility assessments. Focus on developing individualized care plans, facilitating transitions between care settings, and ensuring members receive cost-effective, high-quality support in the least restrictive environment.

Location: Must be based in Delaware. This is a community-based role requiring frequent travel within the assigned territory in DE to member homes and nursing facilities.

Company

hirify.global is a national health and wellness organization providing integrated care and coverage solutions.

What you will do

• Conduct regular face-to-face needs assessments in member homes and nursing facilities.
• Coordinate care across physical, behavioral, and long-term service delivery systems.
• Authorize and manage long-term services and supports (LTSS) based on comprehensive assessments.
• Facilitate care transitions between hospitals, nursing facilities, and home settings.
• Develop and evaluate individualized care plans to meet member goals and overcome obstacles.
• Collaborate with integrated care teams and providers to ensure safe, least-restrictive care environments.

Requirements

• Must be based in Delaware with reliable transportation for frequent travel.
• Bachelor's degree in Social Work/Health/Human Services with 3 years of experience OR Master's degree with 1 year of experience.
• Alternatively, current RN or LPN licensure with 2 years of relevant experience.
• Alternatively, high school degree with 3 years of case management experience for aged/disabled populations.
• Proficiency in PC-based word processing and electronic documentation systems.
• Ability to maintain a dedicated home workspace and comply with telecommuter policies.

Nice to have

• Certified Case Manager (CCM) or relevant social work licensure (LBSW, LMSW, LCSW).
• Experience with HIV/AIDS, behavioral health, or developmental disabilities populations.
• Prior experience with Medicare, Medicaid, or managed care environments.

Culture & Benefits

• Flexible working hours to meet member needs.
• Opportunity to work in a hybrid environment with home-based and community-based responsibilities.
• Commitment to ethical standards and HIPAA compliance.
• Supportive environment focused on member advocacy and community health.