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.

Company

hirify.global is a national health and wellness organization providing integrated care and insurance services.

What you will do

• Conduct face-to-face needs assessments in member homes and nursing facilities.
• Coordinate care across physical, behavioral, and long-term service delivery systems.
• Develop and implement individualized care plans to meet member goals.
• Facilitate transitions between hospital, home, and community-based care settings.
• Educate members and caregivers on available benefits, resources, and long-term care options.
• Document all case management interventions in the electronic health record system.

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.
• Proficiency in PC-based word processing and database documentation.
• Ability to work flexible hours to meet member needs.
• Compliance with all HIPAA and state privacy regulations.

Nice to have

• Certified Case Manager (CCM) certification.
• Experience with Medicare, Medicaid, or managed care.
• Background in geriatric special needs, behavioral health, or developmental disabilities.
• Licensed Social Worker (LBSW, LMSW, or LCSW).

Culture & Benefits

• Opportunity to work in a hybrid environment with telecommuter policies.
• Focus on professional development and adherence to high ethical standards.
• Supportive team environment dedicated to improving member health outcomes.
• Comprehensive benefits package typical of a large healthcare organization.