LTSS Service Coordinator (Case Manager) (Healthcare)

Location: Field-based hybrid role for candidates living in one of the specified Ohio counties: Athens, Clermont, Clinton, Defiance, Erie, Fulton, Hamilton, Hancock, Henry, Lucas, Montgomery, Ottawa, Paulding, Pickaway, Ross, Sandusky, Seneca, Warren, Williams, or Wood. The role involves travel to client sites or designated locations, with occasional office attendance; hirify.global associates are generally required to work at an hirify.global location at least once per week unless the role is designated primarily virtual.

Company

hirify.global is a Fortune 25 healthcare company focused on improving lives and communities and simplifying healthcare.

What you will do

• Manage service coordination for a designated caseload across long-term services and supports, physical health, behavioral health, and psychosocial needs.
• Conduct face-to-face assessments, use motivational interviewing, and identify members requiring clinical care coordination.
• Lead person-centered planning, document member goals and preferences, and create comprehensive Person Centered Support Plans and backup plans.
• Coordinate with Medical Directors, interdisciplinary teams, caregivers, families, service providers, and physicians.
• Submit utilization and authorization requests aligned with members’ care plans and coordinate cost-effective support services.
• Report critical incidents and participate in member grievances, appeals, fair hearings, and state audits.

Requirements

• BA/BS degree and at least 2 years of experience working with a social work agency, or an equivalent combination of education and experience.
• Experience supporting members with chronic illnesses, co-morbidities, disabilities, or long-term services and support needs.
• Ability to perform face-to-face assessments and travel to client sites or designated locations.
• Must live in one of the listed Ohio counties and remain within reasonable commuting distance of an applicable office unless an accommodation is granted by law.
• Ability to document care plans and coordinate with clinical, governmental, and community stakeholders.

Nice to have

• Case management experience with older adults or individuals with disabilities.
• BA/BS in Health or Nursing.
• Experience mentoring staff, serving as a subject matter expert, or supporting process improvement.

Culture & Benefits

• Hybrid workforce strategy with office attendance expectations based on role requirements.
• Paid holidays, paid time off, merit increases, and incentive bonus programs.
• Medical, dental, vision, disability, and life insurance benefits.
• 401(k) with company match, stock purchase plan, wellness programs, and financial education resources.
• COVID-19 and influenza vaccination may be required for certain patient- or member-facing roles, subject to applicable exemptions and laws.