LTSS Case Manager: Home & Community Care

Highmark Health; Delaware; Hybrid; USD 73,000 - 117,000; Full time

Job summary

Highmark Inc. is seeking a Care Coordinator to serve as the single point of contact for members, coordinating care across home, nursing facilities, and community settings within the Delaware territory.

The role involves frequent home visits and LTSS coordination, with travel to members’ homes and facilities as needed. The position requires healthcare/social work qualifications and experience in LTSS, case management, or related fields, with a focus on ensuring safe, cost-effective care

Qualifications

• Bachelor's degree in Social Work or related field with relevant LTSS experience.
• Master’s degree in Social Work or related field with LTSS experience.
• RN/LPN licensure or multi-state eNLC licensure with LTSS experience.
• High school degree with three years of qualifying case management experience.
• No substitutions outside stated qualifications.

Responsibilities

• Conduct regular in-home and nursing facility visits for needs assessments.
• Coordinate care across LTSS, Medicaid, and DSNP benefits.
• Educate members and caregivers on benefits and care options.
• Develop individualized care plans with members or caregivers.
• Document all case management services in the electronic health record.
• Adhere to HIPAA and privacy policies and quality standards.

Skills

Flexible hours

Word processing

Travel ready

Regulatory compliance

Education

Bachelor's in Social Work or related field

Master’s in Social Work or related field

RN or LPN licensure

eNLC multi-state licensure

High school + 3 years case management

Job description

Highmark Inc. is seeking a Care Coordinator to serve as the single point of contact for members, coordinating care across home, nursing facilities, and community settings within the Delaware territory.

The role involves frequent home visits and LTSS coordination, with travel to members’ homes and facilities as needed. The position requires healthcare/social work qualifications and experience in LTSS, case management, or related fields, with a focus on ensuring safe, cost-effective care