Case Manager – Long-term Care

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $72.7k - $116.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Highmark Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1852

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

💰 $5M Grant on 2021-05

Healthcare Insurance • Non-profit • Social Impact

Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.

📋 Description

• Conduct regular in-home and nursing facility visits • Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in nursing facility or home and community-based care setting. • Coordinate care across continuum of services and assist members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs • Authorize LTSS services based upon completion of comprehensive needs assessment • Coordinate HCBS services, Medicaid and DSNP benefits and assess appropriateness of care and services in community • Educate members or caregivers regarding health care needs, available benefits, resources and services • Develop individualized care plans in conjunction with members or caregivers • Collaborate with the member's health care and service delivery team

🎯 Requirements

• Bachelor's degree in Social Work or in health, human, or education services • 3 years of experience in long-term care, home health, hospice, public health, or assisted living • Master’s degree in Social Work or in health, human, or education services and 1 year of experience in related fields • Current State RN or LPN licensure OR Current multistate licensure through the enhanced Nurse Licensure Compact (eNLC) and 2 years of experience in long-term care, home health, hospice, public health, or assisted living OR A high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population. • Experience working with HIV/AIDS population • Experience working with behavioral health population • Experience working with developmental disabilities population • Medicare and Medicaid experience • Managed care experience

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible working hours • Paid time off • Professional development opportunities