Case Manager – Long-term Care

Highmark Health

Case Manager responsible for coordinating member care in Delaware area for Highmark Health. Involves in-home visits and providing case management services.

Posted 6/18/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $72,700 - $116,600 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

care coordinationneeds assessmentindividualized care planscase managementlong-term carehome healthhospicepublic healthbehavioral healthdevelopmental disabilities

Soft Skills

communicationcollaborationorganizational skillseducational skillsinterpersonal skills

Certifications

Bachelor's degree in Social WorkMaster’s degree in Social WorkState RN licensureLPN licensuremultistate licensure through eNLC