Case Manager Long-term Care (Delaware)

Highmark Inc. is a leading health insurance provider, recognized for delivering comprehensive healthcare solutions and essential support services within the communities it serves. The company is dedicated to improving the health and well-being of its members through innovative care coordination and integrated healthcare programs. As part of the larger Highmark Health system, Highmark Inc. focuses on empowering members with access to quality care, personalized health management, and a wide range of health insurance products tailored to meet diverse needs. With a commitment to inclusivity and community-based care, Highmark emphasizes seamless coordination across healthcare providers and social services to ensure holistic and effective support for its members. Employment at Highmark Inc. offers a unique opportunity to be part of an organization that values integrity, collaboration, and the continuous pursuit of excellence in the healthcare sector. This full-time position is community-based and requires frequent travel within the assigned territory in Delaware, highlighting Highmark's commitment to direct member engagement and quality service provision in home and facility environments.

The role of Community-Based Case Manager at Highmark Inc. is pivotal in serving as the singular point of contact for members, coordinating all facets of their care needs across a variety of service delivery systems and community supports. This position is designed to address complex and chronic healthcare needs, particularly for members enrolled in DSHP Plus LTSS and DSNP programs, by conducting thorough assessments both in nursing facilities and members’ homes. The ideal candidate will provide extensive case management services, navigating transitions between differing care settings and ensuring attachments to appropriate resources and healthcare providers. They are expected to take a leading role in educating members and caregivers, developing individualized care plans, and working collaboratively with interdisciplinary care teams to promote safe, cost-effective, and least restrictive care environments. The role demands an ability to travel regularly within the assigned area to perform essential face-to-face assessments and ongoing follow-ups, making it a dynamic and impactful position in the community healthcare landscape. The salary range for this position is between $72,700 and $116,600, reflecting the value Highmark places on experience, qualifications, and contribution.