Navigating the complex intersection of healthcare, social services and long-term support is often a daunting task for Delaware’s most vulnerable residents. To bridge this gap, Highmark Inc. Is expanding its community-based outreach, seeking professionals to serve as a vital lifeline for members across Kent, Sussex, and New Castle counties.
The company is currently inviting qualified healthcare and social operate professionals to apply for Case Manager Long-term Care – Delaware positions. These roles are designed to act as a single point of contact for members, coordinating essential care needs across various service delivery systems and community supports to ensure patients receive the right care in the safest, least restrictive environment possible.
This initiative focuses heavily on individuals enrolled in Delaware State Health Plan (DSHP) Plus Long-Term Services and Supports (LTSS) and Dual Eligible Special Needs Plans (DSNP). With a salary range spanning from $72,700 to $116,600, the positions combine the flexibility of remote work with the necessity of direct, face-to-face community engagement.
The Architecture of Community-Based Coordination
Unlike traditional clinical roles confined to a hospital or office, these case managers operate in the field. The role requires frequent travel—estimated between 25% and 50% of the time—to members’ homes, nursing facilities, and other community-based settings. This ensures that care plans are not merely theoretical documents but are grounded in the actual living conditions of the member.
The primary objective is the implementation of “least restrictive” care. This philosophy prioritizes keeping members in their homes or community settings over institutionalization, provided it is safe and cost-effective. Case managers are tasked with conducting comprehensive needs assessments, authorizing LTSS services, and managing Home and Community-Based Services (HCBS) to prevent unnecessary hospitalizations or permanent nursing home placements.
Beyond assessment, the role involves high-stakes transition management. Whether a member is moving from a hospital back to their home or transitioning from a nursing facility into a community setting, the case manager coordinates an integrated care team to prevent gaps in service. This includes developing “back-up plans” to ensure that if a primary provider becomes unavailable, the member’s health does not suffer.
Core Responsibilities and Member Advocacy
The daily workflow for a Delaware-based case manager is a blend of clinical oversight and social advocacy. Key duties include:
- Direct Intervention: Conducting regular in-home and nursing facility visits to perform face-to-face assessments.
- Care Planning: Developing individualized care plans in collaboration with caregivers to meet specific physical, behavioral, and psychosocial goals.
- Resource Navigation: Facilitating referrals to specialized programs, including behavioral health and chronic condition management.
- Education: Teaching members and their families about available benefits, Medicaid and DSNP options, and long-term care resources.
- Documentation: Maintaining rigorous records within electronic health record (EHR) systems to meet state and federal HIPAA privacy standards.
Qualification Tiers and Professional Requirements
Highmark has established a tiered qualification system to allow for a diverse range of professional backgrounds—from registered nurses to experienced social workers and seasoned case management specialists.
| Education/Licensure | Required Experience |
|---|---|
| Bachelor’s in Social Work, Health, or Human Services | 3 years in long-term care, home health, or public health |
| Master’s in Social Work, Health, or Human Services | 1 year in long-term care, home health, or public health |
| Current State RN or LPN (or eNLC licensure) | 2 years in long-term care, home health, or public health |
| High School Diploma or equivalent | 3 years of qualifying case management for aged or disabled populations |
While the above are mandatory, the company indicates a preference for candidates who hold a Certified Case Manager (CCM) credential or licenses such as LBSW, LMSW, or LCSW. Experience working with specific high-need populations—including those living with HIV/AIDS, behavioral health conditions, or developmental disabilities—is viewed as a significant advantage.
The Logistics of the Role
The position is classified as “Work From Home,” meaning the administrative and documentation portions of the job are handled from a dedicated home workspace. Though, this is not a traditional remote desk job; the “physical work site” requirement applies to the field visits throughout Delaware’s three counties.
Candidates must possess reliable daily transportation and the ability to work flexible hours to accommodate the needs of their members. Proficiency in standard PC-based tools (Word, Excel, Outlook) is required, as is a deep understanding of cultural competency to effectively serve Delaware’s diverse populations.
Why This Role Matters for Delaware’s Healthcare Landscape
The shift toward community-based care coordination is part of a broader national trend to reduce the burden on institutional nursing facilities and improve the quality of life for seniors and the disabled. By integrating physical and behavioral health providers with discharge planners and community resources, case managers reduce the “fragmentation” of care that often leads to medical errors or premature readmissions.
For the professional, this represents an opportunity to move away from the rigid structure of a clinic and into a role defined by autonomy and direct patient impact. The ability to manage a caseload across the continuum of care—from the hospital bed to the living room—requires a unique blend of clinical knowledge and emotional intelligence.
Disclaimer: This article is for informational purposes regarding employment opportunities and does not constitute legal or professional career advice.
Interested candidates can begin the process to apply for Case Manager Long-term Care – Delaware through the Highmark Health careers portal. The company maintains a strict non-discrimination policy for protected veterans and individuals with disabilities.
The next step for applicants is to submit their credentials for review, with base pay determined by a combination of experience, qualifications, and market considerations. Potential hires should ensure their licensure is current and their transportation is reliable before applying.
Do you have experience in community-based care or thoughts on the shift toward LTSS coordination in Delaware? Share your perspective in the comments or share this article with a qualified professional in your network.
