Care Coordination Case Manager

About Sailor Health America is undergoing one of the largest demographic shifts in its history as the Baby Boomer generation enters its later years. This shift will put unprecedented pressure on Medicare, which already spends more than $1 trillion each year caring for older adults. Yet the healthcare system is built backwards: reactive instead of preventative, measuring years of life instead of the quality of them. Sailor Health is building a new care model for aging. We combine behavioral health, healthcare advocacy, wellness classes, and AI care agents into one virtual platform designed for older adults. AI coaches help patients navigate their health between visits, while AI copilots give providers the tools to deliver higher-quality, better-informed care. We partner with Medicare to make our platform affordable and accessible to older adults nationwide. About the Role Location: United States (remote) We're hiring a full-time (W2) Care Coordination Case Manager. This is a US-based, fully remote role. You will own continuity of care for patients who need a higher level of care than virtual outpatient therapy can provide, including those presenting with high acuity, active safety concerns, cognitive decline, substance use, or complex medical and social needs. When a patient's next step matters most, you make sure it happens. Your Key Responsibilities Identify. Partner with therapists, clinical leads, and the care navigation/patient support team to flag patients who are too high-acuity or out of scope for Sailor's virtual outpatient model. Assess. Reach patients and, with consent, their caregivers by phone or video to understand needs, preferences, insurance coverage, and barriers to care. Plan. Build an individualized transition-of-care plan that matches each patient to the right level and type of care — psychiatry and medication management, IOP/PHP, inpatient or residential treatment, geriatric psychiatry, memory care, substance use treatment, primary care, or community and social services. Connect. Execute the plan: place the referral, schedule the first appointment, transmit records with proper authorization, and confirm the patient actually arrived. What We’re Looking For People who are calm under pressure, relentless about follow-through, and unwilling to let a patient's next step be "we sent them a list." You know how to talk with an anxious 78-year-old and their adult child in the same call, how to get a hospital intake coordinator to call you back, and how to work a problem across insurance, geography, and clinical complexity until it's solved. You want to be part of a real team, not a queue. Bachelor's degree in social work, nursing, psychology, public health, or a related field required; master's degree a plus 2+ years of experience in case management, care coordination, discharge planning, utilization management, or referral coordination in a behavioral health or healthcare setting Working knowledge of behavioral health levels of care (outpatient, IOP, PHP, inpatient, residential) and how to determine fit Experience with older adults, Medicare, or Medicare Advantage strongly preferred Clinical licensure or certification (LMSW, LSW, LCSW, RN, LPC, CCM, ACM) is a plus, not a requirement Comfortable with telehealth platforms, EMRs, etc; able to learn new tools quickly Exceptional written and verbal communication and relationship-building skills Must reside in the United States and be authorized to work in the US Why Join Sailor Health Real impact on real people. You will directly shape what happens to the patients in the most vulnerable moments of their care journey. A team that has your back. You'll work side by side with our clinical leadership, therapists, and care navigation team — never making hard calls alone. Room to build. This is a new function at Sailor. You'll help define the playbooks, referral networks, and escalation pathways we use for years to come. Tools that get out of your way. Modern telehealth software built so your time goes to patients, not paperwork. #J-18808-Ljbffr