Case Manager - Complex Cases

About SilverStay SilverStay is on a mission to revolutionize hospital discharge. We help hospitals, families, and post‑acute providers work together to ensure even the most complex patient discharges happen smoothly, quickly, and compassionately. Our model blends embedded hospital support with advanced data tools to reduce length of stay (LOS), alleviate weekend discharge bottlenecks, and transform how care transitions happen. Case Manager (LCSWs, MSWs, & RNs) We are seeking an experienced Case Manager (LCSWs, MSWs, & RNs) to manage complex discharges for our partner hospital in the Silver Spring, MD area. This role is ideal for a motivated, outcomes‑driven professional who thrives in fast‑paced environments and wants the flexibility, creativity, and autonomy to improve how patient discharges are handled. This partner hospital serves a high‑acuity, high‑complexity population, including a significant share of uninsured, unmet‑or‑under‑housed, and behavioral‑health patients—work that frequently involves shelter placement, guardianship, and patient identification. This position allows direct access and communication with leadership and additional supportive resources. What You’ll Do Facilitate safe and successful discharges for complex patients by navigating barriers and driving innovative solutions across hospital teams and post‑acute care settings within SilverStay’s preferred provider network, including SNFs, LTACHs, acute rehab, home health, and community resources. Caseload is an average of 10‑12 per week, which may be a combination of complex cases and other cases to assist the hospital team with discharge efforts. Participate in SilverStay and hospital complex case meetings and engage with patients and families to ensure seamless communication across all stakeholders. Present reports to hospital leadership on progress, scalability efforts, and results, proposing and executing adjustments as needed to impact population health outcomes including LOS and throughput. Same‑day handling of time‑sensitive tasks (HINN/IMM letters, family conversations, payer calls) and daily documentation and charting so payers and leadership are able to act timely. Reprioritize in real time when leadership redirects focus to an urgent case—acknowledge, shift, and commit to a same‑day timeline—without dropping the work already in motion. Build and refine scalable workflows and processes that increase efficiency and outcomes. Partner with SilverStay leadership and hospital teams to track key metrics (LOS, readmission rates, discharge success) and continuously improve results. Respond quickly, professionally, and reliably with hospital teams and others related to patient discharge planning. Escalate issues professionally and with urgency with hospital leadership and SilverStay leadership. Bring concerns and frustrations directly to hospital and SilverStay leadership—not laterally to floor staff or providers; engage proactively and constructively in defining case direction and prioritization. Flexibly adjust to changing hospital needs in real time with thoughtfulness, a population health mentality and with grace for the customer. Leverage technology and data‑driven insights to transform how complex cases are managed. Seamlessly work across hospital‑related technology (EMR, discharge software), SilverStay technology (Slack, Google‑suite, Claude) and participate in the development of Navigator AI (SilverStay’s proprietary case management software). Who You Are Licensed RN, LMSW, or LCSW. Must have at least three (3) years’ case management, discharge planning or transitional care experience in an adult, in‑patient hospital setting (not hospice, private practice, or medical clinic). Skilled at navigating post‑acute settings (SNF, LTACH, acute rehab, ALF, group home)). A patient and family‑centered communicator with empathy, professionalism, and persistence. Skilled at persuasion—able to bring families and providers along, including when the discharge plan changes late. Ambitious, entrepreneurial driven, innovative, dedicated and diligent work ethic. Positive and composed under pressure—solutions‑oriented rather than complaint‑first when priorities shift or a case gets difficult, and brings challenges to leadership constructively. Thrives in high‑responsibility, high‑ambiguity environments where adaptability and creativity are key. Flexible and adaptable in changing environments and with diverse team members and patients. A tolerance for ambiguity and process flux. This role is outcome‑driven and workflows can shift week to week. Must be comfortable with change, while consistent with hours and on‑site presence. Tech‑savvy and excited about the role of innovation in healthcare. BLS Certified and able to successfully pass a background check and drug testing. Why Join SilverStay Autonomy & leadership: You’ll have the freedom to manage your approach, as long as you deliver results. You will be expected to lead problem‑solving of tough hospital challenges with a solutions‑oriented approach. High expectations + high support: We set ambitious goals, but we also make sure our team has the tools and backup to achieve them. Growth potential: No cap to your impact, as SilverStay grows, so can you. Values‑driven: Empathy. Creativity. Collaboration. Ethical Conduct. And always, wowing patients and clients. We take care of our people: When you need help, you’ll get an answer right away. We prioritize responsiveness, support, and being genuinely excellent and collaborative colleagues. Compensation & Benefits Competitive Salary: $100,000 - $130,000; commensurate with experience and potential impact. Performance‑Bonus: Bonus structure that can add 5%-10% of base salary, tied directly to outcomes and results. Paid out quarterly after a vesting period. Health & Wellness: Comprehensive medical, dental, and vision coverage - including spouse and family. Retirement Planning: 401(k) with employer contribution. Paid Time Off: Flexible time off plus holidays. Professional Development: Ongoing training, mentorship, and opportunities to grow into leadership as SilverStay expands. #J-18808-Ljbffr