Care Coordinator, LSW (MSHO)

Bluestone-Physician-Services; Roseville (MN); Hybrid; USD 65.000 - 75.000; Vollzeit

Benefits dieser Stelle

Health Insurance

Company paid Short and Long-term Disb.

Health Savings Account (HSA)

Flexible Spending Account (FSA)

Retirement plan with 4% matching

Nine paid holidays + floating holiday

Mileage reimbursement

Company sponsored cell phone, laptop,–

Regular business hours

Zusammenfassung

Bluestone-Physician-Services is seeking a Care Coordinator in Minnesota for a hybrid role, combining home visits with remote work. You will manage DHS and CMS requirements for MSHO/MSC+ members, ensuring access to medical care, waiver services, and community resources.

The position is full-time, with standard hours and no evenings or weekends. Local travel to St. Paul/Roseville area, 50–70% visits, 30–50% remote work from home, and a salary range of $65,000–$75,000 USD.

Qualifikationen

• Must hold a MN social work license (LSW/LMSW/LISW/LICSW).
• Minnesota Registered Nurse license also required.
• One+ year experience with geriatric or disabled populations in care coordination/case management preferred.
• Valid driver’s license required.

Aufgaben

• Manage member caseloads within geographic area.
• Coordinate face-to-face visits with members.
• Assist with Elderly Waiver and PCA assessments.
• Develop individualized care plans based on health needs and goals.
• Connect members to community resources and services.
• Support safe aging in place and transitions of care.
• Complete required documentation and collaborate with care teams.

Kenntnisse

Independent work

Interpersonal skills

Communication

Problem solving

Customer service

Ausbildung

MN Licensed Social Worker (LSW/LMSW/LISW/LICSW)

Minnesota RN license

Jobbeschreibung

Bluestone delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.

Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients’ chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.

Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.

Bluestone has been named to the Star Tribune's Top Workplace list for the 14th year in a row! Bluestone also achieved Top Workplace USA 2021-2026!

Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day.

Position Overview

Join our team as a Care Coordinator, empowering Minnesota’s senior population to navigate their healthcare journey and live healthier, more independent lives. In this role, you’ll manage Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) requirements for MSHO/MSC+ members. This is a hybrid position where you’ll work from home while traveling locally to meet directly with members in their homes and assisted living facilities, helping them access vital medical care, waiver services, and community resources.

Schedule: Full-time, 8:00 AM – 5:00 PM (Monday through Thursday) and 8:00 AM – 3:00 PM (Friday). No evenings, weekends, holidays, or on-call requirements.

Location: Hybrid — St. Paul and Roseville areas (50–70% local community visits; 30–50% remote work from home)

Salary Range: $65,000 - $75,000, commensurate with experience.

Responsibilities

As a Care Coordinator, you will manage member caseloads within your assigned geographic area. Key responsibilities include:

• Coordinating face-to-face visits
• Managing the Elderly Waiver
• Conducting annual assessments including Personal Care Assistance (PCA) assessments for community members and customized living tools for members residing in Assisted Livings
• Reviewing current health needs, identifying goals, and developing individualized care plans
• Helping connect members with community and state resources and services
• Help members remain safely in their homes and communities
• Completing required documentation
• Collaborating with medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals
• Supporting members during transitions of care as well as collaborating with their care team to ensure a safe discharge and follow up plan

Additional Benefits of Joining Bluestone's Care Coordination Team

• Dedicated preceptor support
• Ongoing mentoring and coaching
• Continuing education and professional development
• Collaborative managers who work alongside you
• Experienced documentation auditors focused on education and quality

Qualifications

Education/Certification/Experience

• Current MN Licensed Social Worker (LSW, LMSW, LISW, or LICSW) - New grads encouraged to apply!
• ORMinnesota Registered Nurse license
• One or more years of experience working with the geriatric or certified disabled population in case management/care coordination, Home Care, Group Homes, Nursing Homes, TCU or Assisted Living settings preferred
• Must have a valid driver’s license

Knowledge/Skills/Abilities

• Ability to work independently
• Access to a private and compliant home office space
• Creative problem-solving skills
• Appreciation for working with diverse populations
• Proven ability to communicate effectively with strong verbal skills
• Excellent interpersonal and customer service skills
• Demonstrated compatibility with Bluestone’s mission and operating philosophies
• Demonstrated ability to read, write, speak, and understand the English language

Bluestone Benefits

• Health Insurance
• Company paid Short and Long-term Disability
• Health Savings Account (with employer contribution)
• Flexible Spending Account (FSA)
• Retirement plan with 4% matching contributions
• Nine (9) paid holidays for office closures plus one (1) floating holiday
• Mileage reimbursement program for field employees
• Company sponsored cell phone, laptop and scrubs
• Regular business hours

Pay Transparency

$65,000 - $75,000 USD