Care Coordinator, LSW (MSHO)

Bluestone-Physician-Services; Saint Paul (MN); Hybrid; USD 65,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Company paid Short and Long-term Disb.

Health Savings Account (with employer)

Flexible Spending Account (FSA)

Retirement plan 4% match

9 paid holidays + 1 floating holiday

Mileage reimbursement

Company sponsored cell phone, laptop,

Scrubs

Job summary

Bluestone Physician Services in Minnesota is seeking a Care Coordinator to support seniors in navigating healthcare, accessing waiver services, and coordinating with DHS and CMS requirements.

The role is hybrid, with a mix of in-home visits and remote work, primarily serving Maplewood and St. Paul areas. Full-time schedule 8-5 M-Thu and 8-3 on Fri; 65k-75k USD, commensurate with experience.

Qualifications

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

Responsibilities

• Manage member caseloads within assigned geographic area.
• Coordinate face-to-face visits and elder waiver oversight.
• Conduct annual PCA assessments and develop living tools for assisted living residents.
• Review health needs, set goals, and create individualized care plans.
• Connect members with community and state resources and services.
• Support safe transitions of care and collaborate with care teams for discharge follow-up.

Education

Current MN Licensed Social Worker (LSW, LMSW, LISW, or LICSW)

Minnesota Registered Nurse license

Geriatric/care coordination experience

Driver's license

Job description

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 — Primarily Maplewood and St. Paul 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

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

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!

Equal Employment Opportunity

As set forth in Bluestone Physician Services’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

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