Field-Based Care Manager – Disability & Behavioral Health

Bluestone Physician Services; Saint Paul (MN); On-site; USD 69,000 - 80,000; Full time

Benefits offered by this job

Health Insurance

Short and Long-term Disability

Health Savings Account (with employer)

Flexible Spending Account (FSA)

Retirement plan with 4% matching

9 paid holidays + 1 floating holiday

Mileage reimbursement

Company cell phone, laptop and scrubs

Regular business hours

Job summary

Bluestone Physician Services in Minnesota is seeking an experienced Care Manager to deliver 1:1, disability-focused care management for individuals in group homes and assisted living settings. You will connect patients, families and primary care providers to implement unified care plans and prevent avoidable hospitalizations.

This full-time, 8am–5pm Monday-Thursday and 8am–3pm Friday role is 90% field-based across the St.

Qualifications

• Bachelor’s degree or higher preferred; licensure in nursing or social work preferred.
• 3–5 years in value-based care, population health, case management, or discharge planning.
• Experience with behavioral health preferred.
• Disability and residential care experience highly valued.

Responsibilities

• Develop and manage individualized care plans aligned with organizational standards.
• Collaborate directly with MDs, CNPs, and PAs to update care strategies.
• Identify and close care gaps to support value-based contracts.
• Lead hospital discharge transitions to prevent 30-day readmissions.
• Coordinate telehealth and on-site visits for timely care.
• Maintain high-visibility field-based presence in assigned communities.

Skills

Disability care experience

Time management

Team relationships

Communication

Computer proficiency

EHR experience

Mission alignment

English proficiency

Education

Bachelor’s degree or higher preferred

Licensed personnel preferred (LPN, RN, or Social Worker)

Tools

EHR systems

Job description

Bluestone Physician Services in Minnesota is seeking an experienced Care Manager to deliver 1:1, disability-focused care management for individuals in group homes and assisted living settings. You will connect patients, families and primary care providers to implement unified care plans and prevent avoidable hospitalizations.

This full-time, 8am–5pm Monday-Thursday and 8am–3pm Friday role is 90% field-based across the St.