Hybrid LSW Care Coordinator - Geriatric Care & Home Visits

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

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Materials Insurance

Company paid Life Insurance

Company paid Short and Long-term Disab

Health Savings Account (with employer)

Flexible Spending Account (FSA)

Retirement plan with 4% matching

9 paid holidays + 1 floating

3 weeks PTO

Mileage reimbursement

Cell phone, laptop and scrubs

Regular business hours

Job summary

Bluestone is seeking a Care Coordinator in Minnesota to empower seniors and help them navigate DHS and CMS requirements for MSHO/MSC+ members. This hybrid role combines home visits with local travel to assist residents in accessing vital medical care, waiver services, and community resources.

You will manage caseloads in a defined geographic area, conduct annual assessments, develop personalized care plans, and collaborate with care teams to ensure high-quality, value-based care.

Qualifications

• MN Licensed Social Worker or Minnesota RN license required.
• One or more years of geriatric or disabled population experience in case management/care coordination preferred.
• Must have a valid driver's license.

Responsibilities

• Coordinate face-to-face visits with members.
• Manage Elderly Waiver processes.
• Conduct annual PCA assessments and develop living tools.
• Review health needs, set goals, and create individualized care plans.
• Connect members with community/state resources and services.
• Support members to remain safely in their homes and communities.
• Complete required documentation.
• Collaborate with medical care teams to meet quality measures and utilization goals.
• Assist with care transitions and follow-up planning.

Education

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

Minnesota Registered Nurse license

Job description

Bluestone is seeking a Care Coordinator in Minnesota to empower seniors and help them navigate DHS and CMS requirements for MSHO/MSC+ members. This hybrid role combines home visits with local travel to assist residents in accessing vital medical care, waiver services, and community resources.

You will manage caseloads in a defined geographic area, conduct annual assessments, develop personalized care plans, and collaborate with care teams to ensure high-quality, value-based care.