Hybrid Senior Care Coordinator - In-Home & Community

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

Benefits offered by this job

Health Insurance

Short and Long-term Disability

Health Savings Account (HSA)

Flexible Spending Account (FSA)

Retirement plan with 4% match

9 paid holidays + 1 floating holiday

Mileage reimbursement

Company sponsored cell phone, laptop,＆

Scrubs

Job summary

Bluestone-Physician-Services is seeking a Care Coordinator to help Minnesota seniors navigate their healthcare journey. You will manage DHS and CMS requirements for MSHO/MSC+ members, balancing in-home visits with remote work.

The hybrid role emphasizes local community engagement and access to vital medical care and waiver services. The position offers predictable hours, a Monday-Thursday 8:00–5:00 schedule, with 50–70% local visits and 30–50% remote work from home.

Qualifications

• Must be licensed as MN Social Worker in good standing.
• Must hold MN RN license.
• Minimum 1 year of geriatric or disabled population case management experience preferred.

Responsibilities

• Coordinate face-to-face visits with members.
• Manage Elderly Waiver workflows and assessments.
• Conduct PCA assessments and create living tools for residents.
• Review health needs, set goals, and develop care plans.
• Connect members with community/state resources and services.
• Assist members to stay safely in their homes and communities.
• Complete required documentation accurately and timely.
• Collaborate with medical care teams to meet quality measures.
• Support transitions of care and safe discharge planning.
• Maintain compliant records and follow up on care plans.

Skills

Independent work

Communication skills

Interpersonal skills

English language proficiency

Education

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

MN Registered Nurse license

Job description

Bluestone-Physician-Services is seeking a Care Coordinator to help Minnesota seniors navigate their healthcare journey. You will manage DHS and CMS requirements for MSHO/MSC+ members, balancing in-home visits with remote work.

The hybrid role emphasizes local community engagement and access to vital medical care and waiver services. The position offers predictable hours, a Monday-Thursday 8:00–5:00 schedule, with 50–70% local visits and 30–50% remote work from home.