Care Coordinator, Lsw Or Rn

Bluestone Physician Services’ unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach to care that is preventative, proactive and includes all members of the care team. Medical providers, nurses and social workers collaborate with patients’ other healthcare providers and families.

Bluestone has locations in Minnesota, Wisconsin, Florida and uses a mobile clinic approach to provide care to patients within Assisted Living, Memory Care, and Group Home Facilities. In addition to primary care, Bluestone has a highly developed care coordination model for seniors and individuals living with disabilities. Our registered nurses and licensed social workers facilitate patient, family, and clinical partnerships to more than 5,000 members throughout Minnesota.

At Bluestone, our employees are our most valuable asset. We know our success is only possible through the hard work and dedication of each of our employees. Bluestone has been named to the Star Tribune's Top Workplace list for the 11th year in a row! Bluestone also achieved Top Workplace USA from 2021-2023! 

Position Overview:

Join our team as a Care Coordinator where you will work with the SNBC (Special Needs Basic Care, 18-64 years of age) population mainly throughoutthe Fillmore and Mower Counties, mainly throughout Preston, Austin, and Chatfield MN areas with members living in the community and group homes. In this position, you will work from home, but regularly travel your local area to serve the needs of your members and your community.                          

Responsibilities:

As a Care Coordinator, you will manage member caseloads within your assigned geographic area. This includes:

• Coordinating face-to-face visits
• 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 resources and services
• 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

Qualifications:

Education/Certification/Experience

• MN Licensed Social Worker (new grads encouraged to apply)
• OR Current Minnesota 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
• Dental Insurance
• Vision Materials Insurance
• Company paid Life Insurance
• Company paid Short and Long-term Disability
• Health Savings Account (with employer contribution)
• Flexible Spending Account (FSA) 
• Retirement plan with 4% matching contributions
• Eight paid holidays for office closures plus two floating holidays
• Three weeks (15 Days) Paid Time Off (PTO)
• Mileage reimbursement program for field employees 
• Company sponsored cell phone, laptop and scrubs
• Regular business hours

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