Care Coordinator, LSW

Bluestone Physician Services • Fergus Falls, MN

113d • $65,000 - $75,000 • Remote

About The Position

Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs. Our care teams travel to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida. In addition to primary care, Bluestone has a highly developed care coordination model for more than 14,000 seniors and individuals living with disabilities in Minnesota. Bluestone Care Coordination partners with Minnesota health plans to support their members who receive medical assistance through Minnesota's Special Needs BasicCare (SNBC) & Minnesota Senior Health Options (MSHO) programs. Care Coordinators are registered nurses or licensed social workers who work directly with members to assess their physical, mental and social needs and facilitate services and communication across their care team to support their best interests and close gaps in care. Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 13th year in a row! Bluestone also achieved Top Workplace USA 2021-2025!

Requirements

• Current MN Licensed Social Worker (new grads encouraged to apply) OR 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
• 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.

Responsibilities

• Manage member caseloads within your assigned geographic area.
• Coordinate face-to-face visits.
• Conduct annual assessments including Personal Care Assistance (PCA) assessments for community members and customized living tools for members residing in Assisted Livings.
• Review current health needs, identify goals, and develop individualized care plans.
• Help connect members with community and state resources and services.
• Complete required documentation.
• Collaborate with medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals.
• Support members during transitions of care as well as collaborate with their care team to ensure a safe discharge and follow up plan.

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 (8) paid holidays for office closures plus two (2) 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree