Care Coordinator, RN (MSHO)

Bluestone Physician Services•Winona, MN
•$65,000 - $75,000•Hybrid

About The Position

Bluestone is hiring a Care Coordinator to help Minnesota’s senior population navigate healthcare and live healthier, more independent lives. The role manages Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) requirements for MSHO/MSC+ members in an assigned geographic area. It is hybrid, combining work from home with local travel to meet members in their homes and assisted living facilities. The role involves coordinating medical care, waiver services, and community resources, and supporting members in remaining safely in their homes and communities. The schedule is Monday through Thursday, 8:00 AM–5:00 PM, and Friday, 8:00 AM–3:00 PM. Local community visits account for 50–70% of the work, with 30–50% remote work from home. There are no evening, weekend, holiday, or on-call requirements. The salary range is $65,000–$75,000, commensurate with experience. Bluestone provides a six-month onboarding program, dedicated preceptor support, ongoing mentoring and coaching, continuing education and professional development, collaborative managers, and documentation auditors focused on education and quality. The company describes its care model as multidisciplinary, evidence-based, and focused on quality care management and data-driven medical decisions.

Requirements

  • Minnesota Registered Nurse license, or current Minnesota Licensed Social Worker credential (LSW, LMSW, LISW, or LICSW).
  • Valid driver’s license.
  • Ability to work independently.
  • Access to a private, compliant home office space.
  • Creative problem-solving skills.
  • Ability to communicate effectively, with strong verbal skills.
  • Excellent interpersonal and customer service skills.
  • Demonstrated compatibility with Bluestone’s mission and operating philosophies.
  • Ability to read, write, speak, and understand English.

Nice To Haves

  • One or more years of experience working with geriatric or certified disabled populations in case management/care coordination, home care, group homes, nursing homes, TCU, or assisted living settings.
  • New graduates are encouraged to apply.

Responsibilities

  • Manage member caseloads within an assigned geographic area.
  • Coordinate face-to-face visits.
  • Manage the Elderly Waiver.
  • Conduct annual assessments, including Personal Care Assistance (PCA) assessments for community members and customized living tools for members residing in assisted living facilities.
  • Review members’ current health needs, identify goals, and develop individualized care plans.
  • Connect members with community and state resources and services.
  • Help members remain safely in their homes and communities.
  • Complete required documentation.
  • Collaborate with medical care teams to ensure healthcare quality measures are met and use utilization management tools to meet value-based goals.
  • Support members during transitions of care and collaborate with their care teams to ensure safe discharges and follow-up plans.

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
  • Retirement plan with 4% matching contributions
  • Nine paid holidays for office closures plus one floating holiday
  • Three weeks (15 days) of paid time off
  • Mileage reimbursement program for field employees
  • Company-sponsored cell phone, laptop, and scrubs
  • Six-month onboarding program
  • Dedicated preceptor support
  • Ongoing mentoring and coaching
  • Continuing education and professional development
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