Care Coordinator, LSW (MSHO)

Bluestone Physician Services•Minneapolis, MN

2d•$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 position manages Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) requirements for MSHO/MSC+ members and assigned member caseloads in a geographic area. The role is hybrid, combining work from home with local travel to meet members in their homes and assisted living facilities. The stated work mix is 50–70% local community visits and 30–50% remote work from home. The Care Coordinator conducts face-to-face visits and assessments, manages the Elderly Waiver, reviews members’ health needs, identifies goals, and develops individualized care plans. The coordinator connects members with medical care, waiver services, state and community resources, and supports members in remaining safely in their homes and communities. The role also includes documentation, collaboration with medical care teams to meet quality measures and value-based goals, and support during care transitions and discharge planning. The schedule is 8:00 AM–5:00 PM Monday through Thursday and 8:00 AM–3:00 PM Friday. The posting states there are no evening, weekend, holiday, or on-call requirements. Compensation is $65,000–$75,000, commensurate with experience, with a $2,500 sign-on bonus paid in two installments: $1,000 after 90 days and $1,500 upon reaching the one-year anniversary.

Requirements

Current Minnesota license as a Licensed Social Worker (LSW, LMSW, LISW, or LICSW), or a Minnesota Registered Nurse license.
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.
Effective communication skills, including strong verbal skills.
Excellent interpersonal and customer service skills.
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 or 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 with members.
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 on safe discharge and follow-up plans.

Benefits

Comprehensive six-month onboarding program.
Dedicated preceptor support.
Ongoing mentoring and coaching.
Continuing education and professional development.
Collaborative managers who work alongside employees.
Experienced documentation auditors focused on education and quality.
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.
$2,500 sign-on bonus, paid as $1,000 after the first 90 days and $1,500 upon reaching the one-year anniversary.