Care Coordinator, LSW (MSHO)

Bluestone Physician Services•Minneapolis, MN

1d•Hybrid

About The Position

Bluestone is hiring a Care Coordinator to support Minnesota’s senior population in navigating healthcare and living healthier, more independent lives. The role manages Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) requirements for MSHO/MSC+ members within an assigned geographic area. It is hybrid, combining work from home with local visits to members’ homes and assisted living facilities in the Minneapolis and Hennepin County areas. Approximately 50–70% of the work involves community visits and 30–50% is remote work from home. The Care Coordinator conducts face-to-face visits and assessments, manages the Elderly Waiver, develops individualized care plans, and connects members with medical care, waiver services, and community resources. The role collaborates with medical care teams to support quality and value-based care, and helps members through transitions of care and safe discharges. The schedule is full-time: Monday through Thursday, 8:00 AM–5:00 PM, and Friday, 8:00 AM–3:00 PM. There are no evening, weekend, holiday, or on-call requirements. The listed salary range is $65,000–$75,000, commensurate with experience. A $2,500 sign-on bonus is paid in two installments: $1,000 after 90 days and $1,500 at the one-year anniversary. Bluestone provides a six-month onboarding program, preceptor support, ongoing mentoring and coaching, continuing education, professional development, collaborative managers, and documentation auditors focused on education and quality.

Requirements

Current Minnesota Licensed Social Worker credential (LSW, LMSW, LISW, or LICSW), or a Minnesota Registered Nurse license.
Valid driver’s license.
Ability to work independently.
Access to a private, 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.
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 or care coordination, Home Care, Group Homes, Nursing Homes, TCU, or Assisted Living settings is preferred.
New social work 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 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

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
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 in two installments
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