Care Coordinator, LSW (MSHO)

Bluestone Physician ServicesWoodbury, MN
Hybrid

About The Position

Join our team as a Care Coordinator, empowering Minnesota’s senior population to navigate their healthcare journey and live healthier, more independent lives. In this role, you’ll manage Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) requirements for MSHO/MSC+ members. This is a hybrid position where you’ll work from home while traveling locally to meet directly with members in their homes and assisted living facilities, helping them access vital medical care, waiver services, and community resources.

Requirements

  • Current MN Licensed Social Worker (LSW, LMSW, LISW, or LICSW) - 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

Nice To Haves

  • New grads encouraged to apply!

Responsibilities

  • Manage member caseloads within your assigned geographic area.
  • Coordinating face-to-face visits
  • Managing the Elderly Waiver
  • 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 community and state resources and services
  • Help members remain safely in their homes and communities
  • 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
  • Supporting members during transitions of care as well as collaborating with their care team to ensure a safe discharge and follow up plan

Benefits

  • Comprehensive 6-month onboarding program
  • Dedicated preceptor support
  • Ongoing mentoring and coaching
  • Continuing education and professional development
  • Collaborative managers who work alongside you
  • 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 (FSA)
  • Retirement plan with 4% matching contributions
  • Nine (9) paid holidays for office closures plus one (1) floating holiday
  • 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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