Care Coordinator, LSW (MSHO)

Bluestone Physician Services•Minneapolis, MN

1d•Hybrid

About The Position

Bluestone is seeking 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 Centers for Medicare & Medicaid Services (CMS) requirements for MSHO/MSC+ members within an assigned geographic area. It is hybrid: the coordinator works from home and travels locally to meet members in their homes and assisted living facilities, with approximately 50–70% local community visits and 30–50% remote work. The role is based in the Minneapolis, Hennepin County area. The coordinator manages member caseloads, coordinates in-person visits, conducts assessments, develops individualized care plans, connects members with medical care and community resources, and supports safe transitions between care settings. The schedule is 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, with a $2,500 sign-on bonus paid in two installments.

Requirements

Hold a Minnesota Registered Nurse license or a current Minnesota Licensed Social Worker credential (LSW, LMSW, LISW, or LICSW); new graduates are encouraged to apply.
Have a valid driver’s license.
Be able to work independently.
Have access to a private, compliant home office space.
Demonstrate creative problem-solving skills.
Show appreciation for working with diverse populations.
Communicate effectively and have strong verbal skills.
Have excellent interpersonal and customer service skills.
Demonstrate compatibility with Bluestone’s mission and operating philosophies.
Be able 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.

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 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 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
Retirement plan with 4% matching contributions
Nine paid holidays for office closures and one floating holiday
Three weeks (15 days) of paid time off
Mileage reimbursement program for field employees
Company-sponsored cell phone, laptop, and scrubs
Comprehensive six-month onboarding program
Dedicated preceptor support
Ongoing mentoring and coaching
Continuing education and professional development
Collaborative managers who work alongside employees
Documentation auditors focused on education and quality
$2,500 sign-on bonus, with $1,000 paid after the first 90 days and $1,500 upon reaching the one-year anniversary