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Bluestone Physician Services

In-home primary care and care coordination.

Care Coordinator

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeWinona, MN, USA

About the Job

Requirements

  • A current Minnesota Licensed Social Worker credential (LSW, LMSW, LISW, or LICSW), or a Minnesota registered nurse license.
  • At least one year of experience working with the geriatric or certified disabled population in case management or care coordination, home care, group homes, nursing homes, transitional care units, or assisted living settings is preferred.
  • A valid driver's license is required.
  • The ability to work independently is required.
  • Access to a private, compliant home office space is required.
  • Creative problem-solving skills are required.
  • The ability to work with diverse populations is required.
  • The ability to communicate effectively, including strong verbal skills, is required.
  • Interpersonal and customer service skills are required.
  • The ability to read, write, speak, and understand English is required.

Responsibilities

  • Manage member caseloads within the assigned geographic area.
  • Coordinate face-to-face visits.
  • Manage the Elderly Waiver.
  • Conduct annual assessments, including Personal Care Assistance assessments for community members and customized living assessments for members residing in assisted living facilities.
  • Review 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 health care 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 team to ensure a safe discharge and follow-up plan.

Desired Qualifications

  • At least one year of experience working with the geriatric or certified disabled population in case management or care coordination, home care, group homes, nursing homes, transitional care units, or assisted living settings.

About the Company

Bluestone Physician Services

In-home primary care and care coordination.

Bluestone Physician Services brings primary care to chronic-care patients in their homes, making in-home visits a core way patients receive medical care. It operates as one of the largest residential primary-care providers in the United States, serving patients in Assisted Living, Memory Care, and Group Homes across several states. The company runs Coordinated Care teams—register nurses and social workers supported by medical providers—to deliver care and coordinate with hospitals, specialists, and plan sponsors. Its goal is to improve access to consistent, high-quality care for chronic patients, reduce hospitalizations through proactive management, and offer strong benefits and growth opportunities for its staff.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Stillwater, OK
Founded
2006

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