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Bluestone Physician Services

In-home primary care and care coordination.

Care Coordinator

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeWinona, MN, USA

About the Job

Requirements

  • Hold a Minnesota Registered Nurse license or a current Minnesota Licensed Social Worker credential (LSW, LMSW, LISW, or LICSW).
  • Have a valid driver's license.
  • Be able to work independently.
  • Have access to a private and compliant home office space.
  • Have creative problem-solving skills and appreciation for working with diverse populations.
  • Demonstrate effective verbal communication, interpersonal, and customer service skills.
  • Demonstrate compatibility with Bluestone’s mission and operating philosophies.
  • Be able to read, write, speak, and understand English.

Responsibilities

  • Manage Department of Human Services and Center for Medicare/Medicaid Services requirements for MSHO/MSC+ members.
  • 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 tools 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

  • Have one or more years 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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