Care Coordinator, RN
4 weeks ago
At Bluestone Physician Services, we are dedicated to providing high-quality care to seniors living with complex, chronic conditions and disabilities. Our unique model of care brings together a multidisciplinary team of healthcare professionals to deliver preventative, proactive, and tailored care to each patient's unique needs.
Our Care Coordination Model
We have a highly developed care coordination model that supports over 14,000 seniors and individuals living with disabilities in Minnesota. Our care coordinators, registered nurses or licensed social workers, work directly with patients to assess their physical, mental, and social needs and facilitate services and communication across their care team to support their best interests and close gaps in care.
Join Our Team as a Care Coordinator
We are seeking a Care Coordinator to join our team, where you will work with the senior population managing Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) required activities for Minnesota Senior Health Options (MSHO/MSC+) members living in the community and assisted living facilities. As a Care Coordinator, you will work from home, but regularly travel your local area to serve the needs of your members and your community.
Responsibilities
- Manage member caseloads within your 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 residing in Assisted Livings
- Review current health needs, identify goals, and develop individualized care plans
- Help connect members with community and state resources and services
- 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
Qualifications
- Current Minnesota Registered Nurse license
- OR MN Licensed Social Worker (new grads encouraged to apply)
- One or more years of experience working with the geriatric population in case management/care coordination, Home Care, Nursing Home, TCU, or Assisted Living settings preferred
- Must have a valid driver's license
Bluestone 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
- Eight (8) paid holidays for office closures plus two (2) floating holidays
- 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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