Care Coordinator, RN; SNBC

Bluestone delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver preventative, proactive and tailored care.

Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients’ chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.

Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.

Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day.

Join our team as a Care Coordinator where you will work with the SNBC (Special Needs Basic Care, 18‑64 years of age) population with members living in the community and group homes. In this position, you will work from home, but regularly travel your local area to serve the needs of your members and your community.

Schedule:

Full time position, day shift hours, no evenings, weekends or holidays. Hours are 8 am to 5 pm Monday‑Thursday & 8 am to 3 pm Friday.

Location:

~50‑70% travel throughout the St. Paul, MN area and ~30‑50% remote work.

Salary Range: $65,000 – $75,000. Salary commensurate with experience.

• Manage member caseloads within your assigned geographic area.
• Coordinating face‑to‑face visits.
• 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.

Education/Certification/Experience

• Minnesota Registered Nurse license.
• OR Current MN Licensed Social Worker (new grads encouraged).
• 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.

Knowledge/Skills/Abilities

• 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.

• Health 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.
• Mileage reimbursement program for field employees.
• Company‑sponsored cell phone, laptop and scrubs.
• Regular business hours.

Bluestone is an Equal Opportunity Employer. All qualified applicants receive equal consideration and no discrimination on the basis of any protected status, in accordance with applicable law.