Medical Care Manager (Nurse or Social Worker preferred)

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 care that is preventative, proactive and tailored to their unique needs. 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. Bluestone has been named to the Star Tribune's Top Workplace list for the 14th year in a row! Bluestone also achieved Top Workplace USA 2021-2026! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country [ as measured by the overall savings per Medicare beneficiary. Position Overview: The Geriatric Behavioral Health Care Manager is a core member of the collaborative care team, which includes a Bluestone's Primary Care Providers, Nurses, Care Managers and other medical professionals. The Behavioral Health Care Manager is a patient-focused role, primarily working with a complex geriatric population and their families within their home environment (Assisted Living, Memory Care, and/or Independent Living). Additionally, this role is an expert in the field of dementia care, Alzheimer's, memory loss, and/or mental health targeting interventions that improve the patient's overall quality of life. Schedule: Full time position, day shift hours, no evenings, weekends or holidays. Hours are 8am to 5pm Monday thru Thursday & 8am to 3pm on Fridays. Location: This position entails a mix of work from home, as well as primarily direct patient care mainly throughout the Southwest Metro areas. Salary Range: $58,000 - $65,000. Salary commensurate with experience. Qualifications: Education/Certification/Experience * Formal education or specialized training in behavioral health, including social work, nursing, psychology, gerontology, music therapy or related fields * One or more years of experience in dementia-related care and/or geriatric care * One or more years of direct experience providing mental health support, including utilizing evidence-based approaches for symptom management and improved quality of life * Valid driver’s license required Responsibilities: * Provide ongoing necessary education and support to patient's care team on Alzheimer's disease and related memory loss/dementia and their impact on cognitive function * Provide ongoing necessary education and support to patient’s care team on Mental Illness diagnoses and their impact on cognitive function * Establish care plans that outline interventions to reduce behavioral episodes and improve function and safety * Provide behavioral interventions using evidence-based techniques such as motivational interviewing, problem-solving, modeling, active listening, other techniques as appropriate * Identify and provide de-escalation strategies and crisis resources for caregivers, patients, and families * Provide effective non-pharmacological behavior prevention and reduction solutions

• Identify strategies to anticipate and calmly de-escalate distress behaviors
• Systematically track treatment response and monitor patients for changes in

clinical symptoms and treatment side effects or complications * Complete validated rating scales monthly to monitor and assess response to care plan interventions

• Participate in weekly caseload consultations with psychiatric consultants
• Facilitate referrals for the clinically indicated services outside of the

organization (e.g. mental health specialty care, social services, support groups, etc.) * Act as a Bluestone ambassador for community staff through education and relationship building Qualifications Continued: Knowledge/Skills/Abilities

• Knowledge of behavioral health, dementia, and care planning
• Knowledge of assessments, screenings, and care planning for mental health

disorders

• Ability to engage patients in a therapeutic relationship when appropriate
• Ability to work independently with excellent time-management and

organizational skills * Ability to maintain professional relationships with patients and other members of the care team * Ability to communicate effectively and professionally, both verbally and in writing, with diverse populations * Intermediate-level computer proficiency with email, fax, word processing, spreadsheets, and databases

• Excellent customer service skills
• Demonstrated ability to read, write, speak, and understand the English

language 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
• Nine (9) paid holidays for office closures plus on (1) floating holiday
• Three weeks (15 Days) Paid Time Off (PTO)
• Mileage reimbursement program for field employees
• Company sponsored cell phone, laptop and scrubs
• Regular business hours

[ Pay Transparency

$68,500—$75,000 USD