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3 hours ago
Type
Full time
Salary
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care plans care coordination behavioral health ehr assisted living
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πŸ“‹ Description

  • 90% field-based direct patient care across Minnesota communities.
  • Primary liaison between patient, family, and PCP; ensure unified care plan.
  • Develop and manage individualized care plans; support advance care planning.
  • Behavioral health management within CoCM; implement BH interventions.
  • Lead transitions from hospital/rehab to prevent 30-day readmissions.
  • Collaborate with MD/NP/PA to update care strategies as status evolves.

🎯 Requirements

  • Bachelor's degree or higher; licensed LPN/RN/Social Worker preferred.
  • 3-5 years in value-based care, population health, case management, or discharge planning.
  • Behavioral health experience preferred.
  • Knowledge of Assisted Living and Memory Care communities.
  • Strong time management and ability to work independently.
  • Proficient with EHRs and standard office software.

🎁 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)
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