Bluestone Physician Services 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 12th year in a row! Bluestone also achieved Top Workplace USA 2021-2024! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves-medicare-26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview: The Behavioral Health Care Manager is a core member of the collaborative care team, which includes Bluestone's Primary Care Providers, Nurses, Care Managers and other medical professionals. This patient-focused role primarily supports individuals residing in group homes with intellectual, developmental, physical disabilities, and other related conditions. Based on the needs of the team, BHCM may also support diverse patients in Senior Living settings with memory impairments and/or other behavioral concerns.   In this role, the BHCM will assess and support individuals in group home settings, ensuring comprehensive care and addressing behavioral health needs. This includes creating and implementing interventions aimed at improving patients' quality of life, enhancing independence, and promoting overall well-being. The BHCM will work closely with patients, their families, and facility staff to develop and maintain individualized care plans, monitor progress, and provide expert guidance on managing behavioral health concerns related to both developmental and age-related conditions. 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 remote work, as well as direct patient care mainly throughout Northeast Metro Minnesota areas, including mainly: Maplewood, Mendota Heights, Minneapolis, New Brighton, Oakdale, Roseville, Shoreview, St. Paul, Vadnais Heights, White Bear Lake Salary Range: $55,000 - $65,000, Salary will be 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 working with individuals with intellectual and developmental disabilities + Valid driver’s license required Responsibilities : + Provide education and support to patient’s care team on mental health or dementia related diagnoses and their impact on cognitive function + Establish care plans that outline interventions to reduce or prevent behavioral episodes and improve function and safety + Provide behavioral interventions using evidence-based techniques such as motivational interviewing, problem-solving, modeling, active listening,and  other techniques as appropriate + Identify and provide de-escalation strategies and crisis resources for caregivers, patients, and families  + 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 treatment + Participate in weekly caseload consultations with a psychiatric consultant + 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 + Collaborate with interdisciplinary team members to ensure holistic care and support Qualifications Continued : Knowledge/Skills/Abilities + Knowledge of behavioral health, developmental disabilities, 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 + Ability to independently schedule visits and manage a busy caseload, ensuring that patients are seen at least monthly + Timely completion of documentation and care plans to ensure compliance + Access to a private and compliant home office space + Ability to earn and maintain Certified Dementia Practitioner certification (costs covered by Bluestone) 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 Powered by JazzHR