What are the responsibilities and job description for the Program Manager (GUIDE Model), LSW or RN position at Bluestone Physician Services?

Job Description

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 as measured by the overall savings per Medicare beneficiary.

Position Overview :

The Program Manager (GUIDE Model) is responsible for implementation of the GUIDE Model in all markets while working collaboratively with the Director to ensure alignment with company strategy and forecast. The GUIDE Program Manager is responsible for the effective implementation and day-to-day operations of the GUIDE Model across assigned markets. The Program Manager oversees the Care Navigators throughout the organization, providing support and guidance to ensure proper care delivery.

This position will establish the tools, processes, and systems to optimize the role of the Care Navigator. The Program Manager is expected to work effectively across departments and collaborate with colleagues to carry out day-to-day operations. She / He will aim to develop talent within the team, including acquiring, engaging and retaining Care Navigator staff.

Schedule : Full-time position. Hours (with some flexibility on start / end times) are 8am to 5pm Monday thru Thursday & 8am to 3pm on Fridays.

Location : Up to 25% local travel is required for this position. The remaining time is spent working remote (work from home).

Salary : $80,000 - $90,000. Base salary will be commensurate with experience.

Other Compensation : Management Incentive Plan

Responsibilities :

Operational Management

Oversee the day-to-day implementation of the GUIDE Model in assigned markets
Monitor program operations and recommend adjustments to improve performance and efficiency
Ensure all program activities comply with organizational policies and regulatory requirements
Collaborate with senior leadership to achieve the growth, revenue and profitability targets for the GUIDE Model
Monitors team operational and financial performance

Team Leadership and Support

Organize and assist in the interviewing, training and educating of Care Navigators

Provide supervision and ongoing support / mentorship to Care Navigators

Provide coaching, corrective action, and disciplinary action to direct reports

Grow and maintain partnerships with communities and stakeholders involved in GUIDE Model delivery

Process and Technology Optimization

System development participation (ie : training, education, efficiencies, process improvement, etc.)

Policy and Procedure development

Design and develop infrastructure around people, process, and technology to achieve scale working in a matrix environment

Ensure compliance requirements are incorporated into standard operating procedures

Is an expert in Bluestone technology (EMR, Bluestone Bridge, etc.) and communication platforms and hardware (mobile devices and apps, software), and assists others on the team to develop competence when communicating with internal and external stakeholders and using equipment to update electronic medical records and other databases as appropriate

Qualifications :

Education / Certification / Experience

Licensed Social Worker or Bachelor level RN

Five (5) years experience in healthcare organization required

Five (5) or more years of progressive experience in management roles

Customer service and Quality related positions a plus

Knowledge and experience with Assisted Living and Memory Care communities a plus

Must have a valid driver’s license and minimum state required liability auto insurance

Knowledge / Skills / Abilities

Exhibits strong leadership, collaboration, and advisory skills

Solid business acumen and understanding of business operations

Excellent communication and interpersonal skills

Ability to think strategically and exhibit sound decision making

Functions well in a results-oriented and dynamic environment

Sets and meets goals, deadlines and objectives, uses time efficiently and effectively

Adapts quickly to frequent change in the work environment, delays, or unexpected events

Ability to overcome obstacles and develop alternative solutions

Works with integrity and ethically, upholds organizational values

Strong interpersonal and technical presentation skills

Skill in identifying and resolving problems

Ability to work independently to meet company goals and timelines

Ability to deal with change and ambiguity

Detail oriented and accurate

Intermediate-level computer proficiency including Google Docs and equipment such as iPad, and iPhone

Demonstrated compatibility with Bluestone’s mission and operating philosophies

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

Eight (8) paid holidays for office closures plus two (2) floating holidays per year

Three weeks (15 Days) Paid Time Off (PTO)

Mileage reimbursement program for field employees

Company sponsored cell phone and laptop

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Salary : $80,000 - $90,000

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Program Manager (GUIDE Model), LSW or RN

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