• Provide leadership and day-to-day coordination for Corporate Spiritual Care Services across Oakville, Milton and Georgetown sites, including service planning, workload coordination, quality monitoring and issue resolution. • Deliver direct spiritual, emotional, religious, existential and grief support to patients, families, staff and volunteers in a manner that is inclusive, trauma-informed, culturally safe and respectful of diverse faith traditions, beliefs and worldviews. • Complete spiritual care assessments, develop plans of care, respond to referrals and document care in accordance with organizational policy, privacy requirements, professional standards and scope of practice. • Collaborate with interprofessional teams to support complex care planning, palliative and end-of-life care, ethical reflection, serious illness conversations, bereavement support and staff resiliency needs. • Build and sustain effective relationships with community faith leaders, cultural partners, volunteers and internal stakeholders to support responsive spiritual and religious care across the organization. • Support recruitment, orientation, supervision and ongoing development of spiritual care staff, learners and volunteers, as applicable. • Promote evidence-informed practice, continuous quality improvement, safe documentation, professional ethics, confidentiality and alignment with Halton Healthcare’s mission, vision, values and patient safety culture.

Title: Care Coordinator, RN (MSHO) Location: Little Canada, MN Job Description: 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: Join our team as a Care Coordinator where you will work with the senior population managing Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) required activities for Minnesota Senior Health Options (MSHO/MSC+) members living in the community and assisted living facilities. 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 8am to 5pm Monday thru Thursday & 8am to 3pm on Fridays. Location: ~50-70% travel throughout mainly the Little Canada and Mahtomedi areas and ~30-50% remote work. Salary Range: $65,000 - $75,000. Salary commensurate with experience. Responsibilities: As a Care Coordinator, you will manage member caseloads within your assigned geographic area. This includes: As a Care Coordinator, you will manage member caseloads within your assigned geographic area. This includes: - Coordinating face-to-face visits - Managing the Elderly Waiver - Conducting annual assessments including Personal Care Assistance (PCA) assessments for community members and customized living tools for members residing in Assisted Livings - Reviewing current health needs, identifying goals, and developing individualized care plans - Helping connect members with community and state resources and services - Completing required documentation - Collaborating with medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals - Supporting members during transitions of care as well as collaborating with their care team to ensure a safe discharge and follow up plan Qualifications: Education/Certification/Experience - Minnesota Registered Nurse license - OR Current MN Licensed Social Worker (new grads encouraged to apply) - 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 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 one (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 $65,000 - $75,000 USD

• Responsible for providing proactive intervention and coordination of care to eligible Vaya Health members. • Ensure individuals receive appropriate assessment and services. • Work with members and care team to alleviate inappropriate levels of care. • Coordinate multidisciplinary team care planning and linkage of services. • Ensure adherence to compliance regulations including HIPAA requirements.

• Provides afterhours, weekend and holiday coverage for the NCServes Coordination Center. • Conducts biopsychosocial assessments by phone with clients to identify needs in key areas. • Makes referrals to Network providers to address identified needs based on understanding of eligibility criteria, capacity, location, and client preference. • Maintains a working knowledge of Network providers’ menu of services, eligibility criteria, intake process and preferences. • Develops positive working relationships with array of Network providers and attends monthly community meetings. • Documents all activity in accordance with grant program guidelines and in compliance with internal policies and procedures. • Elicits feedback from clients and providers to ensure successful engagement. • Coordinates across other programs and ministries within ABCCM. • Participates in all appropriate staff, supervision, and training meetings. • Assumes other duties as assigned by Leadership.