TCHP Care Coordinator LPN - CBO Care Management - Full Time - Days

Job Description The LPN Care Coordinator serves as a key member of the care management team, supporting the RN Transition Nurse and/or Ambulatory Care Manager in coordinating patient care across the continuum. This role promotes high-quality, patient-centered care by assisting with care plan implementation, patient education, and care coordination to improve clinical outcomes and patient experience. Responsibilities Care Management Care Planning & Coordination: Works under the direction of the RN Care Manager to support implementation of the established care plan. Communicates updates to individualized care plans, including referrals and follow‑up care. Clinical Monitoring: Monitor patient status through review of labs, vital signs, and patient‑reported information; escalate changes or concerns to the RN Care Manager or provider. Patient Education & Communication: Provide education to patients and families to support chronic disease self‑management and adherence to treatment plans. Collaboration: Collaborates with providers, social workers, and community resources, as directed by the RN Care Manager, to ensure coordinated and comprehensive care. Clinical Support: Perform LPN‑scope clinical tasks as appropriate, including medication reconciliation and support of care plan interventions. Documentation & Administrative Support: Document all patient interactions in the electronic medical record (EPIC) and support audits, reporting, and department communications (e.g., patient satisfaction outreach). Customer Service & Patient Experience Deliver high‑quality, patient‑centered service with a focus on access, communication, and care coordination under the direction of RN Care Manager. Foster a respectful, professional, and compassionate environment for patients, families, and colleagues. Support a seamless patient experience through effective communication and follow‑up. Information Technology & Data Management Maintain accurate, timely, and complete documentation in the electronic medical record. Utilize EMR tools, registries, and population health platforms to support patient care and outreach. Support data collection and reporting related to quality and performance metrics. Participate in performance improvement and quality initiatives. Other Duties Perform other duties as assigned. Qualifications Education, Licensure & Certification Active Licensed Practical Nurse (LPN) license in the State of Ohio, with multi‑state licensure required. Experience & Skills Experience in care coordination, ambulatory care, home health, or related setting preferred. Strong clinical knowledge, critical thinking, and organizational skills. Effective communication and interpersonal skills. Proficiency with electronic medical records (e.g., EPIC) and Microsoft Office (Excel, Word, PowerPoint). Ability to work collaboratively in a team‑based, patient‑centered environment. #J-18808-Ljbffr The Christ Hospital Health Network