LPN Care Coordinator, Embedded (Prince Georges County, MD)

LPN Care Coordinator, Embedded (Prince Georges County, MD) Prince Georges County, MD Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Our clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including remote patient monitoring, behavioral health management, and chronic care management to ensure that our patients receive the highest quality of care by a team they know and trust. About the Role Ennoble Care is seeking a full‑time Licensed Practical Nurse (LPN) to serve as an Embedded Care Coordinator within one or more of our partnered long‑term care facilities in Prince George’s County, Maryland. This integral on‑site role is part of our clinical care team, working closely alongside our providers in a family‑practice‑style model built around continuity, relationship‑building, and patient‑centered support. The right candidate is reliable, self‑motivated, vigilant, and compassionate, and will play a meaningful, hands‑on role in helping people stay healthy, avoid unnecessary hospitalizations, and remain in their home – where many want to be. Required Qualifications Legally authorized to work in the United States Active, unrestricted LPN license in the state of Maryland Minimum 1 year of patient‑facing experience in a long‑term care, skilled nursing or transitional care setting Comfortable communicating proactively throughout the day in person, by phone, via email, and through Microsoft Teams Solid working knowledge of healthcare terminology and care coordination principles Strong clinical assessment skills with the ability to identify and elevate changes in condition Experience with EMR systems and clinical documentation; Point Click Care experience preferred Proficient with Microsoft 365 including Excel, Outlook, Word, and Teams Excellent communication and interpersonal skills, with a solid foundation in organization, time management, and clinical documentation Capacity to work independently while collaborating closely with multidisciplinary teams Ability to work full‑time in an on‑site role based in the Prince George’s County, Maryland area Thursday through Monday schedule (with Tuesday and Wednesday off each week) Daytime hours, approximately 8:00 a.m. to 4:30 p.m. EST No evenings No overnight shifts No on‑call requirements Seven (7) company‑paid holidays annually Ability to pass a background check and drug screen Transportation criteria Valid, unencumbered driver’s license Consistent and reliable transportation to fulfill the duties of this position Current auto insurance, with the ability to provide proof Please note, travel between facilities may be required. Key Responsibilities Care Coordination & Transitional Care Management Coordinate care for patients residing in skilled nursing and rehabilitation facilities using Ennoble Care’s EMR Facilitate transitional care management, ensuring services with the Housecalls division are initiated immediately upon a patient’s discharge from the hospital Expedite time to first provider visit for newly transitioned patients in accordance with established guidelines Monitor patients attentively, communicate changes in condition promptly to the provider, initiate appropriate interventions, and elevate care as clinically indicated, including CCM‑billable activities Consistently support care coordination efforts to reduce avoidable emergency department visits and hospital readmissions Collaborate daily with providers and facility staff to ensure care plans are kept current and acted on On‑Site Clinical Support Maintain a consistent and reliable daily on‑site presence in assigned facilities Build ongoing relationships with residents and their families, maintaining a consistent presence that reinforces trust and continuity of care over time Conduct routine and urgent vital sign collection as needed Perform regular patient check‑ins to support care plans, follow‑ups, and clinical stability Identify changes in patient condition and promptly communicate concerns to the clinical team Serve as a key liaison between Ennoble Care providers, facility staff, residents, families, and the Housecalls team Collaborate closely with Ennoble Care providers within the skilled nursing or long‑term care setting Provide timely, accurate clinical updates to providers to support informed decision‑making Convert two (2) eligible patients per day to Ennoble Care’s Housecalls program Documentation & EMR Management Accurately document patient interactions, assessments, and care coordination activities in Ennoble Care’s EMR Perform chart reconciliation to ensure accuracy and continuity of clinical records between Ennoble and facility records Follow established workflows, documentation standards, and escalation protocols Support onboarding and training of new Embedded Care Coordinators Serve as a clinical mentor and resource for newly hired coordinators Promote best practices in transitional care, communication, and facility‑based care coordination Contribute positively to team collaboration and foster strong partnerships with facility staff Work Environment & Expectations Embedded, on‑site role within assigned skilled nursing and/or rehabilitation facilities Requires consistent daily presence and strong relationship‑building with facility staff Fast‑paced, patient‑facing role requiring clinical judgment, adaptability, and proactive engagement Core Competencies Patient‑centered care Clinical judgment and escalation Care coordination and continuity Communication and collaboration Documentation accuracy and compliance Relationship‑building and teamwork Compensation & Benefits Starting salary: $55,000 annually Quarterly bonus opportunities based on performance Mileage reimbursement eligibility when traveling between facilities Full‑time benefits eligibility after 30 days of employment, including a range of supplemental insurance options and elective benefits Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness and Hospital Indemnity Paid Time Off, Paid Office Holidays, Paid Sick Time, 401(k) with up to 3% company match, Referral Program, Pay‑on‑demand Equal Opportunity Statement Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability and veteran status. Thank you for your interest in joining the Ennoble Care team! #J-18808-Ljbffr Ennoble Care