Care Coordinator

Licensed Practical Nurse (LPN) – Care Coordination

Full-Time | Hybrid (Remote & Field-Based)

Company: Integrative Health Care Services of Indiana (IHCS)
Department: Care Coordination
Location: Assigned service region in Indiana
Reports To: Care Coordination Leadership

Position Overview

At Integrative Health Care Services of Indiana (IHCS), our mission is to improve the quality of life for seniors and individuals with disabilities by providing compassionate, coordinated, and person-centered care.

The Licensed Practical Nurse (LPN) – Care Coordination serves as an advocate, educator, and trusted partner for clients by coordinating services, identifying barriers to care, and facilitating access to appropriate healthcare resources and community-based supports. This position combines the qualifications of a licensed practical nurse with the nonclinical care coordination responsibilities necessary to support clients in maintaining their independence, dignity, and quality of life.

The LPN works collaboratively with clients, families, healthcare providers, waiver case managers, caregivers, and community partners to facilitate appropriate services and support continuity of care. Responsibilities include client-facing visits, care coordination, communication, documentation, service follow-up, and compliance with applicable program requirements.

This is a nonclinical care coordination position. IHCS does not provide direct clinical treatment through this role. The LPN will use their professional knowledge to support service coordination, recognize concerns that require referral or escalation, and facilitate communication with appropriate healthcare professionals. The position does not authorize the employee to perform activities outside IHCS's approved service scope or applicable regulatory requirements.

Success in this role requires compassion, accountability, strong communication, attention to detail, sound judgment, and the ability to build trusting client relationships while managing an assigned caseload in a hybrid work environment.

Key Responsibilities

Client Care Coordination

The LPN – Care Coordination is responsible for:

• Developing, implementing, reviewing, and monitoring applicable care coordination plans based on each client's identified needs, goals, and authorized services.

• Conducting required face-to-face client visits, including monthly visits when required by the applicable program, and completing timely, accurate documentation.

• Identifying barriers to accessing services and coordinating appropriate referrals, resources, and follow-up.

• Collaborating with healthcare providers, waiver case managers, caregivers, community agencies, and internal team members to support continuity of care.

• Coordinating appointments, referrals, service arrangements, and follow-up communications as appropriate to the scope of IHCS services.

• Providing clients and families with information about available resources, authorized services, and applicable care coordination plans.

• Monitoring service coordination needs and following up on outstanding referrals, identified concerns, and agreed-upon actions.

• Advocating for clients while promoting independence, dignity, informed decision-making, and person-centered service delivery.

• Communicating changes in reported client circumstances or service needs to the appropriate parties.

• Performing additional duties as assigned that are consistent with the position, the employee's qualifications, and applicable program requirements.

Client Monitoring and Escalation

• Maintain professional, consistent communication with assigned clients and authorized members of their support networks.

• Identify service gaps, barriers to care, and concerns that may affect a client's ability to access appropriate services.

• Promptly communicate significant concerns through established IHCS reporting and escalation procedures.

• Coordinate with appropriate healthcare professionals when clients report clinical concerns or request medical advice.

• Maintain professional boundaries and avoid independently making clinical decisions, providing clinical treatment, or representing coordination activities as nursing services.

Documentation and Regulatory Compliance

• Maintain complete, accurate, objective, and timely client records reflecting contacts, visits, coordination activities, referrals, follow-up efforts, and outcomes.

• Complete required documentation, reports, and other records within established deadlines.

• Ensure documentation meets IHCS standards and applicable Indiana Medicaid, FSSA, and program-specific requirements.

• Maintain confidentiality and comply with HIPAA, applicable privacy requirements, and IHCS policies.

• Participate in quality assurance reviews, documentation audits, required training, and performance improvement activities.

• Address identified documentation deficiencies promptly and follow established corrective procedures.

• Ensure all services and activities performed remain within IHCS's approved service scope and applicable program limitations.

Scope of Practice and FSSA Service Requirements

This position is designed to support IHCS's nonclinical care coordination service model. An active LPN license is a qualification for the role and does not independently authorize the employee or IHCS to provide clinical services outside the organization's approved scope.

The employee must comply with applicable FSSA requirements, service definitions, and all activity-specific restrictions. For IHCC services, FSSA identifies the following activities as not allowed:

• Skilled nursing services available under the Indiana Medicaid State Plan.

• Any other service otherwise provided by the waiver.

The employee will not provide direct nursing care, administer medications, diagnose medical conditions, prescribe treatment, or independently provide clinical treatment as part of this position. Clinical questions and needs requiring medical assessment or treatment must be directed to the appropriate healthcare professional.

Core Competencies

Successful employees in this role consistently demonstrate:

Compassion and Empathy

Builds trusting relationships by treating clients and families with dignity, respect, patience, and understanding.

Client Advocacy

Identifies barriers to services and works proactively to coordinate access to appropriate resources and supports.

Communication

Communicates clearly, professionally, and effectively with clients, families, healthcare providers, community partners, and internal team members.

Critical Thinking and Problem Solving

Recognizes coordination needs, identifies barriers, determines appropriate next steps within the role's scope, and escalates concerns when necessary.

Organization and Time Management

Manages client visits, caseload responsibilities, documentation, travel, and deadlines while maintaining quality service.

Accountability

Demonstrates reliability, follows through on commitments, takes ownership of assigned responsibilities, and addresses identified deficiencies.

Collaboration

Works effectively with interdisciplinary support teams and internal departments to facilitate appropriate services.

Adaptability

Responds professionally to changing client needs, program requirements, and organizational priorities.

Professionalism and Compliance

Maintains confidentiality, professional boundaries, accurate documentation, and compliance with applicable requirements.

Performance Expectations

Successful LPNs – Care Coordination consistently:

• Establish positive, professional relationships with clients and their support systems.

• Complete required face-to-face client visits within established timeframes.

• Maintain timely and accurate documentation of visits and coordination activities.

• Effectively manage assigned caseloads, travel schedules, and follow-up responsibilities.

• Communicate proactively with internal teams and external providers.

• Demonstrate sound judgment and appropriately escalate concerns outside the scope of the position.

• Maintain compliance with IHCS policies, HIPAA requirements, FSSA requirements, and applicable program guidelines.

• Respond constructively to audit findings, supervisory direction, and performance feedback.

• Contribute to a collaborative, respectful, and solution-focused work environment.

Minimum Qualifications

• Required: Current, active, and unrestricted Licensed Practical Nurse (LPN) license in the State of Indiana.

• Required: Valid driver's license, reliable transportation, and current automobile insurance.

• Required: Ability to travel regularly throughout an assigned service region in Indiana to conduct face-to-face client visits.

• Strong written and verbal communication skills.

• Excellent organizational and time management abilities.

• Ability to maintain accurate, timely, and professional documentation.

• Ability to work independently while effectively managing competing priorities in a hybrid work environment.

• Comfortable using computers, electronic documentation systems, Microsoft Office, and other technology required to perform job duties.

• Ability to maintain confidentiality and handle sensitive client information appropriately.

• Ability to recognize concerns requiring referral or escalation and maintain appropriate professional boundaries.

Preferred Qualifications

• Experience working with seniors, individuals with disabilities, Medicaid recipients, or other vulnerable populations.

• Previous experience in care coordination, healthcare coordination, community health, home- and community-based services, or a related field.

• Familiarity with Indiana Medicaid programs, FSSA requirements, HCBS waivers, and community-based resources.

• Experience with electronic health records, quality assurance processes, or compliance-driven documentation.

• Bilingual in English and Spanish to better serve IHCS's diverse client population.

Work Environment

This is a full-time hybrid position consisting of work-from-home days and required field-based, face-to-face client visits within an assigned service region in Indiana.

This position is not fully remote. Regular regional travel and in-person client interaction are essential functions of the role. Employees must maintain reliable transportation, current automobile insurance, a suitable remote workspace, and the ability to manage their schedules and responsibilities independently.

The position requires regular computer use, telephone and electronic communication, client recordkeeping, and the ability to balance remote work with field-based responsibilities.

Why This Role Matters

Every interaction with a client can make a meaningful difference in their life. By helping individuals navigate available services, overcome barriers, coordinate appropriate supports, and maintain connections with their care teams, the LPN – Care Coordination plays an important role in supporting client independence and quality of life.

The relationships built through this position reflect IHCS's commitment to compassionate, coordinated, and person-centered services.

Equal Employment Opportunity

Integrative Health Care Services of Indiana is committed to providing equal employment opportunities and fostering a professional, respectful, and collaborative workplace. Employment decisions are based on job-related qualifications, experience, skills, and organizational needs, consistent with applicable law.

IHCS reserves the right to modify or assign additional duties as business needs require, provided those duties are consistent with the employee's qualifications, the position's authorized scope, and applicable requirements.

Interested candidates are encouraged to apply and share how their nursing qualifications, professional experience, and commitment to client-centered service would contribute to the IHCS Care Coordination team.