Licensed Practical Nurse/Medical Home Coordinator

Deliver Compassionate Care in a Supportive Outpatient SettingAt TriHealth, our Licensed Practical Nurses in physician offices play an essential role in creating positive patient experiences and supporting high-quality primary and specialty care. When you join us, you become part of a trusted, people-first health system where your clinical skills, compassion, and commitment to patients truly matter.Location: 5861 Cinema Dr, Milford, OH 4515 Schedule: Full time, day shiftIncentives & BenefitsWe offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.Minimum Job RequirementsGraduate of an approved technical, professional, or vocational program in HealthcareHealthcare clinical experience preferred physician practice or related fieldEquivalent experience accepted in lieu of degreeBasic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR)Medical office flow, especially the clerical/front office tasksAbility to make quick decisions based on well thought out consequences/resultsKnowledge of EMRPractice management software and medical coding/billing strongly encouraged3-4 years experience Clinical HealthcareJob OverviewThis position provides both direct and indirect patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. The Medical Home LPN provides pre-visit planning for the practice's patient panel, coordinates messages through electronic portals, and assists in managing transitions of care. The Medical Home LPN will act as a clinical liaison to the physician care plan and actively communicate with patients. The LPN participates in process improvements, is knowledgeable of clinical goals and outcomes including patient satisfaction and engagement. Other job-related duties may be assigned to meet the needs of the department. Must have strong skills in clinical care, customer service, communication, and teamwork. This role understands the needs of the organization and supports the mission, values, and management of TriHealth Physician Practices.Job ResponsibilitiesCoordinates primary care rooming, clinical procedures, and both adult and pediatric patient care, including immunizations, venipuncture, point-of-care testing, and retinal imaging.Follows scheduling decision trees, protocols, and policies while ensuring proper use of clinical equipment.Documents all aspects of care accurately, including clinical calls, rooming questions, procedures, orders, prescriptions, pharmacy coordination, and workflow tasks; manages MyChart and patient messages in a timely manner.Participates in patient-centered medical home activities by reviewing charts for gaps in care, supporting outreach, completing pre-visit planning, attending daily huddles, and promoting wellness and prevention.Applies knowledge of population health and value-based care, using quality metrics for wellness and chronic disease management, identifying at-risk patients, and completing required training.Supports longitudinal patient care through post-ED and post-inpatient outreach, thorough documentation, and collaboration with RNs, Social Workers, CHWs, and pharmacists; provides basic community resource guidance.Educates and coaches patients on wellness and chronic disease management, helping facilitate follow-up appointments, referrals, and ongoing care coordination.Working ConditionsClimbing - Occasionally Concentrating - Consistently Hearing: Conversation - Frequently Interpersonal Communication - Consistently Kneeling - Occasionally Lifting <10 Lbs - Consistently Lifting 50+ Lbs - Occasionally Lifting 11-50 Lbs - Rarely Pulling - Occasionally Pushing - Occasionally Reaching - Consistently Reading - Consistently Sitting - Consistently Standing - Frequently Stooping - Occasionally Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Consistently Walking - ConsistentlyTriHealth SERVE Standards and ALWAYS BehaviorsAt TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following Serve: ALWAYS…Welcome everyone by making eye contact, greeting with a smile, and saying "hello"Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assistRefrain from using cell phones for personal reasons in public spaces or patient care areasExcel: ALWAYS…Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been metOffer patients and guests priority when waiting (lines, elevators)Work on improving quality, safety, and serviceRespect: ALWAYS…Respect cultural and spiritual differences and honor individual preferences.Respect everyone's opinion and contribution, regardless of title/role.Speak positively about my team members and other departments in front of patients and guests.Value: ALWAYS…Value the time of others by striving to be on time, prepared and actively participating.Pick up trash, ensuring the physical environment is clean and safe.Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.Engage: ALWAYS…Acknowledge wins and frequently thank team members and others for contributions.Show courtesy and compassion with customers, team members and the community