CCM LPN: Patient Care & Care Coordination

Northwest Florida Community Hospital; Chipley (FL); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Paid Time Off (PTO)

401(k) retirement plan with employer

Life insurance

Disability benefits

Continuing education and professional

Certification incentive pay

Stable full-time day shift

Opportunities for growth

Job summary

Northwest Florida Community Hospital is seeking a Full-Time Licensed Practical Nurse (LPN) to join our Medical Clinics team in a Chronic Care Management (CCM) role. You will coordinate care for patients with chronic conditions, focusing on outreach, education, follow-up, and care coordination to ensure continuity of care.

The ideal candidate holds a Florida LPN license, is enrolled in BLS, and has strong communication and documentation skills to support care plans and referrals across the care

Qualifications

• Florida LPN license in good standing.
• Graduate of an approved practical nursing program.
• Current BLS certification.
• Previous medical clinic/primary care/care coordination experience preferred.
• Strong communication, organization, and documentation skills.
• Comfortable with telephone outreach and EMR use.

Responsibilities

• Conduct routine outreach and follow-up with patients enrolled in Chronic Care Management.
• Assist with developing and maintaining individualized patient care plans.
• Educate patients on chronic conditions, medications, treatment plans, and provider recommendations.
• Review medications with patients and communicate concerns or discrepancies to the provider.
• Monitor patient-reported symptoms and communicate changes to the provider.
• Coordinate referrals, specialist appointments, testing, and follow-up care.
• Assist with transitions of care after hospitalizations and ER visits.
• Communicate with providers, pharmacies, specialists, and hospitals.
• Review patient records for outstanding testing, referrals, and preventive care needs.
• Document CCM activities in the EMR and track time for billing/compliance.

Skills

LPN license

Communication skills

Documentation

HIPAA/compliance

Education

Graduate of practical nursing program

Tools

Electronic Medical Records (EMR)

Job description

Northwest Florida Community Hospital is seeking a Full-Time Licensed Practical Nurse (LPN) to join our Medical Clinics team in a Chronic Care Management (CCM) role. You will coordinate care for patients with chronic conditions, focusing on outreach, education, follow-up, and care coordination to ensure continuity of care.

The ideal candidate holds a Florida LPN license, is enrolled in BLS, and has strong communication and documentation skills to support care plans and referrals across the care