CCM Nurse, LPN, Medical Clinics, Full Time

Northwest-Florida-Community-Hospital; Chipley (FL); On-site; USD 48,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

PTO

401(k) retirement plan with employer

Life insurance

Disability benefits

Employee assistance and wellness

Continuing education and professional

Certification incentive pay

Stable full-time day shift

Growth opportunities

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. The CCM LPN will work closely with providers to coordinate care for patients with chronic conditions, focusing on outreach, education, follow-up, and care coordination to help patients manage their health and maintain continuity of care.

The role involves routine outreach, developing care plans, patient education, medication reviews,

Qualifications

• Current Florida LPN license in good standing.
• Graduate of an approved practical nursing program.
• Current BLS certification.
• Previous medical clinic, primary care, chronic care management, or care coordination experience preferred.
• Strong communication, organization, and documentation skills.
• Comfortable communicating with patients by telephone and working with electronic medical records.

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 promptly communicate changes in condition to the appropriate provider.
• Coordinate referrals, specialist appointments, testing, and follow-up care.
• Assist with transitions of care following hospitalizations, ER visits, and other encounters.
• Communicate with providers, pharmacies, specialists, hospitals, and other members of the patient’s healthcare team.
• Review patient records for outstanding testing, referrals, appointments, and preventive care needs.
• Document patient communication, care coordination activities, and CCM services in EMR.
• Maintain tracking of CCM activities and time for billing and compliance purposes.
• Maintain patient confidentiality in line with HIPAA.

Skills

LPN license (FL)

BLS certification

Clinic experience

Communication skills

EMR/documentation

Independent with teamwork

Education

Approved practical nursing program

Tools

EMR systems

Job description

CCM LPN - Medical Clinics

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.

Schedule: Full-Time | Day Shift

The CCM LPN will work closely with providers and clinic staff to coordinate care for patients with chronic medical conditions. This position focuses on patient outreach, education, follow-up, and care coordination to help patients successfully manage their health and maintain continuity of care.

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 promptly communicate changes in condition to the appropriate provider.
• Coordinate referrals, specialist appointments, testing, and follow-up care.
• Assist with transitions of care following hospitalizations, emergency room visits, and other healthcare encounters.
• Communicate with providers, pharmacies, specialists, hospitals, and other members of the patient’s healthcare team.
• Review patient records for outstanding testing, referrals, appointments, and preventive care needs.
• Accurately document patient communication, care coordination activities, and CCM services in the electronic medical record.
• Maintain accurate tracking of CCM activities and time for billing and compliance purposes.
• Maintain patient confidentiality and comply with HIPAA requirements.
• Perform additional nursing and clinic duties within the LPN scope of practice as assigned.

Qualifications

• Current Florida LPN license in good standing.
• Graduate of an approved practical nursing program.
• Current BLS certification.
• Previous medical clinic, primary care, chronic care management, or care coordination experience preferred.
• Strong communication, organization, and documentation skills.
• Comfortable communicating with patients by telephone and working with electronic medical records.
• Ability to work independently while collaborating closely with providers and clinic staff.
• Knowledge of common chronic conditions, including diabetes, hypertension, COPD, and heart disease, preferred.

What We're Looking For

We are looking for a compassionate, dependable, and organized LPN who enjoys building relationships with patients and helping them navigate their healthcare needs. The ideal candidate will have excellent follow-up skills, strong attention to detail, and a commitment to providing high-quality patient-centered care.

Join the Northwest Florida Community Hospital team and help us improve the health and well-being of the patients and communities we serve.

Benefits

As a full-time NFCH employee, you will have access to a competitive benefits package that may include:

• Medical, dental, and vision insurance
• Paid Time Off (PTO)
• 401(k) retirement plan with employer contribution
• Life insurance
• Short-term and long-term disability benefits
• Employee assistance and wellness benefits
• Opportunities for continuing education and professional development
• Certification incentive pay, when applicable
• Stable full-time day shift schedule
• Opportunities for growth within NFCH

Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages.

In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job.

Final confirmation of any job offer will be contingent upon the successful completion of all pre-employment requirements, including a pre-employment drug screening and background screening. Failure to submit to either screening, falsification of any screening information, or a positive finding on a drug test will result in removal from consideration for employment for a period of one year.

https://info.flclearinghouse.com