Chronic Care LPN – Care Coordination Specialist (Day Shift)

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

Paid Time Off (PTO)

401(k) retirement plan with employer/p

Job summary

Northwest Florida Community Hospital is seeking a Full-Time Licensed Practical Nurse (LPN) to join our Medical Clinics in a Chronic Care Management (CCM) role. The CCM LPN will coordinate care, perform outreach, and support education for patients with chronic conditions.

The position requires an active Florida LPN license, BLS certification, and experience in a medical clinic or care coordination setting. This role is standard daytime, full-time with opportunities for growth within NFCH.

Qualifications

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

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 to the provider.
• Monitor patient-reported symptoms and report 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, hospitals, and the healthcare team.
• Review patient records for outstanding testing, referrals, appointments, and preventive care needs.
• Document patient communication, care coordination, and CCM services in EMR.
• Maintain tracking of CCM activities and time for billing and compliance.
• Maintain patient confidentiality and HIPAA compliance.
• Perform additional nursing and clinic duties within LPN scope as assigned.

Skills

Communication

Organization

Documentation

Phone outreach

Education

Graduate of approved practical nursing program

Tools

Electronic Medical Records

Job description

Northwest Florida Community Hospital is seeking a Full-Time Licensed Practical Nurse (LPN) to join our Medical Clinics in a Chronic Care Management (CCM) role. The CCM LPN will coordinate care, perform outreach, and support education for patients with chronic conditions.

The position requires an active Florida LPN license, BLS certification, and experience in a medical clinic or care coordination setting. This role is standard daytime, full-time with opportunities for growth within NFCH.