Licensed Practical Nurse - Care Coordinator

Ohana Pacific Management Company Inc; Honolulu (HI); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Excellent growth opportunities

Mission Driven Team Culture

Competitive pay and benefits

Job summary

Ohana Pacific Health in Honolulu, HI is seeking a Licensed Practival Nurse (LPN) – Care Coordinator to deliver clinical care coordination and telephonic CCM under physician supervision.

You will conduct structured patient calls, maintain care plans in the EHR, track non-face-to-face time, review medications, and monitor symptoms to escalate as needed in a hybrid remote setting.

Qualifications

• Current Hawaii LPN license in good standing.
• Experience in healthcare or home health preferred.
• Geriatric population experience preferred.

Responsibilities

• Conduct structured telephonic encounters with enrolled CCM patients to assess health status and care plan progress.
• Assist in updating and maintaining comprehensive electronic care plans in the EHR following CMS guidelines.
• Document eligible non-face-to-face clinical care management time for CCM billing.
• Perform telephonic medication reviews, identify adherence gaps, and escalate drug-related issues to the supervising provider.
• Monitor patient-reported symptoms and vitals by telephone and escalate as appropriate.

Skills

Telephonic care coordination

Chronic Care Management

EHR documentation

Medication review

Care coordination

Education

Hawaii LPN license

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Licensed Practical Nurse - Care Coordinator

Full Time Operator Kalele Care Services, Honolulu, HI, US

Are you looking to work for mission driven and passionate healthcare warriors like yourself? Looking to grow within an organization?

The Company:

We are Ohana Pacific Health. We positively impact thousands of lives each year with the \"Ohana

Experience\", an organizational culture based on excellence and genuine care.

• Hawaii's largest, locally owned post-acute healthcare company.
• Our vision is to transform how healthcare is provided throughout Hawaii.

The Location:

Kalele Care Services was founded in 2020 by Ohana Pacific Health to address the complex healthcare needs of the community with an emphasis on assisting Kupuna to live longer and healthier independent lives. This remote/hybrid position.

The Position:

The Licensed Practical Nurse (LPN) – Care Coordinator serves a critical role in an integrated care management model, delivering clinical care coordination and telephonic Chronic Care Management (CCM) under general practitioner supervision.

• Telephonic Patient Encounters: Conduct structured telephone interactions with enrolled CCM patients to assess health status, symptom control, and care plan progress.
• Care Plan Maintenance: Assist in updating and maintaining comprehensive, patient-centered electronic care plans in the EHR following CMS clinical guidelines.
• Non-Face-to-Face Time Tracking: Document all eligible non-face-to-face clinical care management time to support CCM billing requirements.
• Medication Adherence & Review: Perform routine telephonic medication reviews, identify gaps in adherence or refill barriers, offer patient education, and elevate complex drug-related problems to the supervising provider.
• Symptom Monitoring & Escalation: Monitor patient-reported symptoms and vitals via telephone; identify early signs of clinical decompensation and elevate to treating providers as appropriate.

Requirements:

• Current State of Hawaii Licensed Practical Nurse (LPN) licensure in good standing.
• Experience in healthcare or home health field or work with the geriatric population, preferred.

The Benefits:

• Paid Time Off (PTO)
• Excellent growth and advancement opportunities
• Mission Driven Ohana & Dedicated Team Culture
• Competitive pay and benefits

Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify

Applicants with a disability who require reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.