Licensed Practical Nurse - Care Coordinator

Ohana Pacific Management Company; Kahului (HI); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

PTO

Tuition Reimbursement

Medical/Dental/Vision/401(k) match

Growth opportunities

Team culture

Competitive pay

Job summary

Ohana Pacific Health is seeking a Hybrid LPN Care Coordinator for positions based on Hilo, Maui, or Kauai. The role involves clinical care coordination and telephonic Chronic Care Management under supervision, with duties including structured patient encounters, care plan maintenance, and CCM billing documentation.

The ideal candidate holds Hawaii LPN licensure, has healthcare or geriatric experience, and can navigate EMR systems.

Qualifications

• Requires Hawaii LPN licensure in good standing.
• Experience in healthcare or geriatric populations is preferred.
• Strong computer and basic tech skills are necessary.

Responsibilities

• Telephonic CCM encounters with enrolled patients to assess health status and care plan progress.
• Maintain and update patient-centered electronic care plans per CMS guidelines.
• Document non-face-to-face care management time for CCM billing.
• Conduct telephonic medication reviews and address adherence gaps.
• Monitor symptoms and vitals and escalate to providers as needed.

Skills

Computer skills

Healthcare experience

Education

Hawaii LPN license

Tools

EMR systems

Job description

Hybrid LPN Care Coordinator position based on Hilo, Maui, or Kauai

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 supports clients on Hilo, Kauai, and Maui.

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 escalation to the supervising provider.
• Symptom Monitoring & Escalation: Monitor patient-reported symptoms and vitals via telephone; identify early signs of clinical decompensation and escalation to treating providers as appropriate.

Requirements:

• Current State of Hawaii Licensed Practical Nurse (LPN) licensure in good standing.
• Proficiency in basic computer skills including but not limited to, navigating web browsers, electronic medical record systems, computer systems and applications, Microsoft office suite
• Experience in healthcare or home health field or work with the geriatric population, preferred.

The Benefits:

• Paid Time Off (PTO)
• Tuition Reimbursement & Scholarship Opportunities
• Medical/Dental/Vision/401(k) match
• 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.