Licensed Practical Nurse/Medical Home Coordiantor

TriHealth; Cincinnati (OH); On-site; USD 50,000 - 71,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Tuition reimbursement

Paid time off

Job summary

TriHealth is seeking an LPN for an outpatient Medical Home role focused on coordinating patient care, pre-visit planning, and effective communication with care team. The LPN will manage MyChart messages and assist in transitions of care within a primary care setting.

This role requires clinical skills, strong customer service, and teamwork to support patient satisfaction and outcomes in a physician practice environment.

Qualifications

• Graduate of an approved healthcare program.
• Healthcare clinical experience preferred in physician practice or related field.
• Equivalent experience accepted in lieu of degree.
• Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR).
• Knowledge of medical office flow and front office tasks.
• Ability to make quick decisions based on consequences.
• Knowledge of EMR.
• Practice management software and medical coding/billing encouraged.
• 3-4 years experience in clinical healthcare.

Responsibilities

• Coordinates primary care rooming, clinical procedures, and both adult and pediatric patient care, including immunizations, venipuncture, point‑of‑care testing, and retinal imaging.
• Follows scheduling decision trees, protocols, and policies while ensuring proper use of clinical equipment.
• Documents all aspects of care accurately, including clinical calls, rooming questions, procedures, orders, prescriptions, pharmacy coordination, and workflow tasks; manages MyChart and patient messages in a timely manner.
• Participates in patient‑centered medical home activities by reviewing charts for gaps in care, supporting outreach, completing pre‑visit planning, attending daily huddles, and promoting wellness and prevention.
• Applies knowledge of population health and value‑based care, using quality metrics for wellness and chronic disease management, identifying at‑risk patients, and completing required training.
• Supports longitudinal patient care through post‑ED and post‑inpatient outreach, thorough documentation, and collaboration with RNs, Social Workers, CHWs, and pharmacists; provides basic community resource guidance.
• Educates and coaches patients on wellness and chronic disease management, helping facilitate follow‑up appointments, referrals, and ongoing care coordination.

Skills

Clinical care

Communication

Customer service

Teamwork

Education

Healthcare program graduate

Equivalent experience accepted

Tools

EMR software

Practice management software

Medical coding/billing

Job description

Job Description

Deliver Compassionate Care in a Supportive Outpatient Setting

Location

4260 Glendale Milford Road, Suite 101, Blue Ash, OH 45242

Incentives & Benefits

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

Minimum Job Requirements

• Graduate of an approved technical, professional, or vocational program in Healthcare


• Healthcare clinical experience preferred physician practice or related field


• Equivalent experience accepted in lieu of degree


• Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR)


• Medical office flow, especially the clerical/front office tasks


• Ability to make quick decisions based on well thought out consequences/results


• Knowledge of EMR


• Practice management software and medical coding/billing strongly encouraged


• 3-4 years experience Clinical Healthcare

Job Overview

This position provides both direct and indirect patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. The Medical Home LPN provides pre-visit planning for the practice's patient panel, coordinates messages through electronic portals, and assists in managing transitions of care. The Medical Home LPN will act as a clinical liaison to the physician care plan and actively communicate with patients. The LPN participates in process improvements, is knowledgeable of clinical goals and outcomes including patient satisfaction and engagement. Other job-related duties may be assigned to meet the needs of the department. Must have strong skills in clinical care, customer service, communication, and teamwork. This role understands the needs of the organization and supports the mission, values, and management of TriHealth Physician Practices.

Job Responsibilities

• Coordinates primary care rooming, clinical procedures, and both adult and pediatric patient care, including immunizations, venipuncture, point‑of‑care testing, and retinal imaging.


• Follows scheduling decision trees, protocols, and policies while ensuring proper use of clinical equipment.


• Documents all aspects of care accurately, including clinical calls, rooming questions, procedures, orders, prescriptions, pharmacy coordination, and workflow tasks; manages MyChart and patient messages in a timely manner.


• Participates in patient‑centered medical home activities by reviewing charts for gaps in care, supporting outreach, completing pre‑visit planning, attending daily huddles, and promoting wellness and prevention.


• Applies knowledge of population health and value‑based care, using quality metrics for wellness and chronic disease management, identifying at‑risk patients, and completing required training.


• Supports longitudinal patient care through post‑ED and post‑inpatient outreach, thorough documentation, and collaboration with RNs, Social Workers, CHWs, and pharmacists; provides basic community resource guidance.


• Educates and coaches patients on wellness and chronic disease management, helping facilitate follow‑up appointments, referrals, and ongoing care coordination.

Working Conditions

• Climbing - Occasionally


• Concentrating - Consistently


• Hearing: Conversation - Frequently


• Interpersonal Communication - Consistently


• Kneeling - Occasional


• Lifting 10 Lbs - Consistently


• Lifting 50+ Lbs - Occasionally


• Lifting 11-50 Lbs - Rarely


• Pulling - Occasionally


• Pushing - Occasionally


• Reaching - Consistently


• Reading - Consistently


• Sitting - Consistently


• Standing - Frequently


• Stooping - Occasionally


• Thinking/Reasoning - Consistently


• Use of Hands - Consistently


• Color Vision - Consistently


• Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following

Serve: ALWAYS...

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"


• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist


• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met


• Offer patients and guests priority when waiting (lines, elevators)


• Work on improving quality, safety, and service

Respect: ALWAYS...

• Respect cultural and spiritual differences and honor individual preferences.


• Respect everyone’s opinion and contribution, regardless of title/role.


• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...

• Value the time of others by striving to be on time, prepared and actively participating.


• Pick up trash, ensuring the physical environment is clean and safe.


• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...

• Acknowledge wins and frequently thank team members and others for contributions.


• Show courtesy and compassion with customers, team members and the community