Position: Licensed Practical Nurse - Population Health Care Coordinator
Location: 1241 West Stadium Blvd
Jefferson City, MO
Remote Status: On-Site
Job Id:2406
# of Openings:1
Position posted: 10/12/2026
RESPONSIBILITIES
Job Specific Competencies:
- Develop, implement and update patient centered plans of care to be utilized by the care team to help direct patient goals and actions to improve health.
- Conduct patient support calls to determine patient needs and identify resources, education, and assistance that is necessary to facilitate optimal self-care management directives.
- Work with patient and family members to initiate and maintain a collaborative care plan approach to reach desired goals.
- Maintain patient records which reflect current healthcare needs and supportive goals.
- Initiate TCM and CCM services as directed by providers.
- Identify learning opportunities with patients/families and provide or coordinate individualized and comprehensive teaching-learning interactions related to patient centered healthcare improvement and management.
- Act as a resource for patient engagement and support to help facilitate appropriate use of healthcare services.
- Ensure patient and/or family members demonstrate knowledge of health status, treatments, coping mechanisms and interventions in relation to their illness management.
- Conduct medication reconciliation with the patient and/or family member to ensure accurate medication administration is being performed. Assist the patient and/or family member in identifying home medications, appropriate timing of medications, and financial resources for medication assistance.
- Identify gaps in care and guide/educate patient on the need to address preventative health maintenance measures to facilitate optimal health.
- Educate providers and staffon TCM, CCM, ACO, and VBC services, goals, and directives.
- Facilitate transitions of care from acute care settings to home and ensure all gaps in care are addressed including follow-up appointments, medication management, etc.
- Utilize VBC programs to identify and document closure of care gaps.
- Collaborates with the Executive Director of Value Based Care regarding implementation, delivery and organization of TCM, CCM, ACO. and VBC services.
JCMG Core Competencies:
- Strives for continuous quality improvement.
- Participates in educational experiences designed to maintain and/or improve professional competence.
- Maintains high work ethic standards.
- Provides quality customer service to staff, patients and visitors at all times.
MINIMUM QUALIFICATIONS
Education:
- Completion of an accredited Licensed Practical Nursing Program
Experience:
- Preference to those with a minimum of one-year experience in case management in the healthcare setting
Certification/License:
- Valid Licensed Practical Nursing license in the state of Missouri
Knowledge/Skills/Abilities:
- Strong communication skills, including the abilities to effectively communicate both verbally and in writing, internally and externally and at all levels of the organization
- Applied knowledge in patient centered healthcare prevention and management with emphasis on chronic illness management.
- Strong organization and interpersonal skills related to patient/provider communication and coordination.
- Must be able to demonstrate an ability to effectively communicate telephonically with proficient communication skills and assessment.
- Proficient in Microsoft Word and Microsoft Excel.
WORK ENVIRONMENT
Works in heated and air-conditioned area; Occasionally, work involves driving to satellite locations. May be exposed to infectious material and contagious conditions and blood borne pathogens and contaminated sharps; potential for exposure to hazardous disinfecting chemicals.
BENEFITS
- Health insurance & employer paid short- and long-term disability
- Generous PTO policy, beginning at 148-hours annually
- Employer Retirement Plan (401K) with employer match
- Tuition reimbursement and other professional advancements, including a Medical Assistant training program