Licensed Practical Nurse - Population Health Care Coordinator

Jefferson City Medical Group; Jefferson City (MO); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Generous PTO policy

Employer Retirement Plan (401K)

Tuition reimbursement and advancement

Job summary

Jefferson City Medical Group seeks a Licensed Practical Nurse to serve as Population Health Care Coordinator. This on-site role at 1241 West Stadium Blvd, Jefferson City, MO, focuses on developing patient-centered care plans and coordinating with the care team to improve health outcomes.

Responsibilities include patient support calls, maintaining current records, initiating TCM and CCM services, coordinating teaching, and guiding transitions of care while addressing gaps in care.

Qualifications

• Completion of an accredited Licensed Practical Nursing Program.
• Ability to communicate effectively with patients, families and staff.
• Experience or interest in patient-centered care and care coordination.

Responsibilities

• Develop, implement and update patient-centered plans of care with the care team.
• Conduct patient support calls to identify resources and education needs.
• Maintain patient records reflecting current healthcare needs and goals.
• Initiate TCM and CCM services as directed by providers.
• Identify learning opportunities and coordinate teaching on health management.
• Assist with transitions of care from acute settings to home and follow-up care.
• Support patient engagement to facilitate appropriate use of healthcare services.
• Perform medication reconciliation with patients and families.

Skills

Strong communication

Patient-centered care

Care coordination

Telephonic communication

Organization

MS Word

MS Excel

Education

LPN program completion

Tools

Microsoft Word

Microsoft Excel

Job description

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