LPN/ LVN Care Coordinator for CCM

Comprehensive Rehab Consultants; Abbeyville (CO); Remote; USD 39,000 - 44,000; Full time

Benefits offered by this job

Bonus opportunities

Remote work

PTO

Health insurance

401(k)

Job summary

Comprehensive Rehab Consultants is seeking an LPN/LVN Care Coordinator to deliver Chronic Care Management remotely, supporting elderly patients toward desired health outcomes. You will conduct post-discharge outreach, develop patient-centered care plans, and coordinate services with CRC providers and the care team.

The role requires active LPN/LVN licensure, 2+ years in geriatric post-acute care, and 1+ year of 100% remote telephonic experience with direct patient interaction.

Qualifications

• Active LPN/LVN license or equivalent.
• 2+ years of geriatric post-acute clinical experience.
• 1+ years of 100% remote telephonic patient interaction.

Responsibilities

• Clinical Assessment & Planning: Review EMR records to assess physical and psychosocial risk and customize care plans.
• Care Transition & Monitoring: Track ED visits and post-discharge follow-ups with readmission risk assessments.
• Patient Engagement & Education: Use motivational interviewing for self-management and disease education.
• Care Coordination: Communicate findings, goals, and changes with providers, patients, and caregivers to obtain orders/referrals.
• Documentation & Compliance: Timely logging of plans, interventions, and outreach in care management software.
• Collaboration: Maintain strong working relationships with providers and care team.

Skills

LPN/LVN license

Remote telephonic work

Geriatric care experience

Education

Associates or Bachelors degree

Tools

EMR systems

Care Management software

Job description

Comprehensive Rehab Consultants (CRC) is building the future of nursing homes. We empower nursing home teams to provide exceptional clinical care to their elderly patients by embedding our clinicians and technology.

Job Description

The LPN/LVN Care Coordinator will be 100% remote and will be responsible for delivery of Chronic Care Management services, allowing patients to thrive and progress toward desired outcomes.

Responsibilities include post-discharge patient outreach, patient-centered care plans, and service coordination utilizing software tools that facilitate communication and exchange of information with patients, CRC providers, and other care team members.

Benefits

• Competitive salary and bonus opportunities
• 100% remote position
• Generous PTO package and time-off on selected holidays
• Health and other insurance including: Medical, Vision, and Dental, Short Term Disability, Life Insurance, Critical Illness, Hospital Indemnity
• 401(k) plan with an annual contribution of 2-3%

Job Responsibilities

• Clinical Assessment & Planning: Review EMR records to conduct comprehensive physical and psychosocial risk assessments, identifying patient barriers and customizing care plans.
• Care Transition & Monitoring: Track ED visits and acute stays, performing post-discharge follow-ups and continuous readmission risk assessments.
• Patient Engagement & Education: Utilize motivational interviewing to empower self-management; provide chronic disease education and symptom management teaching to patients and caregivers.
• Care Coordination: Partner proactively with providers, patients, and caregivers to communicate assessment findings, care goals, and changes in status, securing necessary orders or referrals.
• Documentation & Compliance: Maintain precise, timely logging of care plans, interventions, and patient outreach within the care management software system.
• Collaboration: Build and maintain strong, professional working relationships with assigned providers and the broader care management team.

Qualifications and Skills

Required

• Active LPN/LVN or equivalent license
• 2+ years of clinical experience with the geriatric population in the post-acute space (SNF/HH)
• 1+ years of 100% remote telephonic experience that includes direct patient interaction

Preferred

• Associates or Bachelors level education
• Knowledge and experience with a variety of electronic medical records (EMR) and Care Management technology
• An understanding of CMS compliance regulations

$28 - $32 an hour

This is a full-time 38-40 hours per week position