LPN Transitional Care Coordinator (Waco, TX)

Ennoble Care; Waco (TX); On-site; USD 49,500 - 60,500; Full time

Benefits offered by this job

Health benefits

401(k) with company match

Paid holidays

Quarterly bonuses

Job summary

Ennoble Care is seeking a full-time LPN Transitional Care Coordinator in Waco, Texas. In this on-site role, you'll coordinate care in long-term facilities, monitor patient conditions, and collaborate closely with healthcare providers. A strong commitment to patient-centered care is essential.

We value teamwork, provide opportunities for growth, and support work-life balance while offering comprehensive benefits. Ideal candidates will have an active LPN license in Texas and previous patient-facing experience.

Qualifications

• Legally authorized to work in the USA.
• Minimum 1 year in patient-facing roles.
• Comfortable with healthcare communication.
• Proficient with Microsoft Excel and Word.
• Ability to work independently.

Responsibilities

• Coordinate care for patients in facilities.
• Monitor patient conditions and escalate concerns.
• Build relationships with residents and families.
• Document interactions in EMR accurately.
• Support transitional care and reduce hospital visits.

Skills

Clinical assessment skills

Communication skills

Healthcare terminology

Time management

Education

Active LPN license in Texas

Patient-facing experience

Tools

Microsoft Teams

EMR systems

Microsoft 365

Job description

LPN Transitional Care Coordinator (Waco, TX)

Waco, TX

About Us

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today!

About the Role

Ennoble Care is seeking a full-time Licensed Practical Nurse (LPN) to serve as a Transitional Care Coordinator within one or more of our partnered long-term care facilities in Waco, Texas. The right person for this role is reliable, self‑motivated, vigilant, and compassionate. This is an integral, on‑site role as part of our clinical care team, working closely alongside our providers in a family‑practice-style model built around continuity, relationship‑building, and patient‑centered support.

You’ll get to know the residents (and their families) over time, monitor for changes in condition, and play a meaningful, hands‑on role in helping people stay healthy, avoid unnecessary hospitalizations, and remain in their home – where many of them want to be.

We’re proud of the culture we’ve built at Ennoble Care – one that is positive, respectful, and rooted in genuine teamwork. People here are valued, supported in doing work that matters, and encouraged to maintain a healthy work‑life balance. We invest in our team’s growth through internal advancement opportunities based on performance, organizational needs, and role availability, because we believe that when our team thrives, so do our patients.

Required Qualifications

• Legally authorized to work in the United States of America
• Active, unrestricted LPN license in the state of Texas
• Minimum 1 year of patient‑facing experience in a long‑term care, skilled nursing or transitional care setting
• Comfortable communicating proactively throughout the day in person, by phone, via email, and through Microsoft Teams
• Solid working knowledge of healthcare terminology and care coordination principles
• Strong clinical assessment skills with the ability to identify and escalate changes in condition
• Experience with EMR systems and clinical documentation; Point Click Care experience preferred
• Proficient with Microsoft 365 including Excel, Outlook, Word, and Teams
• Excellent communication and interpersonal skills, with a solid foundation in organization, time management, and clinical documentation
• Capacity to work independently while collaborating closely with multidisciplinary teams
• Ability to work full‑time in an on‑site role 5 days per week (days of week are flexible, weekends preferred) based in the Waco, Texas area
  • Daytime hours, approximately 8:00 a.m. to 5:00 p.m. CST
  • No evenings
  • No overnight shifts
  • No on‑call requirements
  • Seven (7) company‑paid holidays annually
• Ability to pass background check and drug screen
• Transportation criteria:
  • Valid, unencumbered driver’s license
  • Consistent and reliable transportation to fulfill the duties of this position
  • Current auto insurance, with the ability to provide proof

Please note, travel between facilities may be required.

Key Responsibilities

Care Coordination & Transitional Care Management

• Coordinate care for patients residing in skilled nursing and rehabilitation facilities using Ennoble Care's EMR
• Facilitate transitional care management, ensuring services with the Housecalls division are initiated immediately upon a patient’s discharge from the hospital
• Expedite time to first provider visit for newly transitioned patients in accordance with established guidelines
• Monitor patients attentively, communicate changes in condition promptly to the provider, initiate appropriate interventions, and elevate care as clinically indicated, including CCM‑billable activities
• Consistently support care coordination efforts to reduce avoidable emergency department visits and hospital readmissions
• Collaborate daily with providers and facility staff to ensure care plans are kept current and acted on

On‑Site Clinical Support

• Maintain a consistent and reliable daily on‑site presence in assigned facilities
• Build ongoing relationships with residents and their families, maintaining a consistent presence that reinforces trust and continuity of care over time
• Conduct routine and urgent vital sign collection as needed
• Perform regular patient check‑ins to support care plans, follow‑ups, and clinical stability
• Identify changes in patient condition and promptly communicate concerns to the clinical team
• Serve as a key liaison between Ennoble Care providers, facility staff, residents, families, and the Housecalls team
• Collaborate closely with Ennoble Care providers within the skilled nursing or long‑term care setting
• Provide timely, accurate clinical updates to providers to support informed decision‑making
• Ability to convert two (2) eligible patients per day to Ennoble Care’s Housecalls program

Documentation & EMR Management

• Accurately document patient interactions, assessments, and care coordination activities in Ennoble Care’s EMR
• Perform chart reconciliation to ensure accuracy and continuity of clinical records between Ennoble and facility records
• Follow established workflows, documentation standards, and escalation protocols
• Support onboarding and training of new Transitional Care Coordinators
• Serve as a clinical mentor and resource for newly hired coordinators
• Promote best practices in transitional care, communication, and facility‑based care coordination
• Contribute positively to team collaboration and foster strong partnerships with facility staff

Work Environment & Expectations

• Embedded, on‑site role within assigned skilled nursing and/or rehabilitation facilities
• Requires consistent daily presence and strong relationship‑building with facility staff
• Fast‑paced, patient‑facing role requiring clinical judgment, adaptability, and proactive engagement

Core Competencies

Patient‑centered care

Clinical judgment and escalation

Care coordination and continuity

Communication and collaboration

Documentation accuracy and compliance

Relationship‑building and teamwork

Compensation & Benefits

• Starting salary: $55,000 annually
• Quarterly bonus opportunities based on performance
• Mileage reimbursement eligibility when traveling between facilities
• Full‑time health benefits eligibility, including a range of supplemental insurance options and elective benefits
• Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts, and other standard benefits
• Paid Time Off
• Paid Office Holidays
• Paid Sick Time
• 401(k) with up to 3% company match
• Referral Program

Thank you for your interest in joining the Ennoble Care team.

Equal Opportunity Employer

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.