LVN Care Coordinator: Care Continuity & Transitions Lead

Cantex; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health coverage

Dental coverage

Vision coverage

401(k) with company match

Paid time off

Job summary

Cantex in Houston seeks an LVN Care Coordinator (LVNCC) to partner with the Plan NP and coordinate care for ISNP beneficiaries. You will maintain routine contact with members, families, and facility staff, monitor condition changes, and ensure timely communication with the interdisciplinary care team.

This role supports proactive care management, reduces unnecessary transitions, and improves outcomes for high-acuity long-term residents, while performing duties under the LVN scope and Texas Board

Qualifications

• Active LVN license in the respective state.
• Compliance with all required State and Federal guidelines.
• Maintain ongoing Texas Board of Nursing educational requirements for licensure and re-certification.
• Strong communication and coordination skills.
• Ability to work collaboratively with interdisciplinary teams and facility leadership.

Responsibilities

• Assist the Plan NP with care coordination duties and documentation for Plan Members.
• Initiate and complete assessments, including vital signs and other clinical data collection.
• Perform daily rounds to identify medical, emotional, or behavioral changes in Plan Members.
• Obtain daily Plan Member census and report transitions to Plan NPs and RNPs.
• Monitor Plan Members during transitions to and from the hospital; communicate updates to facility staff and Plan NPs.
• Ensure Plan NP receives all discharge paperwork and summaries following hospital transitions.
• Conduct timely in-person follow-ups after transitions to reduce readmission risk and identify additional needs.
• Partner with facility staff and the Interdisciplinary Care Team to implement care plans and coordinate services.
• Alert the Plan NP promptly of new enrollees and prioritize intervention for Plan Members at risk for transition.
• Support proactive care management to improve outcomes and reduce unnecessary hospitalizations.

Skills

LVN license

Texas nursing guidelines

Communication skills

Coordination

Team collaboration

Job description

Cantex in Houston seeks an LVN Care Coordinator (LVNCC) to partner with the Plan NP and coordinate care for ISNP beneficiaries. You will maintain routine contact with members, families, and facility staff, monitor condition changes, and ensure timely communication with the interdisciplinary care team.

This role supports proactive care management, reduces unnecessary transitions, and improves outcomes for high-acuity long-term residents, while performing duties under the LVN scope and Texas Board