Medical Home LPN: Care Coordination & Patient Wellness

TriHealth; Kentucky; On-site; USD 52,000 - 66,000; Full time

Benefits offered by this job

Competitive shift differentials

Professional growth opportunities

Comprehensive benefits package

Job summary

TriHealth is seeking a Licensed Practical Nurse in a primary care outpatient setting to support care delivery and patient experiences. You will perform rooming, procedures, and pre‑visit planning while coordinating messages through MyChart and assisting in transitions of care.

You will contribute to population health goals, document thoroughly, and collaborate with RNs, CHWs, and pharmacists to ensure high quality, patient‑centered care. This role emphasizes teamwork and compassionate service.

Qualifications

• Graduate of an approved technical, professional, or vocational program in Healthcare
• Healthcare clinical experience preferred physician practice or related field
• Equivalent experience accepted in lieu of degree
• Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR)
• Medical office flow, especially the clerical/front office tasks
• Ability to make quick decisions based on well thought out consequences/results
• Knowledge of EMR
• Practice management software and medical coding/billing strongly encouraged
• 3-4 years experience Clinical Healthcare

Responsibilities

• Coordinates primary care rooming, clinical procedures, and both adult and pediatric patient care, including immunizations, venipuncture, point‑of‑care testing, and retinal imaging.
• Follows scheduling decision trees, protocols, and policies while ensuring proper use of clinical equipment.
• Documents all aspects of care accurately, including clinical calls, rooming questions, procedures, orders, prescriptions, pharmacy coordination, and workflow tasks; manages MyChart and patient messages in a timely manner.
• Participates in patient‑centered medical home activities by reviewing charts for gaps in care, supporting outreach, completing pre‑visit planning, attending daily huddles, and promoting wellness and prevention.
• Applies knowledge of population health and value‑based care, using quality metrics for wellness and chronic disease management, identifying at‑risk patients, and completing required training.
• Supports longitudinal patient care through post‑ED and post‑inpatient outreach, thorough documentation, and collaboration with RNs, Social Workers, CHWs, and pharmacists; provides basic community resource guidance.
• Educates and coaches patients on wellness and chronic disease management, helping facilitate follow‑up appointments, referrals, and ongoing care coordination.

Skills

BLS/CPR

Clinical healthcare experience

Teamwork

Communication

Education

Healthcare program diploma/degree

Tools

EMR

Practice management software

Medical coding/billing

Job description

TriHealth is seeking a Licensed Practical Nurse in a primary care outpatient setting to support care delivery and patient experiences. You will perform rooming, procedures, and pre‑visit planning while coordinating messages through MyChart and assisting in transitions of care.

You will contribute to population health goals, document thoroughly, and collaborate with RNs, CHWs, and pharmacists to ensure high quality, patient‑centered care. This role emphasizes teamwork and compassionate service.