LPN Care Coordinator

Comprehensive Rehabilitation Consultants (CRC)

LPN Care Coordinator delivering transitional and chronic care management for nursing-home patients. Conducting assessments, follow-ups, education, and care-plan coordination through EMR technology.

Posted 8/5/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $28 - $32 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Transitional Care and Chronic Care Management, with a focus on patient assessments, care plan development, and effective communication with healthcare providers. Proficient in utilizing EMR systems and care management technology to enhance patient outcomes and ensure continuity of care.

Highest-signal resume keywords

Licensed LPN/LVN Or Registered NurseCare Coordination ExperienceElectronic Medical Records (EMR)Chronic Disease EducationMotivational Interviewing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Transitional Care ManagementChronic Care ManagementComprehensive AssessmentsCare Plan DevelopmentPatient MonitoringPost-Discharge Follow-UpSymptom-Management TeachingCare Management SoftwareRisk AssessmentPatient Engagement

Soft Skills

Customer Service OrientationCollaboration SkillsConflict ResolutionDecision-MakingProblem-Solving

Tools & Technologies

Care Management TechnologyEMR Systems

Certifications & Qualifications

High School Diploma Or EquivalentAssociates Or Bachelors Preferred

Industry Keywords

Skilled Nursing Facility (SNF)Medicare Beneficiary PopulationPost-Discharge Transitions Of CareCulturally Sensitive Coaching

About the role

Key responsibilities & impact

Deliver Transitional Care and Chronic Care Management services
Review EMR records to inform initial outreach and care plan focus areas
Perform comprehensive assessments of physical and psychosocial risk factors
Identify and address barriers to individual patient needs
Communicate assessment findings, care plan goals, interventions, and outcomes to providers, patients, and caregivers
Monitor patients’ ED visits and acute stays
Perform post-discharge follow-up calls and continuously assess readmission risk
Use motivational interviewing to promote patient engagement and self-management skills
Provide chronic disease education and symptom-management teaching
Communicate proactively with providers regarding changes in patient status and necessary referrals or orders
Document care plans, clinical interventions, and outreach in the care management software system
Develop and maintain professional working relationships with assigned providers and care management team members

Requirements

What you’ll need

High school diploma or equivalent required
Associates or Bachelors preferred
Licensed LPN/LVN or Registered Nurse
Minimum of two (2) years of care coordination experience, including post-discharge transitions of care, required
Experience providing care coordination to a skilled nursing and/or Medicare beneficiary population required
Experience with SNF-to-home transitions of care or SNF bundled payment care coordination highly preferred
Knowledge and experience with electronic medical records (EMR) and care management technology
Strong customer service and patient-focused orientation
Ability to work flexibly in an ambiguous and dynamic environment
Strong collaboration and conflict-resolution skills
Strong decision-making and problem-solving skills
Ability to engage diverse populations and provide culturally sensitive coaching, education, and assistance
Ability to develop, prioritize, and accomplish goals; effective time management

Benefits

Comp & perks

Great health insurance including Medical, Vision, and Dental
Short Term Disability
Life Insurance
Critical Illness coverage
Generous PTO package
Time-off on selected holidays
Highly competitive salary
Generous bonus
401(k) plan with an annual contribution of 2-3%