Bilingual Care Coordinator, LPN

Evergreen Nephrology

Bilingual Care Coordinator, LPN conducting clinical check-ins and supporting patients at Evergreen Nephrology. Ensuring accurate clinical documentation and collaborating with care teams remotely.

Posted 7/30/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong clinical assessment and documentation skills while effectively managing care coordination and case management for patients. Proficient in utilizing EHR and CCM platforms to ensure accurate clinical documentation and adherence to care plans.

Highest-signal resume keywords

Active LPN Or LVN LicenseClinical Assessment SkillsCare Coordination ExperienceBilingual (Spanish/English)EHR And CCM Platform Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical Documentation AccuracyStructured Symptom AssessmentsMedication Adherence AssessmentPatient Chart Data ReviewTriage Pathways EscalationQuality Assurance DocumentationMetric-Driven Workflow ManagementPatient Interaction DocumentationCCM Time TrackingChronic Disease Care Plans Reinforcement

Soft Skills

Strong Communication SkillsRelationship BuildingProblem-SolvingTeam CollaborationAdaptability In Remote Environment

Tools & Technologies

EHR SystemCCM Patient Management PlatformMS Office SuiteTelephony Applications

Certifications & Qualifications

Active LPN LicenseLicensed Vocational Nurse (LVN) License

Industry Keywords

Ambulatory CarePopulation HealthCare CoordinationCase ManagementPatient EngagementChronic Kidney Disease (CKD)HIPAA ComplianceQuality AssurancePatient Care PlansClinical Check-Ins

About the role

Key responsibilities & impact

Conduct monthly clinical check-ins
Identify and address clinical concerns
Reinforce care plans
Escalate issues appropriately
Ensure clinical documentation accuracy across both the EHR and partner technology platform
Perform monthly CCM touchpoints for assigned patient panels
Build strong, ongoing relationships with patients and caregivers through regular outreach
Review patient chart data (diagnoses, kidney disease history, medications, labs, imaging, treatment cycles) before calls
Explain CCM participation and reinforce program benefits
Conduct structured symptom assessments (pain, fatigue, neuropathy, SOB, nausea, etc.)
Evaluate changes in condition using licensed clinical judgment
Assess medication adherence issues, side effects, or confusion about regimen
Identify clinical red flags requiring escalation (e.g., worsening symptoms, new SOB, uncontrolled pain, concerning vitals)
Escalate urgent issues based on defined triage pathways (same-business-day or immediate)
Collaborate with the provider team on symptom changes, new concerns, or medication-related issues
Route EHR messages with clinically relevant documentation
Assist in coordinating care: scheduling follow-up, arranging labs, ensuring nephrology appointments are kept, and reducing missed care
Reinforce provider-developed CKD and chronic disease care plans
Provide clinical explanation of symptom management instructions (within LPN scope)
Support adherence to medications, lifestyle changes, and follow-up instructions
Identify social, behavioral, or access barriers and determine appropriate interventions or referrals
Document all patient interactions clearly in both the EHR and CCM patient management platform
Track and log qualifying CCM time accurately for billing compliance
Ensure documentation meets regulatory, internal QA, and partner expectations
Maintain high call quality and adherence to scripting and workflow pathways
Maintain or exceed:
≥80% monthly engagement
≥90% billable conversion
High QA/documentation accuracy scores
Participate in peer reviews, QA audits, coaching sessions, and continuous education
Identify recurring patient needs and communicate trends to the Program Manager

Requirements

What you’ll need

Active LPN or Licensed Vocational Nurse (LVN) license
Bilingual (Spanish/English)
Minimum 1–2 years of clinical experience in:
Ambulatory care
Population health
Care coordination
Case management
Strong clinical assessment, communication, and documentation skills.
Comfortable working in two systems (EHR + CCM platform) simultaneously.
Ability to manage a structured, metric-driven workflow with reliability.
Intermediate skills with MS Office Suite of products including Outlook and Teams
Able to work effectively in a primarily remote environment:
Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended
Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role
Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Benefits

Comp & perks

Paid time off starting at 4 weeks for full-time employees
12 paid holidays per year
Medical, dental, vision and life insurance, including an HSA with employer match
Reimbursement for continuing medical education for eligible roles
A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure
Paid parental leave
A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology