Care Coordinator, LPN

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform monthly clinical check-ins to identify and address any clinical concerns.

• Reinforce care plans and escalate issues as necessary.

• Ensure the accuracy of clinical documentation in both the EHR and partner technology platforms.

• Foster strong, ongoing relationships with patients and caregivers through consistent outreach.

• Conduct structured assessments for symptoms such as pain, fatigue, neuropathy, shortness of breath, and nausea.

• Utilize licensed clinical judgment to evaluate changes in patient conditions.

• Assess issues related to medication adherence, side effects, or confusion regarding treatment regimens.

• Identify clinical red flags that require escalation, including worsening symptoms, new shortness of breath, uncontrolled pain, or concerning vital signs.

• Collaborate with the provider team regarding changes in symptoms, new concerns, or medication-related issues.

• Clearly document all patient interactions in both the EHR and CCM patient management platform.

• Accurately track and log qualifying CCM time for compliance with billing standards.

⛳️ Requirements

• Active LPN or Licensed Vocational Nurse (LVN) license is required.

• A minimum of 1–2 years of clinical experience in:

• Ambulatory care.

• Population health.

• Care coordination.

• Case management.

• Strong skills in clinical assessment, communication, and documentation.

• Comfortable using two systems (EHR and CCM platform) concurrently.

• Ability to manage a structured, metric-driven workflow with consistency.

• Intermediate proficiency with MS Office Suite, including Outlook and Teams.

• Capable of working effectively in a primarily remote environment:

• Home internet connection 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 fulfill the business requirements of their role.

• Employees must work from a dedicated space that is free from ongoing interruptions to safeguard member PHI and HIPAA information.

🏝️ Benefits

• Paid time off starting at 4 weeks for full-time employees.

• 12 paid holidays each year.

• Medical, dental, vision, and life insurance, along with an HSA that includes employer matching.

• Reimbursement for continuing medical education for eligible positions.

• A 401(k) plan with up to 4% contributions after six months of employment.

• Paid parental leave.

• A comprehensive training and development program that commences with onboarding and continues throughout your career with Evergreen Nephrology.