Chronic Care Coordinator (LPN/CMA)
Location: Peak, SC
Job Type: Direct Hire
Company: Pinner Clinic, PA
Salary: $18
Category: Non-Provider
Job Description Apply Now
The Chronic Care Coordinator (LPN/CMA) plays a pivotal role in facilitating comprehensive chronic care management initiatives to deliver superior health outcomes for patients managing chronic conditions. This full-time opportunity at Pinner Clinic is designed for professionals passionate about improving patient wellness through coordinated care, education, and effective communication. As a Chronic Care Coordinator (LPN/CMA), you will serve as a crucial liaison for patients, providers, and ancillary healthcare services, empowering patients to manage their health more effectively while strictly adhering to all organizational protocols and regulatory guidelines. With a focus on communication and patient-centered care, you will be responsible for conducting outreach, addressing care gaps, and supporting patients with chronic conditions through every stage of their care journey.
Located in a vibrant community, Pinner Clinic offers a supportive environment for healthcare professionals seeking to make a tangible difference in the lives of patients with chronic illnesses. The Chronic Care Coordinator (LPN/CMA) position integrates your clinical expertise with the latest care management technology, allowing you to deliver personalized care plans and ensure seamless care transitions. Your role will involve close collaboration with patients, families, physicians, nurse practitioners, and the wider care team to optimize health outcomes and contribute to the clinic's mission of delivering high-quality, patient-focused care. If you are dedicated to improving patients' quality of life and committed to professional excellence, we encourage you to apply for the Chronic Care Coordinator (LPN/CMA) position by clicking the job application button below.
Chronic Care Coordinator (LPN/CMA) - Summary- Full-time position focused on managing and coordinating chronic care management activities for adult and Medicare populations
- Acts as a liaison among patients, providers, specialists, hospitals, and home care agencies
- Utilizes the nursing process to assess patient needs, provide education, and close care gaps via telephone and electronic medical records
- Works under the direction of the patient's healthcare provider and aligns care activities with organizational policies
- Conduct telephone outreach to patients to deliver education, coordinate preventive and chronic disease care, and fulfill regulatory requirements
- Assess patient needs and collaboratively develop integrated, patient-centered care plans and goals with patients, families, and providers
- Refer or connect patients with appropriate ancillary services such as pharmacy support, disease management programs, and payer-specific resources
- Assist with the management of high-cost or high-risk populations, including those with complex chronic diseases and frequent ER utilization
- Administer screening tools (e.g., alcohol and depression assessments) according to practice protocols, primarily via telephone
- Document all communications and care activities in the electronic medical record system, ensuring accuracy and compliance
- Coordinate with physicians, nurse practitioners, and other healthcare team members regarding patient status and care plans
- Maintain updated patient records, including specialist referrals, consults, hospitalizations, ER visits, and other related health information
- Filter chronic care management reports for weekly review by the clinical team to promote ongoing care and follow-up
- Assist with scheduling and pre-visit planning for Medicare Annual Wellness Visits, including chart review and record preparation
- Support patient and family self-management, behavior change, and health literacy through education and motivational communication
- Coordinate effectively with other team members to deliver exceptional patient service and experience
- Adhere strictly to all HIPAA guidelines and maintain patient confidentiality at all times
- Competitive salary commensurate with experience and licensure
- Comprehensive benefits package, including health insurance, paid time off, and retirement plan options
- Opportunities for ongoing professional development and training
- Current license from an accredited program to practice as a Licensed Practical Nurse (LPN) or Certified Medical Assistant (CMA)
- At least five years of experience as a licensed nurse or certified medical assistant
- Demonstrated experience working with adult and Medicare patient populations
- Appreciation for diversity and sensitivity to the needs of targeted populations
- Ability to interact effectively and supportively with patients and families from diverse backgrounds
- Strong communication and organizational skills with the ability to multitask in a fast-paced clinical setting
- Proficient in the use of electronic medical records and chronic care management software
- Exceptional attention to detail and commitment to maintaining confidentiality
- Team-oriented mindset with a collaborative approach to patient care
- Passion for patient advocacy and commitment to continuous improvement in healthcare delivery
- Pinner Clinic is committed to providing equal employment opportunities to all applicants and employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
- Joining our team as a Chronic Care Coordinator (LPN/CMA) offers the chance to make a meaningful impact in a supportive and inclusive work environment.
- If you are ready to advance your career in chronic care management and contribute to patient wellness, please apply today by clicking the job application button.