LPN Care Coordinator in Millersburg, Pennsylvania at Hamilton Health Center Inc

The Care Coordinator (LPN) supports patient-centered care delivery by coordinating services, managing high-risk patient populations, and collaborating with interdisciplinary care teams to improve health outcomes, increase preventive care utilization, and reduce avoidable emergency room visits and hospital readmissions. The role emphasizes care coordination, patient education, service advocacy, and compliance with clinical and regulatory standards.

ESSENTIAL FUNCTIONS:· Promote collaboration among members of the patient-centered care team to ensure quality, coordinated care.· Direct and support care coordination activities involving providers, Patient Navigators, Unit Clerks, Medical Assistants, Pharmacy staff, and the Medical Team.· Co-manage high-risk patients through assessments and coordinated care plans, including home and hospital visits when required.· Educate patients, families, and caregivers on the Patient-Centered Care Model.· Provide service coordination through case management, client advocacy, and goal-oriented care planning.· Maintain ongoing communication with patients and families to support treatment adherence and encourage self-management.· Serve as a liaison for patients regarding medical and dental benefits.· Monitor care delivery by documenting progress, identifying barriers to care, and communicating within the care team.· Ensure compliance with HIPAA regulations and protect confidential patient information.· Collect, analyze, and utilize data to support service improvement initiatives and prepare reports.· Perform additional job-related duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES REQUIREMENTS:· Strong interpersonal and communication skills with the ability to interact effectively with individuals from diverse backgrounds.· Ability to work collaboratively as part of a multidisciplinary healthcare team.· Proficiency in basic computer skills, including data entry and electronic documentation.· Working knowledge of care coordination, case management, and patient advocacy principles.· Ability to organize, prioritize, and manage multiple tasks in a clinical environment.
PREFERRED QUALIFICATIONS:· Knowledge of Joint Commission regulations.· Bilingual abilities (Spanish, Nepali, French, or Arabic) preferred.
EQUAL OPPORTUNITY EMPLOYER:Hamilton Health Clinic is an equal opportunity employer. We are committed to providing an inclusive and diverse work environment where all employees are valued, respected, and have the opportunity to succeed. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, sexual orientation, gender identity, or any other protected status. All employment decisions are based on qualifications, merit, and business needs.
LANGUAGE SKILLSAbility to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively with co-workers, internal and external customers, and outside contractors and vendors.
MATHEMATICAL SKILLSAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
REASONING SKILLSAbility to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
PHYSICAL DEMANDS/MOTOR COORDINATIONRequires hand-eye coordination; finger dexterity, and a combination of sitting, standing, climbing, stooping, balancing, kneeling, reaching, carrying, pushing, pulling, lifting (up to 15 pounds). Must be able to write, type, use telephone and computer systems, and other office equipment. May require sitting or standing for long periods of time. WORK ENVIRONMENTExposure to routine medical office/health clinic conditions as well as adverse environmental conditions such as dust, temperature and noise extremes, etc. May be exposed to infectious or contagious disease.
This job description is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with this position. While intended to be an accurate reflection of the current job, management reserves the right to review and change this description as needed to maintain business goals and accomplishments. Job descriptions are reviewed periodically. This job description is not a contract.