LPN Care Coordinator at Mountain Community Health

Bristol, Vermont, United States -

Full Time

Start Date

Immediate

Expiry Date

21 May, 26

Salary

0.0

Posted On

20 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Licensed Practical Nurse, Care Coordination, Chronic Disease Management, Substance Use Treatment, Patient Panel Management, Follow-up, Health Status Monitoring, Treatment Adherence, Clinical Stability, Care Coordination Across Services, Patient Transition Support, Electronic Health Record Proficiency, Communication, Documentation

Industry

Hospitals and Health Care

Description

Description Mountain Community Health is seeking a compassionate Licensed Practical Nurse (LPN) to serve as a Care Coordinator within our interdisciplinary primary care team. This role focuses on building relationships with patients over time — helping them manage chronic medical conditions and substance use treatment as part of fully integrated care. This is not a traditional clinic or primary triage role. The LPN Care Coordinator manages a defined patient panel, provides ongoing follow-up, coordinates care across services, and helps patients stay engaged in treatment and achieve better health outcomes. What You’ll Do Manage an assigned panel of patients and provide ongoing follow-up and support and guidance as they work towards their health goals Monitor health status, treatment adherence, and clinical stability - helping patients stay on track and intervening early when needs change Coordinate care across primary care, behavioral health, and community services to ensure patients receive seamless, whole person support Support patients after hospital or emergency visits and helping them transition safely to everyday life Reinforce care plans and help address barriers to care Collaborate with providers, RN Care Coordinator, and the full care team contributing your clinical expertise to ensure excellent patient outcomes Provide limited protocol-based triage when scheduled Why Join Mountain Community Health: Mission-driven, team-based environment M-F workdays - No weekends, holidays, or evenings Integrated medical, behavioral health, and substance use care model Meaningful patient relationships and long-term impact Supportive, collaborative culture Requirements Active Vermont Licensed Practical Nurse (LPN) license 2+ years clinical experience preferred (primary care, community health, substance use treatment, chronic disease management) Strong communication and documentation skills Experience with care coordination or population health preferred Electronic health record proficiency required

Responsibilities

The LPN Care Coordinator manages an assigned patient panel, providing ongoing follow-up, support, and guidance to help patients achieve health goals related to chronic conditions and substance use treatment. This role involves monitoring health status, coordinating care across primary care, behavioral health, and community services, and supporting post-visit transitions.