Care Manager LPN

Licensed Practical Nurse (LPN) Care Management

Position Summary

The LPN Care Manager supports chronic care management and population health initiatives by providing clinical outreach patient education care coordination and documentation under the direction of an Care Manager Supervisor or Team Lead. This role focuses on improving patient engagement adherence and outcomes for patients with chronic conditions.

Key Responsibilities

Patient Outreach & Engagement

• Conduct scheduled outbound and inbound patient calls
• Perform monthly care management touchpoints per program cadence
• Assess patient needs symptoms medication adherence and barriers to care
• Engage patients in goal setting and self-management activities

Clinical Support

• Monitor chronic conditions (e.g. diabetes hypertension CHF COPD)
• Reinforce provider care plans and evidence-based guidelines
• Identify red flags and escalate concerns to provider appropriately
• Support transitions of care (post-hospital or ED follow-up)

Medication & Treatment Support

• Perform medication reconciliation and adherence checks
• Educate patients on medication purpose dosing and side effects (within scope)
• Identify gaps in preventive care and chronic disease monitoring

Care Coordination

• Assist with scheduling appointments labs and referrals
• Coordinate with providers care managers social workers and external vendors
• Address social determinants of health and connect patients to resources

Documentation & Compliance

• Accurately document all patient interactions in the EHR
• Ensure documentation meets CCM and payer requirements
• Track patient consent eligibility and monthly billing minutes
• Maintain HIPAA compliance at all times

Quality & Productivity

• Meet productivity and caseload expectations
• Participate in huddles audits and performance improvement initiatives
• Adhere to department workflows policies and timelines

Qualifications

Required

• Active LPN license (state-specific)
• Clinical experience in ambulatory care primary care or chronic disease management
• Strong communication and patient engagement skills
• Proficiency with EHR systems and Microsoft Teams or similar platforms

Preferred

• Care Management CCM or population health experience
• Knowledge of value-based care models

Reporting Structure

• Reports to the Care Management Supervisor or Team Lead
• Works collaboratively with providers and the interdisciplinary care team

Scope of Practice Note

LPN functions are performed within state scope of practice and under appropriate supervision. Clinical decision-making diagnosis and treatment changes are escalated to an Care Manager Team Lead or provider.