LPN Home Coordinator

VOA Mid-States • Nashville, TN

3d • Onsite

About The Position

The Licensed Practical Nurse (LPN) Home Coordinator provides operational leadership, residential oversight, and nursing support for two IDD medical homes in the Middle Tennessee market. This position ensures individuals with intellectual and developmental disabilities receive safe, person-centered, medically appropriate, and high-quality supports in homes that promote dignity, choice, independence, community inclusion, and quality of life. The LPN Home Coordinator manages daily home operations, supervises LPN and Direct Support Professional (DSP) staff, coordinates healthcare services, monitors medication and health documentation systems, supports appointment follow-through, and ensures compliance with applicable Tennessee DIDD, Medicaid, HCBS, licensing, and agency requirements. The position practices within the authorized LPN scope of practice and seeks appropriate clinical direction when matters require a Registered Nurse, physician, advanced practice provider, or other qualified clinician.

Requirements

• Current, active, unrestricted Licensed Practical Nurse license authorizing practice in Tennessee.
• Demonstrated ability to lead residential teams supporting individuals with IDD and medically complex needs.
• Knowledge of medication administration systems, physician orders, health monitoring, infection prevention, emergency response, and clinical documentation.
• Ability to manage two residential locations while maintaining consistent communication, follow-through, and regulatory readiness.
• Commitment to person-centered supports, individual rights, dignity of risk, community inclusion, and positive team culture.

Responsibilities

• Provide nursing services within the authorized LPN scope of practice and organizational policy.
• Monitor individual health status and promptly communicate significant changes to appropriate clinical, supervisory, guardian, or healthcare contacts.
• Coordinate routine, specialty, dental, behavioral health, hospital discharge, emergency department, and follow-up care.
• Ensure healthcare recommendations, provider instructions, physician orders, treatment protocols, and medical equipment needs are implemented and documented.
• Maintain communication with pharmacies, physicians, hospitals, durable medical equipment providers, and other healthcare partners.
• Provide oversight of medication systems, MAR accuracy, refills, storage, security, disposal, order changes, and medication-related follow-up.
• Identify and respond to medication variances, omissions, adverse reactions, and documentation concerns according to policy.
• Audit nursing notes, treatment records, appointment forms, monitoring logs, and health-related documentation for accuracy and completeness.
• Oversee the day-to-day operation of two assigned IDD medical homes.
• Maintain safe, clean, organized, welcoming, and person-centered residential environments.
• Ensure adequate household supplies, food, medical supplies, adaptive equipment, transportation coordination, and maintenance follow-through.
• Maintain audit, licensing, survey, and internal review readiness.
• Supervise, coach, and support LPN and DSP staff assigned to the two homes.
• Assist with interviewing, onboarding, training, scheduling, performance feedback, retention, and corrective action processes.
• Ensure staff understand each individual's medical, behavioral, communication, dietary, mobility, safety, and person-centered support needs.
• Promote clear role definition and effective shift-to-shift communication between LPNs and DSPs.
• Maintain personal clinical competency and support competency validation for assigned LPNs in collaboration with nursing leadership and the Program Manager.
• Ensure LPN staff are trained and validated before independently performing individual-specific procedures or health protocols.
• Monitor competency in areas such as medication administration, MAR documentation, diabetes care, enteral feeding, seizure protocols, respiratory support, aspiration precautions, skin integrity, wound care, catheter/ostomy care, emergency response, infection control, and other individual-specific needs.
• Escalate scope-of-practice, competency, or clinical performance concerns promptly.
• Ensure services align with each individual's person-centered plan, healthcare needs, preferences, routines, goals, and desired outcomes.
• Promote dignity, privacy, informed choice, self-determination, independence, and meaningful community participation.
• Protect individuals from abuse, neglect, exploitation, mistreatment, unnecessary restrictions, and violations of rights.
• Follow applicable Tennessee DIDD, Medicaid, HCBS, licensing, HIPAA, incident reporting, risk management, and agency requirements.
• Ensure reportable events, injuries, medication errors, hospitalizations, ER visits, suspected abuse/neglect, and unusual incidents are addressed and reported timely.
• Participate in investigations, incident reviews, corrective action plans, audits, and quality improvement activities.
• Respond to urgent health, staffing, behavioral, and residential concerns and participate in on-call or after-hours support as assigned.

Benefits

• Health and Wellness Employee Assistance Plans (EAP)
• Health and Wellness Program
• Medical Coverage
• Dental Coverage
• Vision Coverage
• Flexible Spending Account
• Health Spending Account
• Short Term Disability
• MetLife Legal Plans
• Financial Wellbeing
• Competitive Compensation Packages
• Life Insurance (company paid)
• 403b retirement plan with company fund matching
• Employee discounts
• Loan forgiveness options through federal programs (National Health Corp & Public Service Loan Forgiveness)
• All company paid benefits and paid time off effective day one

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree