LPN Care Coordinator, Embedded (Prince Georges County, MD)

Ennoble Care

3h • $55,000 • Onsite

About The Position

Ennoble Care is seeking a full-time Licensed Practical Nurse to serve as an Embedded Care Coordinator within one or more of our partnered long-term care facilities in Prince George's County, Maryland. This is an integral, on-site role as part of our clinical care team, working closely alongside our providers in a family-practice-style model built around continuity, relationship-building, and patient-centered support.
You'll get to know residents and their families over time, monitor for changes in condition, and play a meaningful, hands-on role in helping people stay healthy, avoid unnecessary hospitalizations, and remain in their home -- where many of them want to be.
At Ennoble Care, we believe that to care is an honor -- and that belief is at the heart of everything we do. We come to you, we care for you, we're here for you. As an LPN Embedded Care Coordinator, you'll bring that to life on-site within our partnered skilled nursing and rehabilitation facilities in Prince George's County, Maryland. Your focus will be transitional care management, attentive patient monitoring, and day-to-day collaboration with our clinical team and facility staff -- serving as a reliable communication bridge among residents, families, facility staff, and our Housecalls division, keeping everyone informed and care moving in the right direction.

Requirements

• Legally authorized to work in the United States of America
• Active, unrestricted LPN license in the state of Maryland
• Minimum 1 year of patient-facing experience in a long-term care, skilled nursing or transitional care setting
• Comfortable communicating proactively and professionally throughout the day via Microsoft Teams, email, phone, and in person
• Solid working knowledge of healthcare terminology and care coordination principles
• Strong clinical assessment skills with the ability to identify and escalate changes in condition
• Experience with EMR systems and clinical documentation (e.g., Point Click Care, which is preferred)
• Proficient with Microsoft 365 including Excel, Outlook, Word, and Teams
• Excellent communication, organization, and time-management skills
• Capacity to work independently while collaborating closely with multidisciplinary teams
• Ability to work full-time, on-site, in an on-site role, based in the Prince George's County, Maryland area
• Thursday through Monday schedule (with Tuesday and Wednesday off each week)
• Daytime hours, approximately 8:00 a.m. to 4:30 p.m. EST
• No evenings
• No over-night shifts
• No on-call requirements
• Seven (7) company-paid holidays annually
• Valid, unencumbered driver's license
• Reliable personally-owned vehicle
• Current auto insurance, with the ability to provide proof
• Please note, travel between facilities may be required
• Ability to pass background check and drug screen

Responsibilities

• Coordinate care for patients residing in skilled nursing and rehabilitation facilities using Ennoble Care's EMR
• Facilitate transitional care management, ensuring services with the Housecalls division are initiated immediately upon a patient's discharge from the hospital
• Expedite time to first provider visit for newly transitioned patients in accordance with established guidelines
• Monitor patients attentively, communicate changes in condition promptly to the provider, initiate appropriate interventions, and escalate care as clinically indicated, including CCM-billable activities
• Consistently support care coordination efforts to reduce avoidable emergency department visits and hospital readmissions
• Collaborate daily with providers and facility staff to ensure care plans are kept current and acted on
• Maintain a consistent and reliable daily on-site presence in assigned facilities
• Build ongoing relationships with residents and their families, maintaining a consistent presence that reinforces trust and continuity of care over time
• Conduct routine and urgent vital sign collection as needed
• Perform regular patient check-ins to support care plans, follow-ups, and clinical stability
• Identify changes in patient condition and promptly communicate concerns to the clinical team
• Serve as a key liaison between Ennoble Care providers, facility staff, residents, families, and the Housecalls team
• Collaborate closely with Ennoble Care providers within the skilled nursing or long-term care setting
• Provide timely, accurate clinical updates to providers to support informed decision-making
• Ability to convert two (2) eligible patients per day to Ennoble Care's Housecalls program
• Serve as a steady communication bridge between residents, families, the facility team, and our Housecalls division
• Function as a reliable communication bridge to ensure accurate, timely exchange of clinical information
• Accurately document patient interactions, assessments, and care coordination activities in Ennoble Care’s EMR
• Perform chart reconciliation to ensure accuracy and continuity of clinical records between Ennoble and facility records
• Follow established workflows, documentation standards, and escalation protocols
• Support onboarding and training of new Embedded Care Coordinators
• Serve as a clinical mentor and resource for newly hired coordinators
• Promote best practices in transitional care, communication, and facility-based care coordination
• Contribute positively to team collaboration and foster strong partnerships with facility staff

Benefits

• Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
• Paid Time Off
• Paid Office Holidays
• Paid Sick Time
• 401(k) with up to 3% company match
• Referral Program
• Payactiv: pay-on-demand. Cash out earned money when and where you need it!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed