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

Ennoble Care

7h • $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. The right person for this role is reliable, self-motivated, vigilant, and compassionate. 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 the 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, our mission is simple: To care is an honor. For our patients, that means we come to you, we care for you, and we're here for you -- and that belief is at the heart of everything we do. As an LPN Embedded Care Coordinator, you'll bring that mission to life -- working on-site within one or more of 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 on track.

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 throughout the day in person, by phone, via email, and through Microsoft Teams
• 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; Point Click Care experience preferred
• Proficient with Microsoft 365 including Excel, Outlook, Word, and Teams
• Excellent communication and interpersonal skills, with a solid foundation in organization, time management, and clinical documentation
• Capacity to work independently while collaborating closely with multidisciplinary teams
• Ability to work full-time 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
• Ability to pass background check and drug screen
• 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

Nice To Haves

• Experience with EMR systems and clinical documentation; Point Click Care experience preferred

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: Mid Level
• Education Level: No Education Listed