LPN Care Coordinator

Mountain Community HealthBristol, VT
17h

About The Position

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.

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

  • 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

Benefits

  • 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
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