LPN Care Coordinator – CCM/RPM

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Alopex

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2014

☁️ SaaS

🤝 B2B

SaaS • B2B

<Alopex> Alopex is a cloud-hosted healthcare SaaS platform that provides remote care management, care coordination, and case management services across clinical programs such as chronic care management, transitional care, behavioral health integration, remote patient monitoring, and remote therapeutic monitoring. The company partners with physician practices, ACOs, health systems, skilled nursing/LTC, RHCs/FQHCs, Medicare Advantage plans and PACE programs to deliver licensed clinical teams, seamless EMR integrations, and outcomes-focused population health services that address social determinants of health and reduce readmissions. Named a Top Cloud-Hosted Healthcare SaaS Platform for 2025, Alopex emphasizes rapid deployment, flexible contracting, compliance, and measurable clinical outcomes.

📋 Description

• Develop and provide care coordination services directly to Alopex clients’ patients. • Manage and coordinate care for patients enrolled in Alopex’s services. • Work closely with patients, primary care providers, and other specialists to develop, implement, and monitor individualized care plans. • Ensure that patients receive the highest level of care through ongoing communication and coordination. • Conduct a detailed review of EMR records. • Develop and maintain individualized Care Plans for management of patients. • Implement and coordinate all care management activities relating to patients across the continuum of care. • Communicate with the patient’s clinical care team. • Monitor patient progress toward desired outcomes through assessment and evaluation. • Maintain accurate and detailed documentation related to medication, problems, goals, interventions, preventative care, etc. • Conduct monthly care calls to the patients enrolled in the program. • Address all needs/concerns including any follow up needed for patients. • Educate patients on chronic conditions and reinforce the provider’s directions related to chronic conditions. • Evaluate and address social determinants to health and begin to link community resources; then, enter them in the system. • Evaluate/assess medical conditions and be able to identify and address changes in a clinically appropriate manner. • Adhere to all policies & procedure as outlined by Medicare and Shifox/Alopex.

🎯 Requirements

• Bilingual (English/Spanish) Required • Possess a minimum of two (2) years’ experience providing patient-centered care. • Possess a minimum of one (1) year experience in skilled nursing. • Have experience working with electronic medical records. • Can perform nursing assessments, problem identification, and care plan development. • Is adaptable to new technology – experience with computer documentation. • Has excellent time management skills. • Can assess, evaluate, and problem-solve patients’ conditions and concerns. • Possesses strong verbal and written communication skills. • Is meticulous and dedicated to providing accurate documentation. • Is dependable and focused on achieving goals.