Care Coordinator, LPN

🔥 4 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $55k - $65k / year

⏰ Full Time

🟢 Junior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Evergreen Nephrology

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $4.3M Venture Round on 2022-06

Healthcare • Healthcare Insurance • Pharmaceuticals

Evergreen Nephrology is a company focused on transforming kidney care by empowering nephrologists to provide high-quality and personalized care to patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). By putting nephrologists at the forefront, the company provides them with financial backing, interdisciplinary clinical resources, analytical insights, and technology-enabled tools to improve patient outcomes and experience. Evergreen Nephrology collaborates with strategic partners to address healthcare challenges, including disparate electronic health records (EHRs), transplantation process visibility, and patient readmission risks. The company's co-founders, Adam Boehler and Abe Sutton, have been recognized for their contributions to kidney care models and organ procurement standards, reflecting a deep commitment to improving kidney care quality nationwide.

📋 Description

• Conduct monthly clinical check-ins and CCM touchpoints for assigned patient panels • Build ongoing relationships with patients and caregivers through regular outreach using SMS and phone when appropriate • Review patient charts, diagnoses, kidney disease history, medications, labs, imaging, and treatment cycles before calls • Explain CCM participation and reinforce program benefits • Conduct structured symptom assessments and evaluate changes using licensed clinical judgment • Assess medication adherence issues, side effects, and regimen confusion • Identify clinical red flags and escalate urgent issues through defined triage pathways • Collaborate with providers and care teams on symptom changes, concerns, and medication issues • Route EHR messages with clinically relevant documentation • Coordinate follow-up appointments, labs, nephrology appointments, and missed-care reduction • Reinforce CKD and chronic disease care plans and provide symptom-management education within LPN scope • Support medication, lifestyle, and follow-up adherence • Identify social, behavioral, or access barriers and arrange interventions or referrals • Document patient interactions in the EHR and CCM platform • Track qualifying CCM time for billing compliance and meet regulatory, QA, and partner documentation standards • Maintain call quality and follow scripting and workflow pathways • Maintain or exceed 80% monthly engagement and 90% billable conversion • Participate in peer reviews, QA audits, coaching, and continuous education • Communicate recurring patient needs and trends to the Program Manager • Perform other duties consistent with the role as assigned

🎯 Requirements

• Active California LPN or Licensed Vocational Nurse (LVN) license • Minimum 1–2 years of clinical experience in ambulatory care, population health, care coordination, or case management • Strong clinical assessment, communication, and documentation skills • Comfortable working in two systems simultaneously: EHR and CCM platform • Ability to manage a structured, metric-driven workflow with reliability • Intermediate skills with MS Office Suite, including Outlook and Teams • Ability to work effectively in a primarily remote environment • Home internet supporting at least 25 Mbps download and 10 Mbps upload; cable, fiber, or DSL hardwired connections recommended • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Preferred: experience in chronic disease management • Preferred: bilingual Spanish/English • Preferred: prior work in virtual care, remote nursing, or telehealth programs • Preferred: familiarity with CCM regulatory requirements • Preferred: strong patient education and motivational interviewing skills

🏖️ Benefits

• Paid time off starting at 4 weeks for full-time employees • 12 paid holidays per year • Medical, dental, vision and life insurance, including an HSA with employer match • Reimbursement for continuing medical education for eligible roles • 401(k) program with Evergreen matching up to 4% of contributions after six months of tenure • Paid parental leave • Robust training and development program from onboarding throughout your career • Quarterly bonus • Remote employees provided telephony applications and equipment to meet business requirements