Post-Acute Care Coordinator Licensed Practical Nurse (LPN) - IHCI
Job Details
Job Description
Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Partner with Community Health Network and Deaconess Health System – IHCI The Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health System. Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system. Make a Difference As a Post-Acute Care Coordinator LPN on the IHCI Team, you will provide remote patient monitoring supporting patients enrolled in a remote monitoring program by reviewing transmitted health data, providing patient outreach, and escalating concerns according to established clinical protocols. This role works closely with nursing leadership and care teams to promote early identification of health changes, improve chronic disease management, and enhance patient engagement—all in a remote, technology‑enabled care model. Key Responsibilities include: Review and monitor patient‑generated health data (e.g., blood pressure, weight, blood glucose, pulse oximetry) transmitted through a remote monitoring platform. Review and respond to care path focused questionnaires submitted by patients. Identify abnormal trends or readings and follow established clinical workflows for patient outreach and escalation Outreach to possible Remote Patient Monitoring patients and obtain consent. Conduct outbound phone calls or secure messages to patients to assess symptoms, reinforce education, and support adherence to care plans Document patient interactions, clinical assessments, and interventions accurately in the electronic health record Communicate effectively with providers and their triage team, pharmacy, and other care team members to coordinate follow‑up care as needed Educating patients on proper device usage, data transmission, and self‑management strategies Reinforcement of care path zones based on vital sign trends Support quality, compliance, and safety initiatives related to remote patient monitoring services Maintain patient confidentiality and comply with HIPAA and organizational policies Exceptional Skills and Qualifications Graduate of a recognized accredited school of practical nursing, or Graduate from a non-accredited school of practical nursing with three years related professional nursing experience required. Licensed as a Practical Nurse by the Indiana Professional Licensing Agency required. Previous experience in ambulatory care, chronic disease management, telehealth, or care coordination preferred Strong communication, critical thinking, and patient engagement skills Comfortable using clinical technology, electronic health records, and remote monitoring platforms Ability to work independently in a remote or hybrid environment while collaborating with a virtual care team
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