About this position
Description:
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.
What You’ll Do
- 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
Why Join Mountain Community Health:
- 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
- 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