LPN Care Coordinator, Embedded; Prince Georges County, MD

LPN Care Coordinator, Embedded (Prince Georges County, MD)

Prince Georges County, MD

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Our clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including remote patient monitoring, behavioral health management, and chronic care management to ensure that our patients receive the highest quality of care by a team they know and trust.

Ennoble Care is seeking a full‑time Licensed Practical Nurse (LPN) to serve as an Embedded Care Coordinator within one or more of our partnered long‑term care facilities in Prince George’s County, Maryland. This integral on‑site role is part of our clinical care team, working closely alongside our providers in a family‑practice‑style model built around continuity, relationship‑building, and patient‑centered support. The right candidate is reliable, self‑motivated, vigilant, and compassionate, and will play a meaningful, hands‑on role in helping people stay healthy, avoid unnecessary hospitalizations, and remain in their home – where many want to be.

• Legally authorized to work in the United States
• Active, unrestricted LPN license in the state of Maryland
• Minimum 1 year of patient‑facing experience in a long‑term care, skilled nursing or transitional care setting
• Comfortable communicating proactively throughout the day in person, by phone, via email, and through Microsoft Teams
• Solid working knowledge of healthcare terminology and care coordination principles
• Strong clinical assessment skills with the ability to identify and elevate changes in condition
• Experience with EMR systems and clinical documentation;
  Point Click Care experience preferred
• Proficient with Microsoft 365 including Excel, Outlook, Word, and Teams
• Excellent communication and interpersonal skills, with a solid foundation in organization, time management, and clinical documentation
• Capacity to work independently while collaborating closely with multidisciplinary teams
• Ability to work full‑time in an on‑site role based in the Prince George’s County, Maryland area
  • Thursday through Monday schedule (with Tuesday and Wednesday off each week)
  • Daytime hours, approximately 8:00 a.m. to 4:30 p.m. EST
    • No evenings
    • No overnight shifts
    • No on‑call requirements
    • Seven (7) company‑paid holidays annually
• Ability to pass a background check and drug screen
• Transportation criteria
  • Valid, unencumbered driver’s license
  • Consistent and reliable transportation to fulfill the duties of this position
  • Current auto insurance, with the ability to provide proof

Please note, travel between facilities may be required.

• Coordinate care for patients residing in skilled nursing and rehabilitation facilities using Ennoble Care’s EMR
• Facilitate transitional care management, ensuring services with the House calls division are initiated immediately upon a patient’s discharge from the hospital
• Expedite time to first provider visit for newly transitioned patients in accordance with established guidelines
• Monitor patients attentively, communicate changes in condition promptly to the provider, initiate appropriate interventions, and elevate care as clinically indicated, including CCM‑billable activities
• Consistently support care coordination efforts to reduce avoidable emergency department visits and hospital readmissions
• Collaborate daily with providers and facility staff to ensure care plans are kept current and acted on

• Maintain a consistent and reliable daily on‑site presence in assigned facilities
• Build ongoing relationships with residents and their families, maintaining a consistent presence that reinforces trust and continuity of care over time
• Conduct routine and urgent vital sign collection as needed
• Perform regular patient check‑ins to support care plans, follow‑ups, and clinical stability
• Identify changes in patient…