Care Coordinator - LPN; Newport

Job Summary

Hamilton Health Center is seeking an LPN Care Coordinator to support patient-centered care at our Newport Family Care location. This role promotes collaboration among the patient-centered care team to ensure quality care, increase preventive care utilization, and reduce emergency room visits and hospital readmissions. The LPN Care Coordinator provides care coordination and case management for patients, including individuals with higher-risk or complex care needs, while helping patients and families navigate healthcare services and treatment plans.

The position works collaboratively with providers, Medical Assistants, Patient Navigators, Pharmacy, and other members of the care team to support continuity of care and positive patient outcomes.

• Mission-driven organization serving individuals and families throughout Central Pennsylvania
• Opportunity to make a direct impact on patient health and continuity of care
• Collaborative, interdisciplinary care environment
• Opportunity to support patients and families through care coordination, education, and advocacy
• Stable, community-focused work setting

• Generous paid time off
• Birthday holiday + 7 paid holidays
• Medical, dental, and vision coverage
• Company-paid life insurance
• Retirement plan with employer match
• Employee Assistance Program
• $2,000 sign-on bonus, paid in two separate payments

• Provide care coordination services involving case management, client advocacy, and goal-oriented action plans for patients
• Co-manage higher-risk patients through assessment and care coordination activities
• Maintain ongoing interaction with patients and families to support adherence to treatment plans, self-management, and shared decision-making
• Educate patients, families, and caregivers regarding the Patient-Centered Care Model and applicable care needs
• Serve as a liaison for patients regarding medical and dental benefits
• Coordinate with providers and members of the patient-centered care team to support continuity and quality of care
• Monitor care delivery by documenting patient progress, identifying barriers to care, and maintaining communication within the care team
• Conduct home and hospital visits when required as part of care coordination responsibilities
• Ensure compliance with HIPAA requirements and maintain the confidentiality of protected information
• Collect and utilize data to support service improvement activities and prepare required monthly reports
• Perform additional job-related duties as assigned

• High school diploma or GED
• Graduate of an accredited Licensed Practical Nursing program
• Current license to practice as a Licensed Practical Nurse in the Commonwealth of Pennsylvania
• At least two (2) years of experience working with patients and families in a community setting, public health, outreach, social work, or a related field, with progressively responsible experience
• Prior experience with care coordination or care management in a clinical setting
• Proficiency in basic data entry and computer skills
• Strong interpersonal and communication skills
• Ability to work collaboratively within an interdisciplinary care team

• Knowledge of The Joint Commission regulations
• Bilingual in Spanish, Nepali, French, or Arabic

• Work is conducted primarily within a medical office/health center environment
• Regular interaction with patients, families, providers, clinical staff, and other members of the care team
• May require home and hospital visits based on patient care coordination needs
• May involve exposure to routine healthcare conditions, including infectious or contagious diseases

Hamilton Health Center (Hamilton), established in 1969, is a Federally Qualified Health Center (FQHC) located in Harrisburg, PA. The center continues to grow by taking a holistic and comprehensive approach to patient-centered care. Our mission is to improve the health of Central Pennsylvania's residents by delivering high-quality, respectful, and patient-centered health and related social services that promote access, treatment, education, and prevention, regardless of health, economic, or insurance status.

Our vision is to be the premier community health clinic of the underinsured and uninsured to include medical, dental, social, and related services and to become a healthcare provider of choice for the Greater Harrisburg area residents. For over 50 years, we have been true to these words. As part of our…