Care Management, LPN/LVN

Signing bonus

The Chronic Care Management LPN/LVN is responsible for overseeing patient-centered care coordination for patients receiving Chronic Care Management (CCM) and Transitional Care Management (TCM) services. The CCM LPN/LVN assures all CCM and TCM service elements are met, documented, and coordinated.

  • Must possess an unencumbered LPN license in SC, GA, FL, or AL with the ability to be licensed in other states. Compact license preferred.


  • Receives obtains consent and processes client data.
  • Answers incoming calls and directs to appropriate personnel, applying superior customer service skills.
  • Understands the Medicare Benefit for Chronic Care Management (CCM) and
    Transitional Care Management (TMC)
  • Articulates to the customer/patient the benefits of the program and the impact on their continued wellness plan
  • Enters all information accurately and promptly into the electronic comprehensive care plan according to NavCare processes and procedures.
  • Works collaboratively with physician's office staff and is seen as part of their team when assigned to a physician’s office.
  • Acts as a resource to others and assists with clinical oversight to ensure all elements of CCM and TCM are met.
  • Documents all communication and coordination of patient contact in an electronic documentation system, including aggregation and clinical summaries
  • Assures documentation includes tracking and time-stamping to support billing for CCM and TCM.
  • Completes and answers patient calls related to CCM/TCM activities.
  • Is skilled in the use of electronic documentation for CCM
  • Provides consultative support and training to staff in required elements, documentation, and coordination
  • Establishes and maintains positive relationships with all internal and external customers.
  • Acts as a liaison for assigned patients with the client (physician office, facility, etc.).
  • Responds to customer requests and concerns
  • Documents all concerns and follow-up and escalates to the RN or Director when appropriate.
  • Provides clinical care oversight and prioritization direction to Care Center Medical Assistant staff


*Required - Licensed Practical Nurse / Licensed Vocational Nurse*

  • LPN/LVN is licensed in the state(s) services are provided
  • License must be unencumbered
  • Knowledgeable of the Medicare benefit for CCM and TCM.
  • Experience with various clinical systems and ability to quickly master new IT systems.
  • Proficiency in Microsoft Office applications.
  • Adaptability to work with various disciplines in multiple locations (i.e., NavCare Call Center, physician office, facility
  • Must be able to work in a seated or standing position for extended periods.
  • Must be well organized with an ability to set priorities and use time effectively.
  • Excellent communication, leadership, and customer service skills
  • Flexibility to handle a workload that fluctuates based on team needs.

Search for something