Telephonic LPN - Care Coordination

Job Title : Telephonic LPN - Care Coordination

Location : Remote (with occasional reimbursed field visits in New Hampshire)

Job Type : Direct / Permanent

Department : Care Management / Utilization Support

Pay Rate : $34 / hour

Position Summary

A managed care organization serving New Hampshire Medicaid members is seeking a Licensed Practical Nurse (LPN) to join its Care Management team in a telephonic role. The LPN will support care coordination, admissions, and member engagement primarily by phone, with occasional in-person visits to skilled nursing facilities (SNFs) or members' homes as needed (mileage reimbursed). The ideal candidate will have experience in long-term care, post-acute intake, or transitional care coordination and be comfortable working remotely in a structured, fast-paced environment.

This is the second of two openings. If you have applied with us in the last 30-days no need to reapply. You must have a NH License. No compact states accepted in NH. You must live within 30 minutes of Manchester.

Key Responsibilities

• Conduct telephonic outreach to members, families, providers, and facilities to coordinate care, admissions, and services.
• Support transitions of care for members entering or discharging from long-term care, SNF, or rehabilitation settings.
• Gather and review clinical documentation, assessments, and eligibility information for RN or physician review.
• Serve as a liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure timely and efficient placements.
• Assist with prior authorization requests, documentation preparation, and Medicaid eligibility verification.
• Educate members and families on benefits, services, and expectations during transitions of care.
• Document all interactions, activities, and clinical notes accurately in the electronic medical record (EMR) and care management platform.
• Escalate complex clinical or social concerns to the RN or Utilization Management team.
• Ensure compliance with HIPAA, state regulations, and organizational protocols.
• Complete occasional field visits to SNFs or members' homes in New Hampshire, with mileage reimbursement.

Qualifications

Preferred Experience

Benefits Include