Licensed Practical Nurse/Medical Home Coordinator

Deliver Compassionate Care in a Supportive Outpatient Setting

At TriHealth, our Licensed Practical Nurses in physician offices play an essential role in creating positive patient experiences and supporting high‑quality primary and specialty care. When you join us, you become part of a trusted, people‑first health system where your clinical skills, compassion, and commitment to patients truly matter.

Location: 3219 Clifton Ave Cincinnati, OH 45220

Schedule: Full time M-F, day shift

Incentives & Benefits: 

***Sign on bonus up to $2500 with a one year work commitment (For external candidates)

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

Minimum Job Requirements:

• Graduate of an approved technical, professional, or vocational program in nursing
• Licensed Practical Nurse
• Healthcare clinical experience preferred physician practice or related field
• Equivalent experience accepted in lieu of degree
• Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR)
• Medical office flow, especially the clerical/front office tasks
• Ability to make quick decisions based on well thought out consequences/results
• Knowledge of EMR
• Practice management software and medical coding/billing strongly encouraged
• 3-4 years experience Clinical Healthcare

Job Overview:

This position provides both direct and indirect patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. The Medical Home LPN provides pre-visit planning for the practice's patient panel, coordinates messages through electronic portals, and assists in managing transitions of care. The Medical Home LPN will act as a clinical liaison to the physician care plan and actively communicate with patients. The LPN participates in process improvements, is knowledgeable of clinical goals and outcomes including patient satisfaction and engagement. Other job-related duties may be assigned to meet the needs of the department. Must have strong skills in clinical care, customer service, communication, and teamwork. This role understands the needs of the organization and supports the mission, values, and management of TriHealth Physician Practices.

Job Responsibilities:

• Coordinates primary care rooming, clinical procedures, and both adult and pediatric patient care, including immunizations, venipuncture, point‑of‑care testing, and retinal imaging.
• Follows scheduling decision trees, protocols, and policies while ensuring proper use of clinical equipment.
• Documents all aspects of care accurately, including clinical calls, rooming questions, procedures, orders, prescriptions, pharmacy coordination, and workflow tasks; manages MyChart and patient messages in a timely manner.
• Participates in patient‑centered medical home activities by reviewing charts for gaps in care, supporting outreach, completing pre‑visit planning, attending daily huddles, and promoting wellness and prevention.
• Applies knowledge of population health and value‑based care, using quality metrics for wellness and chronic disease management, identifying at‑risk patients, and completing required training.
• Supports longitudinal patient care through post‑ED and post‑inpatient outreach, thorough documentation, and collaboration with RNs, Social Workers, CHWs, and pharmacists; provides basic community resource guidance.
• Educates and coaches patients on wellness and chronic disease management, helping facilitate follow‑up appointments, referrals, and ongoing care coordination.

Working Conditions:

Climbing - Occasionally

Concentrating - Consistently

Hearing: Conversation - Frequently

Interpersonal Communication - Consistently

Kneeling - Occasionally

Lifting <10 Lbs - Consistently

Lifting 50+ Lbs - Occasionally

Lifting 11-50 Lbs - Rarely

Pulling - Occasionally

Pushing - Occasionally

Reaching - Consistently

Reading - Consistently

Sitting - Consistently

Standing - Frequently

Stooping - Occasionally

Thinking/Reasoning - Consistently

Use of Hands - Consistently

Color Vision - Consistently

Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS…

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"

• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist

• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS…

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met

• Offer patients and guests priority when waiting (lines, elevators)

• Work on improving quality, safety, and service

Respect: ALWAYS…

• Respect cultural and spiritual differences and honor individual preferences.

• Respect everyone’s opinion and contribution, regardless of title/role.

• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS…

• Value the time of others by striving to be on time, prepared and actively participating.

• Pick up trash, ensuring the physical environment is clean and safe.

• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS…

• Acknowledge wins and frequently thank team members and others for contributions.

• Show courtesy and compassion with customers, team members and the community