Job Description

Scheduled Weekly Hours:

12

Schedule

Support Primary Care APP with onsite Primary Care visits every Tuesday, 8am - 5pm and ~3 hours throughout the remainder of the week (flexible) for care coordination and nursing follow-up calls.

Pay Range Minimum:

$25.00

Education We're Looking for:

High School Diploma (Required)

Certifications We're Looking For:

Basic Life Support (BLS) - American Heart Association (AHA) or American Red Cross (ARC), Licensed Practical Nurse (LPN) - State Board of Nursing

Experience We're Looking For:

Experience in a primary care practice setting. | 1 Year | Not Required Experience in primary care, family medicine, community health, behavioral health, care management, or population health | Not Required Experience working with Medicaid, Medicare, and underserved populations | Not Required

Additional Details:

Work Environment & Schedule

• Hybrid in-office and telehealth position with occasional travel for home / community visits
• Flexible scheduling may be considered to meet patient and agency needs

Educational requirements in NC

• Complete an approved Practical Nursing program.
• Pass the NCLEX-PN.
• Obtain and maintain licensure through the North Carolina Board of Nursing.

Job Description Summary:

The Licensed Practical Nurse (LPN) / Care Coordinator supports the delivery of integrated primary care services within a behavioral health setting. This position provides direct clinical nursing support while coordinating care across physical health, behavioral health, specialty care, community resources, and social services. The LPN serves as a key member of the interdisciplinary care team, helping patients navigate the healthcare system, improve chronic disease management, increase preventive care utilization, and reduce barriers to achieving optimal health outcomes.

The ideal candidate is passionate about whole-person care and demonstrates strong skills in patient engagement, care coordination, chronic disease management, and collaboration with behavioral health providers.

What You'll Do:

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Clinical Nursing Responsibilities:

• Perform patient intake, rooming, and visit preparation.
• Obtain and document vital signs, height, weight, BMI, tobacco use status, and relevant health information.
• Administer immunizations, injections, medications, and point-of-care testing per provider orders and scope of practice.
• Perform specimen collection, EKGs, hearing and vision screening, and other clinical support services as assigned.
• Assist providers with examinations, procedures, and treatment plans.
• Conduct medication reconciliation and review medication adherence.
• Document patient encounters accurately and timely within the Electronic Health Record (EHR).
• Monitor and communicate abnormal findings to providers promptly.
• Participate in daily huddles and interdisciplinary care team meetings.
• Provide patient education related to chronic disease management, preventive care, medications, nutrition, lifestyle modification, and treatment adherence.

Care Coordination Responsibilities:

• Identify high-risk patients requiring enhanced care management services.
• Coordinate referrals to specialists, diagnostic testing, community agencies, and social service organizations.
• Track referral completion and follow up on outstanding appointments and results.
• Conduct outreach to patients following emergency department visits, hospitalizations, and psychiatric admissions.
• Assist patients in scheduling appointments and overcoming barriers to care.
• Collaborate with behavioral health providers to develop integrated care plans.
• Support transitions of care and ensure continuity between healthcare settings.
• Monitor patients with chronic conditions such as diabetes, hypertension, obesity, COPD, asthma, hyperlipidemia, and other chronic diseases.
• Assist in closing preventive care gaps including annual wellness visits, immunizations, cancer screenings, and chronic disease monitoring.
• Coordinate social determinants of health interventions and connect patients with housing, food, transportation, financial assistance, and other community resources.
• Maintain care management registries and patient tracking systems.
• Participate in population health initiatives and quality improvement programs.

Benefits:

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members. In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location. We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members. We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.

Department:

PC - Licensed Professional - Nursing