LVN Community Care Coordinator

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch. Headquartered in Phoenix, AZ, with satellite locations across multiple states, APH fosters a culture rooted ininclusivity, human kindness, and high-quality care.

Recognized by Inc. 5000 as one of America's Fastest-Growing Private Companies and honored five consecutive years as a "Best Place to Work" by the Phoenix Business Journal, APH continues to expand its reach and impact.

APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As one of the nation's few fully integrated healthcare organizations, APH delivers comprehensive, coordinated medical and social support through a wide range of specialized service lines.

With continued growth on the horizon, APH is seeking mission-driven individuals who are passionate about improving health outcomes and supporting those in need.

Position Purpose

The LVN Community Care Coordinator plays a vital role in delivering comprehensive care coordination and in-home support for patients with complex medical, behavioral, and social needs. This proactive, multi-disciplinary approach ensures improved quality of life, health literacy, and care outcomes while reducing medical costs. The role combines clinical expertise, compassionate patient engagement, and collaboration with a diverse care team to address the holistic needs of patients in the community.

This position requires travel to San Diego, throughout San Diego County, and surrounding areas to provide in-home support to our patients.

Duties & Responsibilities

• Conduct in-home care visits to assess patient conditions and chart observations in the electronic medical record (EMR).
• Perform vital signs checks, collect medical history, conduct medication reconciliation, and report findings to the patient's provider.
• Provide education and support on chronic illness management, safe medication use, and general self-care practices.
• Deliver palliative care as needed to enhance patient comfort and quality of life.
• Conduct home safety evaluations and make recommendations for devices or tools to improve patients' daily living.
• Collaborate with multidisciplinary teams, including physicians, occupational therapists, physical therapists, and social workers, to execute care plans effectively.
• Engage in community outreach to connect patients with necessary services and resources, assisting with enrollment as needed.
• Actively participate in bi-weekly panel management and clinical rounds.
• Perform phlebotomy, venipuncture, and specimen preparation for lab analysis.
• Provide emotional support, stress management education, and guidance on managing dietary concerns.
• Document all care coordination activities accurately in the EMR, ensuring compliance with HIPAA regulations.
• Travel to multiple patient homes or designated locations daily, including shelters, transitional housing, and assisted living facilities.
• Act as a liaison between patients and healthcare providers, explaining care plans and addressing concerns.
• Support outreach teams in locating and engaging patients who are difficult to reach.
• Adapt to changing policies, procedures, and responsibilities as needed.
• Other duties as assigned.

Skills & Qualifications

• Minimum of 1 year of experience as an LVN, preferably in an outpatient, home health, or public health setting.
• Experience in caring for elderly or chronically ill patients is preferred.
• Strong organizational, communication, and time-management skills.
• Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality.
• Ability to work independently while collaborating within a multidisciplinary team.
• Proficiency in Microsoft Office Suite.
• Proficiency in electronic health records (EHR) systems.
• Bilingual in English/Spanish is preferred.
• Must be able to travel up to 40% across the assigned geography.

Education, Licenses, & Certifications

• Graduate of an accredited nursing program with a valid Licensed Vocational Nurse (LVN) license in California is REQUIRED.
• CPR/BLS certification (AHA for healthcare providers).
• Certified phlebotomy skills are highly desirable.
• Annual TB testing.
• Unrestricted driver's license.

Benefits & Total Rewards

• Paid Orientation and Training
• Insurance – Medical, Dental, Vision, and Life
• 401k Plan – 3% match
• Employee Assistance Program
• Tuition Reimbursement
• Continued Education Support
• Mileage Reimbursement (if applicable)
• Referral Bonuses
• Paid Holidays (9 days)
• Paid Time Off (15 days)
• Paid Volunteer Hours

Character & Competencies

• Courage – To have the courage to do the right thing at the right time.
• Ownership – To take ownership of every issue you touch.
• Respect – To respect yourself, co-workers, and for those whom you care.
• Excellence – To be excellent in all that you do.
• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

Physical Demands & Work Environment

• Frequently required to travel, up to 90-minutes one way.
• Occasionally required to stand.
• Occasionally required to walk.
• Continually required to sit.
• Occasionally required to climb, balance, bend, stoop, kneel or crawl.
• Continually required to talk or hear.
• While performing the duties of this job, the noise level in the work environment is usually moderate.
• May occasionally lift and/or move more than 30 pounds.
• Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.

Salary Range Disclaimer

A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $2