Job Description
ABOUT ADOBE 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 in inclusivity, 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. BEN