Under the clinical direction and oversight of the Primary Care Physician and Registered Nurse, the LVN coordinates care for patients needing support by collaborating with the patient, family, physician, nurses, and other members of the ECM healthcare team to identify needs and expedite valuable, appropriate, and cost-effective care. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices, adopt life-long healthy behaviors, close gaps in care, and reduce unnecessary ER utilization and hospital readmissions.