CDCES Health Coach Consultant - Registered Nurse
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is a full-time telework role for a CDCES registered nurse. Candidate must reside in a compact state and hold a compact license. Must have experience working with patients with diabetes. Working schedule: Monday-Friday, standard business hours, including 2 evening shifts per week from 11:30am-8pm CST. Rotating Fridays and Saturdays will be required approximately two times per quarter following training. Will have back-to-back appointments scheduled with members each day. -The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status for chronic conditions. - Assessment of members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services. -Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change. -Enhancement of Medical Appropriateness & Quality of Care: -Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs. -Using holistic approach consults with supervisors, Medical Directors and/or others to overcome barriers to meeting goals and objectives. -Identifies and escalates quality of care issues through established channels. -Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. -Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. -Interprets and utilizes clinical guidelines/criteria to positively impact members health. Provides up-to-date healthcare information to help facilitate the member¡¦s understanding of his/her health status. -Helps member actively and knowledgably participate with their provider in healthcare decision-making. -Monitoring, Evaluation and Documentation of Care - Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals. - Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.
Requirements
- Active and unrestricted RN licensure in a compact state, holding a compact license
- 3+ years of clinical experience
- Must possess or be willing and able to obtain high speed broadband internet access
Nice To Haves
- Previous coaching experience
- Managed care experience
- Experience with Microsoft Word, Outlook, Excel, and comfortable using various computer programs
- Willing to obtain additional nursing licensure.
Responsibilities
- Utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status for chronic conditions.
- Conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services.
- Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change.
- Applies and/or interprets applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs.
- Consults with supervisors, Medical Directors and/or others to overcome barriers to meeting goals and objectives.
- Identifies and escalates quality of care issues through established channels.
- Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
- Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Interprets and utilizes clinical guidelines/criteria to positively impact members health.
- Provides up-to-date healthcare information to help facilitate the member¡¦s understanding of his/her health status.
- Helps member actively and knowledgably participate with their provider in healthcare decision-making.
- Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals.
- Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
