Diabetes Health Coach Consultant - Registered Nurse

CVS Health • Prior Lake, CO

14d • $54,095 - $129,615 • Remote

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. Must be a Certified Diabetes Care and Education Specialist (CDCES) This is a full-time telework role. Working schedule: Monday-Friday, standard business hours, including 2 evening shifts per week from 11:30am-8pm CST. Rotating Saturdays may be required about once per quarter following training. Work day consists of scheduled member appointments and member outreach. Position Summary: In this position the focus is on educating members with diabetes and other conditions as well as providing resources to the members. Assisting with closing gaps members may have in their care is also a priority. -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. - 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 knowledably 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

• Must be an RN and a Certified Diabetes Care and Education Specialist (CDCES)
• A Registered Nurse with an active and unrestricted license in their state of residence, with multi-state/compact privileges and have the ability to be licensed in all non-compact states.
• 3+ years of clinical nursing experience post licensure
• Experience working with patients with diabetes
• Must possess or be willing and able to obtain high speed broadband internet access
• Associate's degree minimum required as a Registered Nurse

Nice To Haves

• Previous coaching experience
• Managed care experience (MCO)
• Experience with Microsoft Word, Outlook, Excel, and comfortable using various computer programs

Responsibilities

• educating members with diabetes and other conditions
• providing resources to the members
• assisting with closing gaps members may have in their care
• 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.
• 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 knowledably 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

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree