Health and Wellness Educator

Mercyhealth Wisconsin and Illinois•Janesville, WI

9d•$49,199 - $78,719

About The Position

Provides health education and support to members and families, focusing on diabetes, heart health, preventive care, and other chronic conditions. Helps members understand their benefits, set healthy goals, navigate the healthcare system, and access resources through individual support, educational materials, presentations, webinars, and community events. This is a 40-hour-per-week, day-shift role. The educator assesses member needs and establishes objectives, goals, and actions to support healthy living. The role coordinates education across members, families, community resources, and care providers; organizes and adapts educational resources; and monitors progress and plan effectiveness. It also supports provider offices and hospital staff with health plan policies and procedures, participates in data gathering and analysis, and contributes to initiatives related to NCQA accreditation and HEDIS compliance. The position develops and presents educational content, including newsletters, health-related articles, patient education materials, webinars, member meetings, community events, and onsite presentations for employer groups. It serves as a liaison to clinical and community partners, participates in team meetings, and ensures programs are organized, customer-focused, and cost-effective. Employees are expected to demonstrate quality, service, partnering, and cost-conscious behaviors consistent with Mercyhealth’s Culture of Excellence.

Requirements

Bachelor’s or associate degree in Nursing or Social Work; alternatively, a bachelor’s or associate degree in a healthcare-related field with CHES, CHWC, LPN, or RDN/CD.
Certified Health Education Specialist (CHES) certification.
Demonstrated knowledge of NCQA Accreditation Standards and HEDIS measures.
Ability to provide education to members who meet specific criteria for wellness programs.
Ability to work within a team environment.
Knowledge of Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook.

Nice To Haves

Certified Dietitian or equivalent certification preferred.

Responsibilities

Provide health education to individuals and families, emphasizing diabetes, cardiovascular conditions, preventive healthcare, and other chronic conditions in alignment with current quality measures.
Facilitate member education meetings, webinars, communication materials, and onsite health events.
Schedule members for regular status calls, calendar planning, and result reviews.
Determine objectives, goals, and actions based on member assessments and needs.
Help members understand their benefits and coverage and navigate the health system.
Establish member-centered coordination goals and strategies with members, families, community resources, and other care providers.
Organize, integrate, and adapt educational resources to support healthy-living goals and plans.
Monitor members’ progress and activities to assess the effectiveness of their plans.
Serve as an educator and resource for provider offices and hospital staff regarding health plan policies and procedures.
Demonstrate knowledge of NCQA Accreditation Standards and HEDIS Standards, and participate in accreditation and HEDIS improvement initiatives.
Assist with gathering and analyzing data.
Ensure programs are customer-focused, well planned, organized, controlled, and cost-effective.
Act as a liaison between clinical and community partners involved in educational programs.
Support the creation of monthly health education newsletters.
Develop monthly health-related articles for internal and external promotion.
Develop patient education materials.
Participate in relevant team meetings.
Create and present onsite health presentations to employer groups.