Health Coach Consultant - Must Reside in Arizona

CVS Health•Work At Home-Arizona, AZ

1d•$60,522 - $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. This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. Enhancement of Medical Appropriateness and Quality of Care: Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Identifies and escalates member's needs appropriately following set guidelines and protocols. Need to actively reach out to members to collaborate/guide their care.

Requirements

3+ years’ experience as a Registered Nurse.
The AHH RN Case Manager position requires the nurse to support members across multiple states.
A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support.
1+ years Nursing Management experience in patients with Diabetes, Cardiac Disease, ICU, CCU, Home Health or Pulmonary Disease.
1+ years documenting electronically using keyboard and multiple computer screens--free form text/good typing skills and Microsoft Office applications especially Excel required.
Must have active and unrestricted RN licensure in the state you reside.
Compact Licensure RN License is required for this role.
Must have hard wired internet.

Nice To Haves

1+ years current or previous experience in Home Health.
1+ years Case Management experience preferred.
1+ years experience with Lexicomp a plus.
1+ years experience Motivational Interviewing a plus.
Certified Diabetes Care and Education Specialist (CDCES).
Bilingual in Spanish preferred.

Responsibilities

Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Identifies and escalates member's needs appropriately following set guidelines and protocols.
Actively reach out to members to collaborate/guide their care.