Health Coach (Bilingual Spanish Preferred)

Elevance Health • Durham, NC

4d • Remote

About The Position

The Health Coach is responsible for providing health coaching to members, across all brands, with chronic diseases. Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. How you will make an impact: Coordinates specific health coaching as directed by nurse case manager to address objectives and goals as identified during assessment. Implements coaching plan by using behavior change principles to identify member barriers and develop ways to overcome those barriers. Coordinates with the nurse case manager to provide feedback on member goal attainment and clinical issues. Identify and address HEDIS/STARS gaps in care. Maintains fidelity to the Coleman Model for Care Transitions Intervention. Conducts Social Determinants of Health assessments and identifies resources to support member needs Monitor patients as they transition from hospital to home, completing post-discharge follow up, medication reconciliation, reducing members overall risk of readmission.

Requirements

• Requires BA/BS in appropriate field of specialization (examples such as Health Education, Exercise Physiology, Respiratory Therapy or Dietician) and minimum of 3 years of related experience in health education, exercise instruction or patient education; or any combination of education and experience, which would provide an equivalent background.
• Certification, advanced certification, and/or license appropriate to field of specialty as required.
• Candidates from all states are welcome, but they must reside within commuting distance of a Pulse Point office location where we have an office to be considered (travels to worksite, client locations, and other sites as necessary).

Nice To Haves

• Prior experience in health coaching, disease management and knowledge of behavioral and/or clinical assessment techniques, health and/or patient education and behavior change techniques preferred.
• Understanding of disease management principles preferred.
• Current unrestricted LMSW, LCSW, LISW, or LPN (or equivalent) license is needed for this position.
• Care Transitions Intervention Health Coach certification preferred.
• Prior experience in UM and CM highly preferred.
• Bilingual Spanish preferred.

Responsibilities

• Coordinates specific health coaching as directed by nurse case manager to address objectives and goals as identified during assessment.
• Implements coaching plan by using behavior change principles to identify member barriers and develop ways to overcome those barriers.
• Coordinates with the nurse case manager to provide feedback on member goal attainment and clinical issues.
• Identify and address HEDIS/STARS gaps in care.
• Maintains fidelity to the Coleman Model for Care Transitions Intervention.
• Conducts Social Determinants of Health assessments and identifies resources to support member needs
• Monitor patients as they transition from hospital to home, completing post-discharge follow up, medication reconciliation, reducing members overall risk of readmission.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees