Health Coach
About The Position
The Health Coach provides guidance, support, and resources to clients and primary family caregivers participating in the CCSP/SOURCE Structured Family Caregiver Program (SFC). In collaboration with the branch RN, the Health Coach assesses the SFC client’s needs and develops a coaching plan. The Health Coach provides ongoing assessment, training, and support to the primary family caregiver and client, adjusting support as needed. The role includes maintaining communication among the caregiver, RN, and Medicaid Waiver Case Manager; helping clients and caregivers identify eligibility for complementary assistance and resources; and connecting them with other professionals and programs. The Health Coach conducts regular contact visits, monitors caregiver progress and support needs, and coordinates care-team conferences and joint visits. Concerns regarding a member’s or caregiver’s health, safety, or unmet needs must be reported to the SFC provider’s nurse and the CCSP or SOURCE case manager.
Requirements
- Two or more years of experience working with elderly, medically frail, and disabled clients, and caregivers.
- Excellent communication skills.
- Excellent computer skills.
- Excellent organizational skills.
Responsibilities
- Collaborate with the RN to assess the SFC client and ensure the client’s goals and needs are being met.
- Prepare a coaching plan for the Primary Family Caregiver to follow when providing activities of daily living (ADL) and instrumental activities of daily living (IADL) care.
- Help the client and Primary Family Caregiver determine eligibility for assistance and resources that complement the SFC program.
- Coach and train the Primary Family Caregiver to help ensure the client’s goals are met.
- Maintain effective communication with the Primary Family Caregiver, RN, and Medicaid Waiver Case Manager.
- Identify relevant community resources for medical, housing, financial, and social issues, and make referrals to professionals and programs as appropriate.
- Conduct monthly contact visits with the client and Primary Family Caregiver by home visit or telephone.
- Provide additional home visits and ongoing caregiver communication based on the current needs of the waiver member and caregiver.
- At least semi-annually, visit the waiver member and caregiver jointly with the waiver Case Manager, with all parties present, to strengthen communication among care-team members.
- Monitor daily progress notes and tasks through electronic visit verification applications for indications that the caregiver needs additional training or support, and document all caregiver contact.
- Schedule semi-annual case conferences with the client, Primary Family Caregiver, RN, and Medicaid Waiver Case Manager.
- Send summary reports to the Medicaid Waiver Case Manager monthly, quarterly, and as needed until the external portal is developed.
- Alert the SFC provider’s nurse and the CCSP or SOURCE case manager to concerns about the member’s or caregiver’s health, safety, or unmet needs.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
