Responsible for supporting health promotion and wellness programs aimed at encouraging members to adopt healthy lifestyles by actively participating in wellness activities. The position will provide assessment, health education, and behavior change counseling using a collaborative approach to facilitate change. Assist in the identification and development of member health education needs through health assessment activities that may include online health risk appraisal, telephonic outreach, etc. Provide telephonic outreach and counseling on member compliance with nationally accepted health prevention guidelines and general health and wellness strategies. Perform research and communicate on relevant topics in health promotion and disease prevention. Facilitate collaboration between health education resources, the community, and the company. Comply with applicable regulatory and licensing requirements such as NCQA, CMS, URAC, etc. Monitor, evaluate, and report programs’ effectiveness (e.g., outcomes). Prepare presentation/display materials and conduct targeted education/wellness programs targeting specific health strategies for designated populations. Serve as a liaison between internal and external stakeholders to champion and develop programs aimed at prevention, wellness, and disease management. Provide coaching for diabetes condition management including self-management, glucose monitoring, medication use, nutrition, physical activity, stress reduction, reducing complications, etc. Use motivational interviewing and behavior change techniques to set individualized goals, develop action plans, and track member progress. Refer members to internal or external resources (programs, providers) and collaborate with those resources to ensure a seamless continuum of care. Document all interactions, assessments, care plans, etc. within required timeframes. Comply with applicable regulatory and licensing requirements such as NCQA and CMS. Monitor, evaluate, and report programs’ effectiveness (e.g., outcomes) and participate in continuous improvement activities. This role is responsible for delivering a structured, evidence-based diabetes education and coaching program for members with diabetes. The role is focused on improving self-management, medication adherence, lifestyle modification, and clinical outcomes for a diverse member population.
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Job Type
Full-time
Career Level
Mid Level