Health Promotions Coordinator

BlueCross BlueShield of South Carolina•Columbia, SC

4d•Onsite

About The Position

The Health Promotions Coordinator supports the delivery and implementation of health management programs designed to improve outcomes and enhance the well-being of BlueCross BlueShield of South Carolina and BlueChoice members. The role is full-time, 40 hours per week, Monday through Friday, and onsite at 51 Clemson Rd. in Columbia, South Carolina, in a typical office environment. Some travel may be involved. The coordinator assists with implementing health management activities, coordinates assigned programs, facilitates program participation—with an emphasis on high-risk members—and provides health coaching by phone or in person. The role uses data systems containing patient information, documents information appropriately, analyzes reports, monitors member compliance and program outcomes, and helps develop strategies and educational materials to improve program effectiveness and participation. The coordinator also communicates with providers, group representatives, and members; follows established procedures and policies; and supports program goals and quality improvement.

Requirements

Bachelor's degree in a job-related field, or an applicable degree-equivalency pathway listed for the assigned program specialty.
Three years of clinical experience in a defined specialty and/or experience facilitating health education and prevention programs; alternatively, four years of experience in health administration or a health-related field; alternatively, two years of experience with a master's degree in Health Promotion, Health Administration, or a health-related field.
Working knowledge of word processing, spreadsheet, database, and presentation software.
Understanding of insurance and benefit programs as they relate to health management coverage.
Knowledge of the quality improvement process.
Ability to work independently, prioritize effectively, and make sound decisions.
Good judgment, customer service, organizational, and presentation skills.
Proficiency in spelling, punctuation, and grammar.
Ability to persuade, negotiate, or influence others.
Analytical or critical-thinking skills.
Ability to handle confidential or sensitive information with discretion.
Microsoft Office skills.
If working as an RN: active, unrestricted U.S. RN license in the state of hire, or an active compact multistate unrestricted RN license under the Nurse Licensure Compact.
If working as an LPN: active, unrestricted U.S. LPN license in the state of hire, or an active compact multistate unrestricted LPN license under the Nurse Licensure Compact.
Program-specific degree or credential equivalencies may apply: Maternity Management requires a four-year degree in Health Promotion or a related field, or a two-year degree plus two years of relevant experience, or an approved LPN program plus two years of maternity-management experience, or Certified Childbirth Educator/Prenatal Educator credentials. Diabetes Management requires a four-year degree in Health Promotion, Nutrition, or a related field, Certified Diabetes Educator credentials, or an approved LPN program plus two years of diabetes-management experience. Asthma Management requires a four-year degree in Health Promotion, Exercise Science, or a related field, Certified Asthma Educator credentials, or RRT credentials. Wellness Coach/Health Promotion requires a four-year degree in Health Administration, Health Promotion, Exercise Science, Education/Training, or a health-related field.

Nice To Haves

Bachelor's degree in Health Education/Health Management, Healthcare Administration, Social Work, or Health Promotion.
Three years of healthcare program management experience.
Working knowledge of database software.
Working knowledge of Microsoft Access or other database software.
Active, unrestricted LBSW (Licensed Bachelor of Social Work) license in the United States and in the state of hire.

Responsibilities

Assist with implementing health management activities and programs for members.
Coordinate all aspects of assigned programs.
Facilitate programs for participants, with an emphasis on high-risk members.
Follow and update established procedures.
Provide health coaching by phone or in person for assigned health programs.
Use patient-information data systems and document information appropriately.
Help develop strategies to increase the effectiveness of and participation in health management programs.
Establish and maintain effective communication with provider networks, group representatives, and members.
Conduct research and analyze monthly, quarterly, and annual reports.
Adhere to policies and work toward program goals.
Monitor member compliance and success rates.
Help identify areas where health management programs are needed.
Monitor quality indicators and develop programs to improve areas where warranted.
Develop educational materials for patients and providers.