Medical Surgical - Registered Nurse - Health Coach Consultant - Chronic Conditions

CVS Health

4d • Remote

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Calling on experienced Medical Surgical RN's to apply for the Health Coach Consultant role. We are looking for candidates with 3+ clinical years of acute Medical Surgical experience. Active Health Management is seeking a Telephonic Health Coach who has experience with virtual face to face and group coaching with health plan members. You can live anywhere in the United States, but must be able to work hours that align with EST. Work schedule: Monday-Friday: standard business hours with 2 steady evening shifts per week from 12:30-9:00 PM EST. Rotating Saturdays are required, per business needs. Typically every 4-6 weeks, 5 hour shift. One late Friday until 9 PM ET on a rotating basis. Typically, every 4-6 weeks. If you are unable to work the requested schedule, please do not apply for this position. Position Overview: The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status. - Assessment of Members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services. -Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change. Enhancement of Medical Appropriateness & Quality of Care: -Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs. -Using holistic approach consults with supervisors, Medical Directors and/or others to overcome barriers to meeting goals and objectives. -Identifies and escalates quality of care issues through established channels. -Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. -Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. -Interprets and utilizes clinical guidelines/criteria to positively impact members health Provides up-to-date healthcare information to help facilitate the member¡¦s understanding of his/her health status. -Helps member actively and knowledably participate with their provider in healthcare decision-making. -Monitoring, Evaluation and Documentation of Care - Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals. - Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines. For more information on our benefit programs, please visit https://jobs.cvshealth.com/employee-benefits

Requirements

• A Registered Nurse that must hold an unrestricted license in their state of residence, multi-state/compact privileges and have the ability to be licensed in all non-compact states.
• 3+ years of clinical experience in Adult Medical Surgical nursing
• Must possess or be willing and able to obtain high speed internet access and be hard wired to internet
• Proficiency with Microsoft Office application: Word, Outlook, Excel, Teams and Power Point
• Experienced with documenting in an electronic medical records system
• Excellent communication skills
• Must be comfortable with public speaking
• Ability to work independently as well as part of a group
• Associate RN degree required

Nice To Haves

• Previous telephonic chronic condition coaching
• Virtual group coaching experience via webcam
• Managed care experience
• Experience with Epic EMR data base functionality and documentation
• Bachelor’s RN degree preferred

Responsibilities

• Assessment of Members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services.
• Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change.
• Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs.
• Using holistic approach consults with supervisors, Medical Directors and/or others to overcome barriers to meeting goals and objectives.
• Identifies and escalates quality of care issues through established channels.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Interprets and utilizes clinical guidelines/criteria to positively impact members health Provides up-to-date healthcare information to help facilitate the member¡¦s understanding of his/her health status.
• Helps member actively and knowledably participate with their provider in healthcare decision-making.
• Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals.
• Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

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