About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse must hold a CDCES- Certified Diabetes Care and Education Specialist This is a full-time telework role for a RN who resides in a compact state and holds a compact license. Working schedule: Monday-Friday, standard business hours, including 1 evening shift per week from 12:30- pm EST

Requirements

  • Must be a CDCES (Certified Diabetic Educator)
  • Active and unrestricted RN licensure in the state of residence which must be a compact state
  • 3+ years of clinical experience
  • Must possess or be willing and able to obtain high speed broadband internet access

Nice To Haves

  • Previous coaching experience
  • Managed care experience
  • Experience with Microsoft Word, Outlook, Excel, and comfortable using various computer programs
  • Willing to obtain additional nursing licensure.

Responsibilities

  • 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 for chronic conditions.
  • 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, 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 knowledgably 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.
  • Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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