RN Health Coach
About The Position
The RN Health Coach provides individualized nursing care across the life span in an ambulatory clinic setting, supporting patients through preventative care, health maintenance, diagnosis, treatment, and follow-up. The role coordinates patient care plans across the continuum and serves as a liaison with specialty practices and inpatient facilities. The RN Health Coach supports patients and families in health behavior change through education, goal setting, action planning, problem-solving, and motivational interviewing. The role manages disease registries, follows up with patients who are not meeting clinical goals based on evidence-based Clinical Practice Guidelines, and conducts pre-visit chart reviews to identify preventive care needs. Success in the role requires strong communication, independent judgment, critical thinking, flexibility, organization, and knowledge of reimbursement for services, along with a commitment to continuous quality improvement.
Requirements
- Currently licensed with the applicable state nursing board and/or possess multistate licensure privileges.
- Function within the legal scope of nursing practice.
- Hold a valid driver's license.
Nice To Haves
- A minimum of three years of professional nursing experience in a clinical care setting.
- Bachelor's degree in nursing.
Responsibilities
- Utilize the nursing process to manage patients with chronic disease within the Patient-Centered Medical Home.
- Conduct pre-visit chart reviews to identify gaps in preventive health maintenance, immunizations, and chronic disease interventions.
- Collaborate with physicians, APPs, staff, and other professionals to coordinate care across the continuum.
- Facilitate mutual goal setting and goal-directed interactions with clients and families to support health behavioral change.
- Act as a patient advocate, responding to and working to resolve patient concerns as a liaison with specialty clinics.
- Participate in quality outcomes analysis and collaborate on monitoring and trending patient responses.
- Assess medication adherence and identify patients not meeting clinical goals, such as blood pressure or dietary targets.
- Advocate for disease prevention and healthy lifestyles to reduce inappropriate hospital stays and emergency department visits.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
