Aetna Health Coach Consultant Registered Nurse High Point, NC , Hartford, CT, and Sugar Land, TX in High Point, North Carolina
Req ID: 66559BR
This is an in-office position open to candidates in the High Point, NC office, Hartford, CT office or Sugarland, TX office. The hours are as follows: M-F, 3 days a week 9am-5:30 pm ET and 2 days a week 12:30-9 pm ET.
The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to life style changes to achieve and maintain optimal health status. Requires an RN with unrestricted active license. -Responsible for managing patients in a telephonic educational disease management program.
Fundamental Components included but are not limited to:
Screens members to identify needed medical services, modifiable risk factors and educational needs and identifies or refers cases for other services.
-Intervenes to positively effect healthcare outcomes.
-Conducts individualized holistic clinical assessments of members care needs and develops a personalized disease-specific action plan.
-Promotes communication, both internally and externally, to enhance effectiveness of medical management services (member, family and health care team members respectively).
-Reinforces appropriate self-care teaching and monitoring, provides up-to-date health care information to help facilitate the members understanding of his/her health conditions.
-Helps member actively and knowledgeably participate with their provider in their own health care decision-making.
-Evaluates the members progress in meeting established goals and revises the care plan accordingly.
-Ensures accurate and complete documentation of required information to meet risk management, regulatory and accreditation requirements.
Qualifications Requirements and Preferences:
3+ years of clinical experience required
Must be a RN with current unrestricted state licensure required.
Previous coaching experience preferred
Managed Care experience preferred
Nursing - Registered Nurse (RN)
Nursing - Disease management, Nursing - Medical-Surgical Care
Computer Operation - System and Console Operations, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word
Benefits Management - Maximizing Healthcare Quality, Benefits Management - Understanding Clinical Impacts, Leadership - Driving Change
General Business - Turning Data into Information, Leadership - Collaborating for Results
Additional Job Information:
Registered Nurse with 5 years of clinical experience -Disease Management, Case Management or Managed Care experience preferred -Excellent verbal and written communication skills required to provide patient education -Proficiency in use of computer applications and typing skills (>35 wpm) highly recommended -A commitment to Excellence and Accountability -Integrity -Ability to be flexible and adapt to changing processes and schedule requirements -Ability to work with multiple screens is desired - This is a call center environment, majority of time is spent speaking telephonically with members. -Bilingual in Spanish a plus, not required -Willingness for flexible hours desired. -Work hours after orientation will be from 9:00-5:30 EST 3 days/wk. and 12:30 pm to 9:00 pm EST 2 days/wk. There will be a Friday evening rotation. This is a Monday through Friday schedule; no weekends.
Benefit eligibility may vary by position.
Job Function: Healthcare
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.