Experienced Virtual Group Coach - Registered Nurse - Remote ME id-11804

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.

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Position Summary:

Seeking a Registered Nurse with a strong clinical background in Med/Surg at the bedside, or broad clinic experience. Must have experience with virtual group coaching presentations, and with Electronic Medical Records(EMR).

JOB DESCRIPTION

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.


- Assesses 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, social determinants of health, 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 Director, Social Worker, Pharmacist 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 resources/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, to meet the member's goals

- Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines


Required Qualifications

- Must be a Registered Nurse with Virtual Group Coaching Presentation

experiencefor an audience of 20-50 members.

-3+ years of Adult Medical Surgical experience in a hospital or clinic setting

- Must have an unrestricted COMPACT RN license in the state of residence with ability to apply for,and obtain, additional licenses required per account needs

- Must possess/be willing and able to obtain high speed internet access and be hardwired toInternet

- Experience with clinical documentation in Electronic Medical Records

WORK SCHEDULE

Monday-Friday EST working 3 day shifts and 2 evening shifts a per week

Evening hours end at 9:00 PM EST

Rotating Saturdays will be required per business needs. When required,they are partial shifts.


Preferred Qualifications

- Previous telephonic or face to face health coaching experience

- Previous Managed care experience

- Experience with Microsoft Word, Outlook, Excel products, EPIC, EMR

- Experience using multiple digital applications simultaneously as you conduct assessment interviews and document member responses.

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