The Health Coach directly supports and promotes the care transitions and social support, and needs of patients' across the continuum of care. Also supports quality and improvement initiatives through targeted outreach to patients who are not meeting clinical goals. The position collaborates with providers, care managers, social workers, and others to facilitate seamless transitions of care, social support interventions, and patient engagement to close care gaps with the goals of assuring superior patient experience and quality outcomes. Identifies high-risk patients, assesses clinical and psychosocial needs, makes referrals to ancillary providers (disease management, palliative care, community organizations, pharmacy, social work, non-clinical services) and develops care plan in coordination with PCP. Engages patients to be active in self-care and personal responsibility.
Successful completion of annual mandatory education requirements.
Graduated of an accredited school of nursing required, Associate of Science in Nursing (ASN).
Bachelor of Science in Nursing (BSN) preferred.
Minimum 1-3 years of patient care experience required.
Current valid license, valid compact multi-state license, or a temporary permit while awaiting licensure required for work state.
Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
Knowledge of medical terminology and procedures required.
Knowledge of medicine including recognizing and diagnosed diseases, deformities, and other illnesses.
Skill to effectively manage time and prioritize tasks.
Skill to proficiently type information into the computer to capture or detail information quickly.
Ability to provide caring patient care services when talking with patients and their family members.
Ability to critically listen to questions from patients and information from doctors so that you can convey the information effectively.
Ability to recognize problems early to help avoid bigger problems in the future.
Ability to problem solve during several daily activities which includes the ability to be flexible.
Ability to use and navigate through computer programs that contain patient information.
Medium Work - Exerting up to 50 pounds of force.
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)