Health Coach
Better Health Group
Health Coach
Better Health Group
Primary care platform enabling value-based care
Our mission is Better Health. Our passion is helping others.
What’s Your Why?
Why Join Our Team: At Better Health Group, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don’t just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.
Reports To: Manager, Operations
Position Objective
The Health Coach supports patient health outcomes through proactive outreach, education, and care coordination. The incumbent engages patients primarily by telephone to facilitate transitions of care following hospitalizations or other healthcare events, coordinate preventive care appointments, support medication adherence, and identify potential barriers to accessing care.
Working collaboratively with patients, healthcare providers, and internal teams, the Health Coach helps patients navigate healthcare services, promotes engagement in recommended care, and supports efforts to reduce avoidable hospital readmissions and improve overall patient well-being.
Responsibilities:
Conduct proactive telephonic outreach to patients to support engagement in recommended healthcare services, preventive care, and follow-up activities.
Facilitate Transitional Care Management (TCM) outreach following hospital discharges or other qualifying healthcare events, coordinating timely follow-up appointments and communication between patients and their healthcare providers.
Support efforts to reduce avoidable hospital readmissions by reinforcing discharge instructions, identifying potential barriers to follow-up care, and connecting patients with appropriate clinical or operational resources.
Contact patients to schedule Annual Wellness Visits and other recommended preventive care appointments in accordance with established outreach protocols.
Conduct Social Determinants of Health (SDOH) surveys to identify potential barriers to care, including transportation, food insecurity, housing instability, and other nonmedical needs, and refer identified concerns to appropriate resources or internal teams.
Support medication adherence by contacting patients to confirm prescription fills, identifying potential access barriers, and coordinating with pharmacies, providers, or internal teams as appropriate.
Educate patients on available healthcare benefits, resources, and services to encourage appropriate utilization and ongoing engagement in their care.
Document patient outreach, appointment coordination, identified barriers, and follow-up activities accurately and timely within designated systems.
Collaborate with clinical and operational teams to escalate patient concerns, coordinate outstanding follow-up needs, and support continuity of care.
Maintain patient confidentiality and comply with HIPAA, organizational policies, and established care coordination protocols.
Perform additional duties as assigned.
Position Requirements / Skills:
High school diploma or equivalent required; associate's or bachelor's degree in healthcare, health promotion, public health, psychology, or a related field preferred.
1+ year of experience in healthcare, patient outreach, care coordination, health coaching, customer service, or a related field preferred.
Familiarity with healthcare operations, preventive care, Transitional Care Management (TCM), medication adherence, and Social Determinants of Health (SDOH) preferred.
Strong interpersonal and patient engagement skills, with the ability to establish rapport, demonstrate empathy, and communicate effectively with diverse patient populations.
Excellent verbal and written communication skills, particularly in conducting telephonic outreach, explaining healthcare information, and coordinating with patients and providers.
Strong organizational and time-management skills, with the ability to manage multiple patient outreach activities, prioritize follow-up needs, and maintain accurate documentation.
Strong critical thinking and problem-solving skills, with the ability to identify barriers to care, determine appropriate next steps, and escalate concerns in accordance with established protocols.
Ability to work independently while collaborating effectively with clinical, operational, and other cross-functional teams.
Proficiency with Google Workspace (Drive, Docs, Sheets, Slides) and the ability to navigate electronic medical records, patient management systems, and other healthcare technology.
Strong attention to detail, accountability, and commitment to completing assigned outreach and follow-up activities accurately and timely.
Demonstrated ability to maintain confidentiality and handle protected health information in accordance with HIPAA and organizational policies.
Appreciation of cultural diversity and sensitivity toward the patient populations served.
Physical Requirements:
Ability to remain in a stationary position, primarily sitting, for extended periods while performing telephonic outreach and computer-based administrative work.
Ability to regularly operate a computer, keyboard, mouse, telephone, headset, and other standard office equipment.
Ability to communicate and exchange information with patients, healthcare providers, and team members by telephone and through electronic communication platforms.
Ability to review electronic medical records, patient information, and other detailed documentation for accuracy and completeness.
Ability to occasionally stand, walk, bend, and reach while performing routine office activities.
Key Attributes/ Skills:
Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles.
An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
Is able to work within our Better Health environment by facing tasks and challenges with energy and passion.
Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
Compensation: 18 to 25 (USD)
Primary care platform enabling value-based care
Better Health Group provides a national primary care platform that helps clinicians participate in value-based care. It offers a dual-operating model: physicians can retain ownership of their practices and partner with Better Health Group’s MSO and ACOs, or work as employees at company-owned clinics, earning revenue through health-plan partnerships that take on financial risk across Medicare Advantage, Medicare ACOs, Medicaid, and commercial plans. Its platform integrates a practice’s EMR with data from prescriptions and hospital visits to generate actionable care-management recommendations while handling administrative tasks like outreach, coding and billing, quality reporting, and payer relations. The company aims to shift from reactive sick care to proactive Better Health care, supporting nationwide expansion and population health improvements.
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