Position Summary:

The Health Coach telephonically outreaches our Medicare population to improvemedication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member’s benefits. This may include outreach to pharmacies and prescribers.The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordinationto engage, educate, and promote/influence members in decisions related to achieving and maintainingoptimal health status. 

-Assessment of Members:  Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health riskbehaviors to conduct evaluation of member’s health status for either HEDIS health screening/control or Medication Adherence. 

-Utilizes influencing/motivationalinterviewing skills to ensuremember engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health 

-Partners with members to identify opportunities for integration into available internal/external programs 

- Using holistic approach consults withManager or others to overcome barriers with assisting members in meeting goals and objectives

- Utilizinginterviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices. 

- Interprets and utilizes 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 decisions

-Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues. 

-Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Required Qualifications:

1-3 years Microsoft Office
3-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology
-Managed Care and Medicare experience

Preferred Qualifications:
-Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, etc.)highly preferred 

-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology