[Hiring] CDCES Health Coach Consultant - Registered Nurse @CVS Health

Role Description

This is a full-time telework role for a CDCES registered nurse. Candidate must reside in a compact state and hold a compact license. Must have experience working with patients with diabetes.

Working schedule: Monday-Friday, standard business hours, including 2 evening shifts per week from 11:30am-8pm CST. Rotating Fridays and Saturdays will be required approximately two times per quarter following training.

Will have back-to-back appointments scheduled with members each day.

• 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 for chronic conditions.
• Assessment of 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, 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 Directors 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 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.

Qualifications

• Active and unrestricted RN licensure in a compact state, holding a compact license
• 3+ years of clinical experience
• Must possess or be willing and able to obtain high speed broadband internet access

Requirements

• Previous coaching experience
• Managed care experience
• Experience with Microsoft Word, Outlook, Excel, and comfortable using various computer programs
• Willing to obtain additional nursing licensure

Education

• Associate's degree required. BSN Preferred.

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

Pay Range

The typical pay range for this role is: $54,095.00 - $142,576.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.