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RN-Experienced Virtual Group Coach

RN-Experienced Virtual Group Coach

CompanyCVS Health
LocationSouth Carolina, USA, North Carolina, USA
Salary$54095 – $129615
TypeFull-Time
DegreesAssociate’s
Experience LevelMid Level, Senior

Requirements

  • Must be a Registered Nurse with Virtual Group Coaching Presentation experience for 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 to Internet
  • Experience with clinical documentation in Electronic Medical Records

Responsibilities

  • 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
  • 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
  • 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

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