RN - Registered Nurse - Health Coach Consultant - Chronic Conditions

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

This is a full-time telehealth role within the US. Must reside in a compact state and hold a compact license.
 

Hours

Monday-Friday EST working 3 day shifts and 2 evening shifts a per week

Evening hours end at 9:00 PM EST
Rotating 5 hour shifts on Saturdays will be required per business needs approximately quarterly

Rotating Friday evening until 9:00 PM EST approximately quarterly

Job Descriptions
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.
- 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.
 

Required Qualifications
- Must have an unrestricted compact license in the state of residence with ability to apply for and obtain additional licenses required per account needs
- 3+ years of Adult Medical Surgical experience in a hospital or clinic setting
- Must possess/be willing and able to obtain high speed internet access and be hardwired to internet
- 1+ years of experience documenting in Electronic Medical Records

Preferred Qualifications

- Previous telephonic or face to face health coaching experience
- Previous Managed Care experience
- Experience with Microsoft Word, Outlook, Excel products

- Experience using multiple digital applications simultaneously, while conducting assessment interviews and documenting member responses

- Experience using Epic
 

Education

Associate or Bachelor’s degree required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

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 ra