Clinical Health Coach I (Remote)

American Specialty Health Incorporated is seeking a Clinical Health Coach I to join our Clinical Health Coaching (CHC) department. This position will provide cognitive behavioral coaching and evidenced-based education to clinical coaching participants. Clinical Health Coaches do this by leveraging coaching skills, techniques, experience, and good clinical judgement to ensure member safety in all coaching products. This position also includes reviewing member files for medical risk issues and developing a plan to help assure safe program participation related to those issues, communicating with others responsible for member safe program participation, and following through on program plan with each assigned member. This is a professional coaching position providing coaching services only, not telemedicine.

Remote Worker Considerations: 

Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed. 100 down/20 up is recommended to support higher quality video meetings).  

Responsibilities

• Provide coaching and education to all assigned members in accordance with departmental training, policies, and protocol.
• Schedules sessions to meet productivity expectations, performance, and quality standards.
• Uses evidence based coaching skills and health information, works with members to set health related goals, and develop and implement effective strategies to reach those goals.
• Creates and sustains a supportive member-focused environment for behavior change.
• Identifies and documents member safety concerns, routes concerns through Case Review team, and acknowledges recommendations from the team to appropriately work with members.
• Assists participants in developing personalized plans to manage targeted conditions and collaborates with them to identify relevant health goals and effective strategies to achieve those goals.
• Provides education on evidence-based information, conservative care options, and self-care.
• Meets or exceeds established performance expectations related to coaching skills, customer service, documentation, quality, customer satisfaction, and outcomes improvement.
• Stays within coaching scope and does not provide clinical advice, prescription, recommendations, or counsel.
• Uses established systems to document session notes, data, outcomes, and other administrative details of all assigned members and cases, while gathering information from assigned members and accurately entering details and data into coaching records, other electronic systems, and communication logs, including the Quality Assurance (QA) process.
• Maintains accurate, up-to-date, and confidential records of all coaching sessions with members.
• Documents and sends referrals to physician’s offices or other referral sources as required by client contract or department protocol. Manages any follow-up necessary for members.
• Effectively manages time to meet appointment expectations, complete administrative tasks, and meet training requirements as required by the department and company.
• Serves as an emergency responder to urgent medical and behavioral issues or concerns arising on coaching or customer service calls.
• Completes Clinical Quality Assurance team tasks as assigned.
• Conducts review of assigned medical risk cases within expected turnaround time.
• Attends Clinical QA Team meetings to support review of complex cases.
• Participates in Clinical QA process and quality improvement initiatives as requested.
• Completes accurate and timely documentation and escalation of all assigned Clinical QA tasks and cases.

Qualifications

• Clinical Health Coaches must meet one of the following:
• Bachelor’s degree in Nursing (RN, APRN, etc.) with an active clinical license
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