Health Coach

VIPcare; United States; On-site; USD 42,000 - 58,000; Full time

Job summary

Better Health Group is seeking a Health Coach to support patient health outcomes through proactive outreach, education, and care coordination. You will primarily engage patients by telephone to facilitate transitions of care after hospitalizations and other events.

You will coordinate preventive care, support medication adherence, identify barriers to access, and collaborate with clinicians and operations to improve patient well-being while maintaining HIPAA compliance.

Qualifications

• 1+ year of experience in healthcare or related field preferred.
• Familiarity with Transitional Care Management (TCM) and preventive care.
• Strong interpersonal and communication skills with diverse patient populations.
• Ability to document accurately and maintain HIPAA compliance.

Responsibilities

• Conduct proactive telephonic outreach to engage patients in services.
• Coordinate Transitional Care Management after hospital discharges with providers.
• Reduce avoidable readmissions by addressing barriers to follow-up care.
• Schedule Annual Wellness Visits and preventive care appointments.
• Conduct Social Determinants of Health surveys to identify barriers and refer resources.
• Document outreach and care coordination activities in designated systems.
• Collaborate with clinical and operational teams to escalate patient concerns.
• Maintain patient confidentiality and comply with HIPAA and policies.

Skills

Patient engagement

Communication skills

Time management

Problem solving

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Google Workspace

EMR systems

Job description

Overview

Our mission is Better Health. Our passion is helping others.

What's Your Why?

Are you looking for a career opportunity that will help you grow personally and professionally?

Do you have a passion for helping others achieve Better Health?

Are you ready to join a growing team that shares your mission?

Why Join Our Team

At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don't just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Responsibilities

Reports To: Manager, Operations

Position Objective

The Health Coach supports patient health outcomes through proactive outreach, education, and care coordination. The incumbent engages patients primarily by telephone to facilitate transitions of care following hospitalizations or other healthcare events, coordinate preventive care appointments, support medication adherence, and identify potential barriers to accessing care.

Working collaboratively with patients, healthcare providers, and internal teams, the Health Coach helps patients navigate healthcare services, promotes engagement in recommended care, and supports efforts to reduce avoidable hospital readmissions and improve overall patient well-being.

Responsibilities:

• Conduct proactive telephonic outreach to patients to support engagement in recommended healthcare services, preventive care, and follow-up activities.
• Facilitate Transitional Care Management (TCM) outreach following hospital discharges or other qualifying healthcare events, coordinating timely follow-up appointments and communication between patients and their healthcare providers.
• Support efforts to reduce avoidable hospital readmissions by reinforcing discharge instructions, identifying potential barriers to follow-up care, and connecting patients with appropriate clinical or operational resources.
• Contact patients to schedule Annual Wellness Visits and other recommended preventive care appointments in accordance with established outreach protocols.
• Conduct Social Determinants of Health (SDOH) surveys to identify potential barriers to care, including transportation, food insecurity, housing instability, and other nonmedical needs, and refer identified concerns to appropriate resources or internal teams.
• Support medication adherence by contacting patients to confirm prescription fills, identifying potential access barriers, and coordinating with pharmacies, providers, or internal teams as appropriate.
• Educate patients on available healthcare benefits, resources, and services to encourage appropriate utilization and ongoing engagement in their care.
• Document patient outreach, appointment coordination, identified barriers, and follow-up activities accurately and timely within designated systems.
• Collaborate with clinical and operational teams to elevate patient concerns, coordinate outstanding follow-up needs, and support continuity of care.
• Maintain patient confidentiality and comply with HIPAA, organizational policies, and established care coordination protocols.
• Perform additional duties as assigned.

Position Requirements / Skills:

• High school diploma or equivalent required; associate's or bachelor's degree in healthcare, health promotion, public health, psychology, or a related field preferred.
• 1+ year of experience in healthcare, patient outreach, care coordination, health coaching, customer service, or a related field preferred.
• Familiarity with healthcare operations, preventive care, Transitional Care Management (TCM), medication adherence, and Social Determinants of Health (SDOH) preferred.
• Strong interpersonal and patient engagement skills, with the ability to establish rapport, demonstrate empathy, and communicate effectively with diverse patient populations.
• Excellent verbal and written communication skills, particularly in conducting telephonic outreach, explaining healthcare information, and coordinating with patients and providers.
• Strong organizational and time-management skills, with the ability to manage multiple patient outreach activities, prioritize follow-up needs, and maintain accurate documentation.
• Strong critical thinking and problem-solving skills, with the ability to identify barriers to care, determine appropriate next steps, and elevate concerns in accordance with established protocols.
• Ability to work independently while collaborating effectively with clinical, operational, and other cross-functional teams.
• Proficiency with Google Workspace (Drive, Docs, Sheets, Slides) and the ability to navigate electronic medical records, patient management systems, and other healthcare technology.
• Strong attention to detai