Health Coach Consultant - Chronic Conditions - Registered Nurse

CVS Health; North Carolina; Remote; USD 54,000 - 117,000; Full time

Job summary

CVS Health is seeking a full-time Health Coach Consultant in telehealth. This role involves assessing and coaching members to improve their health outcomes while ensuring adherence to clinical standards. Candidates must have a compact license and relevant medical experience. Competitive salary and comprehensive benefits provided.

Benefits

401(k) plan with matching contributions

Affordable medical plan options

Employee stock purchase plan

Wellness screenings programs

Tuition assistance

Qualifications

• Must hold an unrestricted compact license in the state of residence.
• 3+ years of Adult Medical Surgical experience in a hospital or clinic.
• 1+ years of experience documenting in Electronic Medical Records.

Responsibilities

• Conduct comprehensive assessment of members' needs.
• Develop and monitor care plans for optimum health.
• Utilize clinical guidelines to influence member engagement.

Skills

Healthcare assessment

Coaching

Motivational interviewing

Education

Associate or Bachelor’s degree

Tools

Electronic Medical Records

Microsoft Word

Excel

Epic

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

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 range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visithttps://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/05/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.