Health Coach - RN or RD

Mainline Health Systems, Inc; Monticello (AR); On-site; USD 42,000 - 64,000; Full time

Job summary

The Health Coach at Mainline Health Systems, Inc. works with the Diabetes Self-Management team to integrate clinical and self-management elements of diabetes and cardiometabolic care, aiming to optimize quality care for patients in a Patient-Centered Medical Home model.

Under the supervision of the Director of Health Education, the role emphasizes education, care planning, and collaboration with the care team to support individualized behavioral goals and continuous quality improvement.

Qualifications

• RN with at least 1 year of related experience.
• Current RN license in Arkansas.
• BLS certification required.
• Willingness to pursue continuing education in health education.

Responsibilities

• Coordinate communication between patients, families, and caregivers with the multidisciplinary care team.
• Integrate knowledge of cardiometabolic care and diabetes self-management into clinical practice.
• Deliver diabetes self-management education to individuals and groups.
• Document all patient contacts in the EHR following guidelines and timelines.
• Collaborate with community partners to establish and maintain ongoing support options.

Skills

RN experience

Education

Associate's Degree in Nursing

Bachelor of Science in Nursing

Tools

Microsoft Excel

Electronic Medical Records

Job description

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Department: Clinical Job Status: Full Time

FLSA Status: Exempt Reports To: Director of Health Education

Grade/Level: Amount of Travel Required: up to 50%

Work Schedule: Positions Supervised: None

8 a.m. to 5:30 pm Monday- Thursday.

8 a.m. to 12:00 pm on Friday.

However, additional hours may be required to complete duties.

POSITION SUMMARY:

The Health Coach is part of the care team andunder the supervision of the Director of Health Education. The Health Coach will work in conjunction with the Diabetes Self-Management team to assist the care team with direction and resources regarding diabetes self-management aimed at meeting the needs of the patients. The health coach will integrate clinical and self-management aspects of diabetes and cardiometabolic care in order to optimize quality care. The health coach promotes self-management to achieve individualized behavioral and treatment goals. The Health Coach will assist in meeting organizational goals. The Health Coach is involved in continuous Quality Improvement practices and measures as set by Mainline Health Systems, Inc. and in which the practice focus is based on a Patient Centered Medical Home model of care.

SPECIFIC DUTIES AND RESPONSIBILITIES:

• Coordinate communication between patients, families, and caregivers with the multidisciplinary care team in order to identify barriers and support care plan.
• Integrates skills and knowledge of pathophysiology, epidemiology, clinical management, cardiometabolic conditions and self-management of diabetes into clinical practice.
• Partners with individuals to deliver care and education conducive to behavior change and improved quality of life for self-management of pre-diabetes, diabetes and cardiometabolic conditions across the lifespan.
• Provides quality diabetes self-management education in individual and group settings based on assessed needs. Uses appropriate teaching techniques that are sensitive to the learning preferences of the person with prediabetes or diabetes.
• Follows the ADCES Diabetes Education Accreditation Program requirements which are based on the National Standard of Diabetes Self-Management and Support Guidelines.
• Completes comprehensive assessments for each patient including emotional and behavioral health, interprets personal health data, develops an individualized care plan based on the patient’s assessed needs and goals and promotes successful self-management.
• Documents all individual contacts/visits in the EHR according to MHSI and Accreditation Program guidelines in a timely manner.
• Ability to properly process data and compile reports on various projects.
• Notification and recall of patients regarding missed appointments and care gaps.
• Ability to communicate with patients and staff daily in a courteous and professional manner, address questions and direct calls promptly.
• Serve as part of the care team in developing person-centered diabetes plans; follows and implements workflows that support and sustain MHSI Patient Centered Medical Home model of care.
• Advocates for and supports technology-enabled diabetes education and care, in individual and population health diabetes services.
• Willingness to attend and/or complete continuing education related to this position and/or any other topics as deemed necessary to MHSI.
• Collaborates with community partners to establish and maintain on-going support options.
• Participates in all Risk Management activities as deemed appropriate.
• Additional duties or responsibilities as deemed necessary.

SKILLS & ABILITIES:

Education:

• Associates Degree in Nursing Required or Bachelor Science in Nursing

Experience:

• RN with oneyear or more related experience preferred

Computer Skills:

• Computer skills with capabilities to utilize Excel spreadsheets, graphs, and Word documents preferred. Ability to learn and utilize electronic record keeping systems such as electronic medical record required.

Certificates & Licenses:

• Current licensure as a registered nurse required by Arkansas State Nursing Board.
• BLS and certification required.

Other Requirements:

• Willingness to attend and/or complete continuing education related to this position and /or any other topic deemed necessary to MHSI. Detail oriented, positive attitude, and the ability to take direction and work well with a team but also self-motivated.
• Excellent verbal and written communication skills.
• Must be able to work with a diverse patient population and have exceptional customer service skills.
• The ability to work in a constant state of alertness and in a safe manner.

REPORTING RELATIONSHIP:

The Health Coach reports to and is supervised and evaluated by the Director of Health Education.

PHYSICAL DEMANDS

Physical Demands

Lift/Carry

Stand

O (Occasionally)

Walk

O (Occasionally)

Sit

F (Frequently)

F (Frequently)

O (Occasionally)

Reach Above Shoulder

O (Occasionally)

Climb

N (Not Applicable)

N (Not Applicable)

Squat or Kneel

O (Occasionally)

O (Occasionally)

10 lbs or less

F (Frequently)

11-20 lbs

O (Occasionally)

21-50 lbs

O (Occasionally)

51-100 lbs

N (Not Applicable)

Over 100 lbs

N (Not Applicable)

Push/Pull

12 lbs or less

O (Occasionally)

13-25 lbs

O (Occasionally)

26-40 lbs

O (Occasionally)

41-100 lbs

N (Not Applicable)

N (Not Applicable)

Activity is not applicable to this occupation.

O (Occasionally)

Occupation requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently)

Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly)

Occupation requires this activity more than 66% of the time (5.5+ hrs/day)

Other Physical Requirements

Vision (Near, Color)

Sense of Sound (telephone and verbal conversations)

Sense of Touch

EVALUATION:

The evaluation of work performance will be ongoing, and will be carried out by the Director of Health Education. It will include specific duties and responsibilities of this position description plus employee attitude and general working behavior. Formal evaluation will be performed annually, but may be initiated at other times by the Director of Health Education.

STATUS:

This is a FLSA Exempt position.

This is an OSHA low risk position.

This is an ADA negotiable position.

This is a safety sensitive position. (Arkansas Act 593 of 2017)

DISCLAIMER

The duties and responsibilities, qualifications, physical conditions and other statements contained herein represent the current general nature of the job described, and are subject to change at any time, with or without notice. This job description does not limit in any way the assignments that may be given to an employee in the job, and employees are expected to perform any and all duties assigned by their supervisor willingly and without reservation.