Health Coach RN - remote (PA/NJ/DE)

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Fully remote role

Job summary

Independence Blue Cross, LLC is seeking a Health Coach to serve as the primary nurse, delivering health coaching and case management across the health continuum. You will screen, assess, plan, facilitate, monitor and advocate for members, coordinating with physicians to support self-management and positive behavior changes.

The role requires PA or multistate RN licensure, 3 years of clinical/case management experience, and flexibility to work hours.

Qualifications

• Current, active, and unrestricted PA or multistate RN licensure.
• Three years of clinical, case management or disease/condition management experience.
• Excellent communication and problem-solving abilities.
• Ability to work flexible hours and use computer systems.
• Strong clinical knowledge and patient advocacy.

Responsibilities

• Functions as a primary nurse for members across health continuum including coaching and case management.
• Collaborates on care plans with members and physicians; uses motivational interviewing.
• Screens, assesses, plans, facilitates, monitors and advocates for adherence to care plans.
• Coordinates services, navigates the healthcare system, and ensures high-quality care.
• Document activities in compliance with regulatory requirements.

Skills

Communication skills

Problem-solving

Flexibility

Computer skills

Strong clinical knowledge

Education

Registered Nurse licensure (PA or multistate)

Job description

Hours: FT, MonFri 8:305p

Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of health ranging from health promotion to endoflife. Health coaches collaborate on care plan development and coordination with members and physicians by screening, assessing, planning, facilitating, monitoring and giving input when adjustment is needed, and advocating for the member on an individual basis. Health coaches use clinical and motivational interviewing skills to assess member's need and establish mutually agreeable goals while supporting member in developing selfmanagement skills in adopting positive behavior changes. Health Coaches work with the member to identify and address barriers to member's adherence to standards of evidencebased medicine. The health coach facilitates communication between the patient, family, and members of the health care team while acting as an educator and link between the patient, providers and the plan, ensuring high quality, costeffective services are delivered. Helps members coordinate care and navigate the healthcare system.

Duties and Responsibilities

• Functions as a primary nurse for members across the continuum of health and healthrelated services including information and support for lifestyle improvement, acute symptoms, treatment decisions, targeted health conditions, chronic conditions and complex conditions.


• Engages with the members ranging from coaching to intensive case management with the goal to develop and support the member's ability to selfmanage.


• Provides appropriate clinical coaching support to members placing inbound calls seeking assistance with acute symptoms, chronic conditions and/or health information regarding, specific topics.


• Conducts appropriate surveys/assessments to proactively identify needs. Develops appropriate care plans and establishes goals. Assessment includes working with member/family/significant other to identify barriers of adherence to the physician's plan of care as well as achieving lifestyle improving goals. Continues to work with member via ongoing telephonic communication to achieve the agreed upon goals.


• Proactively incorporates lifestyle improvement and prevention opportunities into member interactions and coaching.


• Contacts member's physician when needed especially in more complex medical situations requiring case management intervention to facilitate care coordination.


• Monitors the quality of service, seeking member/family input. Communicates safety issues to manager and utilizes the occurrence screening for qualityofcare tracking.


• Identifies online, telephonic and communitybased resources that can assist the member in achieving and maintaining their personal health goals. Assist the member in accessing those services. In addition, assist in maximizing the use of member's benefits and ensuring coordination of services and outcomes.


• Provides exceptional customer service.


• Maintains and communicates accurate information in associate selfserve program.


• Attends educational programs/training to maintain state license, CCMC licensure and updated knowledge of Health Coach process.


• Ensures all activities are documented and conducted in compliance with applicable regulatory requirements and accreditation standards.


• Other duties as assigned.

Qualifications

• Current, active, and unrestricted Pennsylvania (PA) or multistate Registered Nurse licensure.


• Three years any of combination of clinical, case management and/or disease/condition management experience.


• Exceptional communication and problemsolving ability.


• Ability to work flexible hours.


• Basic computer skills.


• Strong clinical knowledge.

• Current, active, and unrestricted Pennsylvania (PA) Registered Nurse licensure.


• Three years any of combination of clinical, case management and/or disease/condition management experience.


• Exceptional communication and problemsolving ability.


• Ability to work flexible hours.


• Basic computer skills.Strong clinical knowledge.

Fully Remote

This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the TriState Area of Delaware, New Jersey, or Pennsylvania.

At Independence Blue Cross, all qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.