Aetna Health Coach Consultant in Sugar Land, Texas
Req ID: 43516BR
This is an office based role in Sugar Land, TX or High Point, NC.
The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to life style changes to achieve and maintain optimal health status. Requires an RN with unrestricted active license. -Responsible for managing patients in a telephonic educational disease management program.
Fundamental Components include but are not limited to:
-Screens members to identify needed medical services, modifiable risk factors and educational needs and identifies or refers cases for other services.
-Intervenes to positively effect healthcare outcomes.
-Conducts individualized holistic clinical assessments of members care needs and develops a personalized disease-specific action plan.
-Promotes communication, both internally and externally, to enhance effectiveness of medical management services (member, family and health care team members respectively).
-Reinforces appropriate self-care teaching and monitoring, provides up-to-date health care information to help facilitate the members understanding of his/her health conditions.
-Helps member actively and knowledgeably participate with their provider in their own health care decision-making.
-Evaluates the members progress in meeting established goals and revises the care plan accordingly.
-Ensures accurate and complete documentation of required information to meet risk management, regulatory and accreditation requirements.
-This is a call center environment, majority of time is spent speaking telephonically with members.
*Work hours for the 1st 18 months after orientation will be from 8:00-4:30 CST 3 days/wk. and 11:30 am to 8:00 pm CST 2 days/wk. Thereafter evening expectation decreases to 1 day/wk. There will be a Friday evening rotation. This is a Monday through Friday schedule; no weekends.
-An active and good standing RN license is required
3-5 years of clinical experience required
-Managed Care experience preferred
-Previous coaching experience preferred
-Disease Management, Case Management or Managed Care experience preferred
-Excellent verbal and written communication skills required to provide patient education
-Proficiency in use of computer applications and typing skills (>35 wpm) highly recommended
-A commitment to Excellence and Accountability
-Ability to be flexible and adapt to changing processes and schedule requirements
-Ability to work with multiple screens is desired
-Bilingual in Spanish a plus, not required
The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Registered Nurse is required
Medical-Surgical Care/1-3 Years
Disease management/1-3 Years
Technical - Computer Operations/System and Console Operations/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Benefits Management/Maximizing Healthcare Quality
Benefits Management/Understanding Clinical Impacts
General Business/Turning Data into Information
Leadership/Collaborating for Results
Option for telework will be evaluated after a certain period of employment
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Health Care