At Aetna, we’re pioneering a total approach to health and wellness, focusing on the whole person - body, mind, and spirit. Our more than 4,000 nurses are central to turning our member’s health ambitions, big and small, into achievements. Your role will include helping members stay well, manage health conditions, and access the right care at the right time. As you do this, we’ll support you in achieving more in your life and your work.
What makes a successful nurse? Here are the traits we are looking for:
- Problem Solver
- Results Driven
- Technology Savvy
- Detail Oriented
- Good Listener
- Open Minded
- Team Player
Paid Time Off & Disability
Health Coach Consultant Registered Nurse High Point, NC , Hartford, CT, and Sugar Land, TXPrimary Location: High Point, North Carolina
Additional Locations: CT-Hartford, NC-High Point, TX-Sugar Land Apply
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.
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.
Must be a RN with current unrestricted state licensure required.
Previous coaching experience preferred
Managed Care experience preferred Additional Job Information: Registered Nurse with 5 years of clinical experience -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 -Integrity -Ability to be flexible and adapt to changing processes and schedule requirements -Ability to work with multiple screens is desired - This is a call center environment, majority of time is spent speaking telephonically with members. -Bilingual in Spanish a plus, not required -Willingness for flexible hours desired. -Work hours after orientation will be from 9:00-5:30 EST 3 days/wk. and 12:30 pm to 9:00 pm EST 2 days/wk. There will be a Friday evening rotation. This is a Monday through Friday schedule; no weekends. Required Skills: Benefits Management - Maximizing Healthcare Quality, Benefits Management - Understanding Clinical Impacts, Leadership - Driving Change Desired Skills: General Business - Turning Data into Information, Leadership - Collaborating for Results Functional Skills: Nursing - Disease management, Nursing - Medical-Surgical Care Technology Experience: Computer Operation - System and Console Operations, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word Education: Nursing - Registered Nurse (RN) Potential Telework Position: No Percent of Travel Required: 0 - 10% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Candidate Privacy Information: 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.
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