Onsite Health Coach ConsultantPrimary Location: Nashville, TN
Additional Locations: TN-Nashville Apply
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.
In this position, you will provide face to face member education in a client setting as well as group coaching sessions. You will also travel to biometric events and Health/Benefits fairs.
Requires an RN with unrestricted active license.
65049Fundamental Components: Provide member education in a variety of settings. This role requires excellent presentation and communication skills.
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 participate with their provider in healthcare decision-making Monitoring, Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.
Background Experience: 3+years of clinical experience required.
RN with current unrestricted state licensure required.
Previous coaching experience preferred
Managed Care experience preferred
Additional Job Information: Typical office working environment with productivity and quality expectations. Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods of time, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment. Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
Effective communication skills, both verbal and written, and excellent presentation skills are required. Travel to onsite events required. Required Skills: Benefits Management - Encouraging Wellness and Prevention, Benefits Management - Understanding Clinical Impacts, General Business - Applying Reasoned Judgment Desired Skills: Benefits Management - Maximizing Healthcare Quality, General Business - Communicating for Impact, Technology - Leveraging Technology Functional Skills: Clinical / Medical - Disease management Technology Experience: Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - TE Microsoft Excel Education: Nursing - Registered Nurse Potential Telework Position: No Percent of Travel Required: 75 - 100% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this 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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