Health Coach

Position Summary / Career Interest:

Serves as a care coordinator and educator to an assigned panel of patients within a member participant community, providing relevant and actionable information regarding each assigned patient's health conditions, self-management, independent living, and activities of daily living; coaching each assisted patient to better his/her communication with physicians and other healthcare and social service providers (including addressing language and cultural barriers to effective communication;) and coordinating information and facilitating communication between primary care and specialty providers. Completes all required elements of CMS' Chronic Care Management program including medication reconciliation and nursing assessment, regular patient communication, documentation and provider reporting.


Responsibilities and Essential Job Functions

• Fully participate in the education and training opportunities made available through the department
• Assist with development, review, and revision of resource guides, policies and procedures, and documentation tools to be used in providing services
• Assist in compilation of relevant health history, evaluation of current mental capacity and socioeconomic circumstances, and identification of health risk factors for each assisted patient; develop working knowledge of each assigned patient’s care plan
• Serve as patient advocate by working with each assigned patient to establish and achieve personal goals for health improvement, including identifying and addressing obstacles to meeting those goals
• Serve as patient navigator by identifying and coordinating necessary healthcare and social support services (e.g., nutrition, housing, transportation, respite care) for each assigned patient including, but not limited to, regular communications with caregivers and providers involved in patient’s care.
• Perform non-face-to-face care management services consistent with each assigned patient’s discharge orders and/or established care plan – monitor patient’s condition (physical, mental, social), perform medication reconciliation, oversight of beneficiary self-management of medications, and monitor and address any gaps in patient’s compliance with care plan
• Document all activities in a timely and complete manner
• Assist with collection and review of data for departmental reporting requirements
• Engage in community outreach programs developed and implemented by the department
• Provides back-up for other health coaches when necessary
• Occasional travel to participating communities for training and related activities
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Preferred Education and Experience

• 2 or more years of experience working in healthcare industry.

Required Licensure and Certification

• Currently licensed or certified as a healthcare professional in the State of Kansas.
• Current certification by the Kansas Board of Nursing or Kansas Department of Aging and Disability services as a nurse’s aide, home health aide, or medication aide.
• Current certification by the Kansas Board of Emergency Medical Services, and current credential through American Association of Medical Assistants, American Medical Technologies, or National Center for Competency Testing.

Knowledge Requirements

• Excellent interpersonal skills and ability to empathize.
• Service-oriented attitude.
• Willing and able to successfully complete additional training programs, as required.
• Current driver’s license, regular access to insured, reliable vehicle and established community resident.
• Excellent organizational skills.
• Ability to effectively utilize technology to manage workflow and document activities.
• Ability to function effectively in an unstructured work environment.
• Ability to participate as an effective team member and ability to maintain confidentiality.

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.