CDCES Health Coach Consultant - Registered Nurse

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This is a full-time telework role for a CDCES registered nurse. Candidate must reside in a compact state and hold a compact license. Must have experience working with patients with diabetes.

Working schedule: Monday-Friday, standard business hours, including 2 evening shifts per week from 11:30am-8pm CST. Rotating Fridays and Saturdays will be required approximately two times per quarter following training.

Will have back-to-back appointments scheduled with members each day.

-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 for chronic conditions.

- 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 and knowledgably participate with their provider in healthcare decision-making.

-Monitoring, Evaluation and Documentation of Care

- Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals.

- Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.

Required Qualifications
- Active and unrestricted RN licensure in a compact state, holding a compact license
- 3+ years of clinical experience
- Must possess or be willing and able to obtain high speed broadband internet access

Preferred Qualifications

- Previous coaching experience
- Managed care experience
- Experience with Microsoft Word, Outlook, Excel, and comfortable using various computer programs

-Willing to obtain additional nursing licensure.

Education

- Associate's degree required. BSN Preferred.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.