74533BR
Job Description:
The Health Coach Associate assists in the collaborative process of assessment, planning, implementation and evaluation, to engage and educate members in obtaining or maintaining optimal health status.
Req#:
74533BR
Job Group:
Healthcare
Full or Part Time:
Full Time
Supervisory Responsibilities:
No
Percent of Travel Required:
0 - 10%
Posting Job Title:
Serious Illness Care Management Associate
Potential Telework Position:
Yes
Additional Locations:
IL-Downers Grove
Primary Location (City, State):
IL-Downers Grove
EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer
Resource Group:
6
Additional Job Information:
Typical office working environment with productivity and quality expectationsWork requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.Ability to multitask, prioritize and effectively adapt to a fast paced changing environmentPosition requires proficiency with computer skills which includes navigating multiple systems and keyboardingEffective communication skills, both verbal and written.
Fundamental Components:
Assessment of Members through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility for available internal and external programs/services and facilitates integration. Contributes to the overall assessment of a member, including member’s readiness to change, by utilizing focused assessment tools to periodically review member’s health status to determine level of intervention. Uses judgment to determine when a case is triaged to the RN for more comprehensive oversight. Enhancement of Medical Appropriateness & Quality of Care. Application of criteria and guidelines, policies, procedures, regulatory standards to ensure appropriate utilization of services and/or administration and integration with available internal/external programs. Consults with supervisors, Medical Directors and/or others to assist members in meeting goals.Identifies and escalates quality of care issues under the guidance of a Registered Nurse. 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 healthy lifestyle choices. Monitoring, Evaluation and Documentation of Care. In collaboration with the registered nurse and the member (and, if applicable, the attending physician), assists in establishing, implementing and monitoring plans of care to meet the member’s goals. Utilizes National Care Management and/or internal Policy and Procedure in compliance with regulatory and accreditation guidelines
Background Experience:
3 years of clinical experience required
Previous coaching experience preferred
LPN/LVN with current unrestricted state licensure required.
Benefits Program:
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.
Clinical Licensure Required:
Licensed Vocation Nurse (LVN)