Aetna Inc.

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Health Coach Consultant

at Aetna Inc.

Posted: 10/14/2019
Job Reference #: 68582

Job Description

Job Description
This is an in-office position open to candidates in the High Point, NC office or the Hartford, CT office. The hours are as follows: M-F, 3 days a week 9am-5:30 pm ET and 2 days a week 12:30-9 pm ET.

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.

Req#
64142BR

Job Group
Healthcare

Full or Part Time
Full Time

Supervisory Responsibilities
No

Percent of Travel Required
0 - 10%

Posting Job Title
Health Coach Consultant

Potential Telework Position
No

Additional Locations
NC-High Point

Primary Location (City, State)
NC-High Point

EEO Statement
Aetna is an Equal Opportunity, Affirmative Action Employer

Resource Group
6

Initiative Group
55

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.

Fundamental Components
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.


Background Experience
3+ years of clinical experience required
 Must be a RN with current unrestricted state licensure required.

Previous coaching experience preferred
Managed Care experience preferred.
 

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

Minimum Functional Experience
Nursing - Disease management, Nursing - Medical-Surgical Care

Minimum Technical Experience
Computer Operation - System and Console Operations, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft Word

Minimum Education Level
Nursing - Registered Nurse

Benefits Program
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.