The Health Coach is responsible for providing disease management/case management, education/training, and other clinically based activities as assigned, to coordinate care between providers, the member and the community.

Responsibilities: 
•Verify participant enrollment data including demographic information.
•Review claims data to assist in identifying co-morbid conditions, hospitalizations, prescriptions, and other factors that could impact the educational and support needs of the individual.
•Conduct health risk assessments telephonically on individuals that fall under the Population Management Program. 
•Obtain verbal consent of the individual for participation in the program.
•Identify problems, set goals, intervention and determine the individual’s health status based on assessment.
•Establish goals/care plan for each individual regarding educational and health care needs. 
•Communicate with primary care and/or treating physician to request specific health information and/or to provide an update of an individual’s health care status. 
•Collaborate on an individual’s care plan in conjunction with other health professionals, such as a medical home, certified dieticians, behavioral health specialists, respiratory or physical therapists. 
•Perform follow up assessments, identify education materials needed, and make contact with an individual in a population management program as appropriate.
•Complete special assignments and projects instrumental to the function of the department.
•Assist with development of training material. 
•Work in conjunction with operational functions regarding disease team.
•On-call duties as assigned by Clinical Director.
•Flexible work schedule including evenings and weekends as needed. 
•Other duties as assigned.
 
Education:
Registered Nurse with active Missouri license.

Responsibilities:
•Minimum of 2 to 3 years experience in related, public sector medical services, including experience with quality improvement, medical record reviews, disease management and/or primary care case management.
•Experience with chronic illnesses and disease states identified by MO HealthNet Division.
•Effective verbal and written communication skills.
•Customer service focus.
•Ability to resolve problems in a non-threatening manner. 
•Proficient with Excel and Microsoft word preferred.

 

 Country:U.S.
 

 State:Missouri
 

 City:St. Louis

 


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