Aetna Health Coach Consultant in Hartford, Connecticut

Req ID: 55011BR

POSITION SUMMARY

The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to achieving and maintaining optimal health status. Requires an RN with unrestricted active license.

Fundamental Components:

Provides a telephone-based information and decision support program to eligible members. The Nurse facilitates effective health care decision-making.

Improves the quality of care and improves member satisfaction with their health care plan.

Facilitates appropriate use of health care resources.

Provides up-to-date health care information to help facilitate members understanding of their health problems and possible options.

Provides assistance by clarifying available options for the member's particular health problem or issue.

Helps members actively and knowledgeably participate with their provider in their own health care decision-making.

Promotes healthy lifestyles to help lower personal health risks, preventing illness.

Is aware of the members available health and wellness programs, and makes referrals to these programs as appropriate.

Provides clinical review to determine reimbursement for emergency room services.

Additional Candidate Information Successful candidates generally:

Must have RN licensure in the state of office location.

Enjoys working with computers and evolving technology, prefer online resources over printed documents.

Have telephone experience in the nursing field, especially telephone triage, emergency room, and/or urgent care experience.

Are able to complete 6 weeks Mon-Fri orientation on a variable daytime schedule.

Applies a broad clinical experience to at times complex issues, ensuring a positive member experience.

Want to expand their knowledge base while applying excellent communication skills.

Are leaders of people and process improvement, and want to make a difference in people's lives.

Do the right things for the right reason in all interactions.

BACKGROUND/EXPERIENCE:

  • Managed Care experience preferred.

  • Previous coaching experience preferred.

  • 3+ years of clinical experience required.

  • Model candidates have urgent care, emergency room, extensive broad-based medical-surgical, telephone triage, or oncology nursing experience

EDUCATION

The highest level of education preferred for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Nursing/Medical Surgical-Oncology Nurse is preferred

RN license required

REQUIRED SKILLS

Benefits Management/Encouraging Wellness and Prevention/ADVANCED

Benefits Management/Maximizing Healthcare Quality/FOUNDATION

Technology/Leveraging Technology/FOUNDATION

ADDITIONAL JOB INFORMATION

Part time / 32 hours per week

11:00am - 7:30pm; every other weekend and 4 Holidays per year

Option for telework will be evaluated after a certain period of employment. Precepting to be completed in office

The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to achieving and maintaining optimal health status.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidates'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.

Job Function: Health Care

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.