View All Jobs/Careers

Job Information

Aetna Health Coach Consultant in High Point, North Carolina

Req ID: 65419BR

Job Description

This is an in-office position open to candidates in the High Point, NC office, Hartford, CT office or Sugarland, TX 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.

Fundamental Components included but are not limited to:

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.

Qualifications Requirements and Preferences:

3+ years of clinical experience required

​Must be a RN with current unrestricted state licensure required.

Previous coaching experience preferred

Managed Care experience preferred.

Licenses/Certifications:

Nursing - Registered Nurse

Functional Skills:

Nursing - Disease management, Nursing - Medical-Surgical Care

Technology Experience:

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

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

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.

Benefit Eligibility

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

Job Function: Healthcare

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.

DirectEmployers