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Aetna Health Coach Consultant RN in Sugar Land, Texas

Req ID: 66107BR

Job Description

This is an in-office position open to candidates in the following Aetna offices: Bethlehem, PA, High Point, NC, Sugar Land, TX, Sandy, UT , or Hartford, CT. The hours are M-F 9am-5:30 pm EST working every other weekend.

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

Fundamental Components included but are not limited to:

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

-The IHL Nurse improves the quality of care.

-The IHL Nurse improves member satisfaction with their health care plan.

-The IHL Nurse facilitates appropriate use of health care resources.

-The IHL Nurse provides up-to-date health care information to help facilitate members understanding of their health problems and possible options.

-The IHL Nurse provides assistance by clarifying available options for the member's particular health problem or issue.

-The IHL Nurse helps members actively and knowledgeably participate with their provider in their own health care decision-making. -The IHL Nurse promotes healthy lifestyles to help lower personal health risks, preventing illness.

-The IHL Nurse is aware of the member s available health and wellness programs, and makes referrals to these programs as appropriate.

-The IHL Nurse 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.

-Have 3+ years of clinical experience.

-Have proficient keyboarding skills.

-Enjoy 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 self-motivated.

-Wants to work evenings or nights.

-Wants to work every other weekend.

-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. -Are seeking a challenging fast-paced office (and potentially work at home) position.

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

Qualifications Requirements and Preferences:

3+ years of clinical experience required

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

RN license required

Managed Care experience preferred

Previous coaching experience preferred

Licenses/Certifications:

Nursing - Registered Nurse

Functional Skills:

Nursing - Critical Care, Nursing - Disease management, Nursing - Emergency Room, Nursing - Medical-Surgical Care, Nursing - Oncology

Technology Experience:

Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word

Required Skills:

Benefits Management - Encouraging Wellness and Prevention, Benefits Management - Maximizing Healthcare Quality, Technology - Leveraging Technology

Desired Skills:

Benefits Management - Understanding Clinical Impacts, General Business - Communicating for Impact, Leadership - Driving Change

Additional Job Information:

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. - Hours required 9:00 am - 5:30 pm EST; every other weekend and 4 Holidays per year.

Hours Required: Add in the hours of the shift you are posting for

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.

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