Aetna Health Coach Consultant in West Hartford, Connecticut

Req ID: 50866BR

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 life style changes to achieve and maintain optimal health status. You will be responsible for managing patients in a telephonic educational disease management program.

You will be part of a phone queue at times, otherwise making outbound calls to speak to members out the program or managing their education for disease telephonically.

Work hours for the 1st 18 months after orientation will be from 8:00-4:30 EST 3 days/wk. and 12:30 pm to 9:00 pm EST 2 days/wk. This is a Monday through Friday schedule; no weekends.

Fundamental Components but not limited to the following:

-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

Managed Care experience preferred

Previous coaching experience preferred or disease management experience highly preferred

At least 2-5 years of RN clinical experience required, including med/surg, inpatient ICU, ER, the broader knowledge the better!

Strong typing and computer skills are required.

The ability to toggle multiple windows is needed!

Microsoft Word and Outlook are needed.

Power Point would be a plus!

Bi-lingual in Spanish would be a plus!

EDUCATION

The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse, current license, is required!

TELEWOTK SPECIFICATIONS

This is an In Office position in either Hartford, CT or High Point, NC.

FUNCTIONAL EXPERIENCES

Functional - Nursing/Medical-Surgical Care/1-3 Years

Functional - Nursing/Disease management/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Computer Operations/System and Console Operations/1-3 Years/End User

Technical - Desktop Tools/Microsoft Word/1-3 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

REQUIRED SKILLS

Benefits Management/Maximizing Healthcare Quality/FOUNDATION

Benefits Management/Understanding Clinical Impacts/ADVANCED

Leadership/Driving Change/ADVANCED

DESIRED SKILLS

General Business/Turning Data into Information/ADVANCED

Leadership/Collaborating for Results/ADVANCED

ADDITIONAL JOB INFORMATION

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 hereto review the benefits associated with this position.

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.

Job Function: Health Care