The Health Coach position exists to: Address social determinants of health and promote patient self-management skills through the provision of community resource referrals, education, motivational interviewing, goal setting, and follow-up with patients. Apply Here (Requisition Number: HEALT02535)
Target Population:
- Patients with health education gaps
- Patients on one chronic disease registry
- Prenatal patients
Knowledge, Skills and Abilities:
- Proficient verbal and written communication skills in English and Spanish required
- Excellent organizational skills
- Ability to flourish in an unpredictable daily flow environment
- Ability to function effectively within a team-based care system
- Sensitivity to low income, ethnic minority community
- Ability to provide health education and support in both an individual and group setting
- Strong critical thinking and problem-solving skills
- Self-motivated with a demonstrated ability to take initiative
Essential Duties and Responsibilities:
- Outreach and schedule Covid-19 vaccinations using motivational interviewing to address vaccine hesitancy and questions.
- Provide Planned Care on the pod as per registry workflows for the following populations:
- Newborn visits
- Weight loss counseling
- Basic nutrition counseling
- Well Child Checks (1 year always and per provider requests)
- Diabetes education and goal setting for patients with diabetes
- Hypertension/Cholesterol
- Tobacco cessation
- Stress management and relaxation techniques
- Deliver basic, diagnosis-specific health education for Planned Care populations of focus
- Support interdisciplinary care team needs on the pod
- Facilitate chronic disease self-management, goal setting and follow-up with all Planned Care patients:
- Promote patient engagement
- Apply Motivational Interviewing techniques to encourage behavior change
- Provide resource coordination:
- Provides referral information to community resources as per resource cards
- Coordinate care with internal and external community partners
- Support higher level care coordination activities as directed by the Care Team
- Facilitate patient Group Visits:
- Prepare group education, survey and activity materials
- Set up and teardown of group visit space
- Facilitate group discussions
- Provide health education based on group needs
- Deliver Anticipatory Guidance as defined by protocol
- Administer Prenatal Plus Program for eligible patients:
- Identify all Obstetrics patients on Medicaid and screen for program eligibility
- Complete comprehensive intake on all eligible patients
- Provide continuity of care throughout pregnancy in collaboration with Behavioral Health Provider, Registered Dietician, and Primary Care Provider
- Ensure all Prenatal Plus patients see a Health Coach or Behavioral Health Provider at each visit as appropriate
- Document program and patient data correctly and completely per protocol
- Offer brief behavioral health interventions for lower-acuity patients
- As directed by the Behavioral Health Provider /Primary Care Provider, provide education about exercise, stress reduction, sleep hygiene and setting self-management goals for patients on depression registry
- Facilitate transfer of higher-acuity patients to Behavioral Health Provider
- Additional duties as assigned
Due to Covid-19 pandemic, specific responsibilities of the position are variable. This position will initially focus outreach and scheduling Covid-19 vaccinations using motivational interviewing to address vaccine hesitancy.
Education / Experience Requirements:
1. BA/BS degree in Health/Human Services field preferred or equivalent experience
2. Experience providing health education/coaching required
3. Health Coaching Certificate Preferred
4. Experience working in a community health setting or with underserved populations preferred