Health Coach, Corporate Midlands, FT, Day Job Listing at Prisma Health in Columbia, SC (Job ID R1094871)

Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

The health coach works collaboratively with a multi-disciplinary team of health care providers to manage targeted patient populations to achieve efficient and effective care delivery through disease management. The health coach will work with patients who have chronic conditions or at risk for a chronic condition in-person, by telephone or via electronic means to educate, counsel and coordinate care across the health care continuum. The health coach will guide and facilitate action oriented goals to improve clinical outcomes, empower patient using evidence-based guidelines, reduce gaps in recommended evidence-based care and reduce frequent hospital admissions and re-admissions. If operating in the PASO capacity, team member will utilize both the Spanish and English languages, work collaboratively with PASOs, AccessHealth and a multi-disciplinary team of health care providers to manage Hispanic patients identified with chronic conditions or at risk for chronic conditions to achieve efficient and effective care delivery through disease management. Accountabilities Facilitation of Patient Centric Care

• To promote consistency in long-term management approaches and optimize treatment for patients with targeted conditions.
• To achieve optimal levels of wellness in the targeted patient populations through:
  • Participation in the development of a plan of care that improves the patient's basic understanding of his/her disease process under the supervision of a Care Manager and in conjunction with patient/family, physicians and other health care team members.
  • Increasing provider awareness and participation with recommended treatment       modalities.
  • Monitoring patient's condition and addresses lifestyle issues
  • Participating in the transition of patients from disease management to care           management when specific patient indicators exceed the established threshold.
  • Attainment of increased compliance with treatment regimen
• Uses knowledge of health system and community resources to facilitate achievement goals
• Provides health education, identifies barriers to attainment of self- management goals and develops strategies to overcome.
• Reduces emergency room utilization and frequency of inpatient admissions.
• Reduces and delays late stage disease manifestations.   35%

Interdisciplinary Practice                      

• Conducts outreach calls to disease management patients to document non-clinical and clinical data for patient assessment, provides health education, engages member in appropriate self-care            techniques, shared decision-making and knowledgeable use of medications.
• Participates in the development and execution of the plan of care and disease specific interventions.
• Works in collaboration with health system staff, care management and partners as necessary to        provide continuity of care, as necessary.
• Facilitates referrals to other disciplines and community based programs as appropriate to improve     patient outcomes.   35%

Evidence Based Care              

• Utilizes and incorporates knowledge of efficiency and effectiveness indicators (PHQ-9 and Patient     Activation Measure) when creating plan of care.
• Increases knowledge of best practices, self-management, and standards of care into practice.   20%

Measurements and Reporting   

          *  Documents in the medical record and other established platforms, accurately reflecting collaborative care     

              planning, intervention and evaluation against defined targets and goals.   10%

Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education

Bachelor's Degree - Health, Wellness or Public Health

Minimum Experience

1 year - Health Education or Coaching

Other Required Experience

Knowledge of specific disease states such as diabetes, hypertension, hyperlipidemia, congestive heart failure, chronic obstructive pulmonary disease, asthma, depression and tobacco use - Required

Experience using motivational interviewing - Preferred

Ability to interpret lab data and biometric results - Preferred

Knowledge of Behavior Change Theory - Preferred

Work Shift

Day (United States of America)

Location

Richland

Facility

7002 Value-Based Care and Network Services

Department

70028455 Care Transformation

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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