Description

American Specialty Health Incorporated is seeking a Clinical Health Coach I to join our Clinical Health Coaching (CHC) department. This position will provide cognitive behavioral coaching and evidenced-based education to clinical coaching participants. Clinical Health Coaches do this by leveraging coaching skills, techniques, experience, and good clinical judgement to ensure member safety in all coaching products. This position also includes reviewing member files for medical risk issues and developing a plan to help assure safe program participation related to those issues, communicating with others responsible for member safe program participation, and following through on program plan with each assigned member. This is a professional coaching position providing coaching services only, not telemedicine.

Responsibilities

• Provide coaching and education to all assigned members in accordance with departmental training, policies, and protocol.
• Schedules sessions to meet productivity expectations, performance, and quality standards.
• Uses evidence based coaching skills and health information, works with members to set health related goals, and develop and implement effective strategies to reach those goals.
• Creates and sustains a supportive member-focused environment for behavior change.
• Identifies and documents member safety concerns, routes concerns through Case Review team, and acknowledges recommendations from the team to appropriately work with members.
• Assists participants in developing personalized plans to manage targeted conditions and collaborates with them to identify relevant health goals and effective strategies to achieve those goals.
• Provides education on evidence-based information, conservative care options, and self-care.
• Meets or exceeds established performance expectations related to coaching skills, customer service, documentation, quality, customer satisfaction, and outcomes improvement.
• Stays within coaching scope and does not provide clinical advice, prescription, recommendations, or counsel.
• Uses established systems to document session notes, data, outcomes, and other administrative details of all assigned members and cases, while gathering information from assigned members and accurately entering details and data into coaching records, other electronic systems, and communication logs, including the Quality Assurance (QA) process.
• Maintains accurate, up-to-date, and confidential records of all coaching sessions with members.
• Documents and sends referrals to physician’s offices or other referral sources as required by client contract or department protocol. Manages any follow-up necessary for members.
• Effectively manages time to meet appointment expectations, complete administrative tasks, and meet training requirements as required by the department and company.
• Serves as an emergency responder to urgent medical and behavioral issues or concerns arising on coaching or customer service calls.
• Completes Clinical Quality Assurance team tasks as assigned.
• Conducts review of assigned medical risk cases within expected turnaround time.
• Attends Clinical QA Team meetings to support review of complex cases.
• Participates in Clinical QA process and quality improvement initiatives as requested.
• Completes accurate and timely documentation and escalation of all assigned Clinical QA tasks and cases.

Qualifications

• Clinical Health Coaches must meet one of the following:
• Bachelor’s degree in Nursing (RN, APRN, etc.) with an active clinical license
• Bachelor’s degree in Dietetics (RD or RDN) with an active dietetic license
• Master’s or doctorate degree in a physical health-related field that possess an active professional clinical license (Physical Therapists, Chiropractors, and Occupational Therapists)
• Must comply with all recertification requirements including continuing education and renewals to keep clinical licensure up to date.
• At least 2 years clinical experience, beyond education and training, in a clinical setting required, with experience in musculoskeletal condition management preferred.
• Additional job-related and company approved certifications (e.g., coaching, counseling, health education, nutrition, exercise, or mind body) a plus.
• Experience in health education or coaching in the areas of nutrition, weight management, physical fitness/exercise, tobacco cessation, relaxation skills (mind/body techniques), or pain management preferred.
• Work experience in applying cognitive behavioral techniques is highly desirable.
• Obtains additional company sponsored certifications or licenses upon request.
• Ability to create and maintain a supportive, member-focused space for behavior change.
• Effectively utilize empathy and motivational coaching techniques to help members overcome challenges and achieve health-related goals.
• Adeptly tailor coaching techniques to a diverse customer base.
• Apply clinical knowledge, judgment, and critical thinking in a non-medical environment.
• Manage risk and make independent decisions related to member safety during coaching sessions, including responding to emergencies regarding physical and/or mental health.
• Translate technical, scientific information into simple terms and present it in an accessible learning style.
• Learn and implement various coaching skills, specifically cognitive behavioral coaching techniques, to present health management options.
• Present evidence-based self-care and conservative care information to improve health status and functioning and enhance the use of healthcare services.
• Engage individuals to motivate improvement in overall wellbeing, including emotional, social, and physical aspects.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time.

Physical Requirements

Ability to speak, see, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and outside the facility, including by airplane, when requested. Capable of using a telephone and computer keyboard. Ability to lift to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

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