Patient Health & Wellness Coach (AD2616 - NIC)

 Provides confidential case management services for the Center’s primary care patients. Serves as a clinical team lead by overseeing the day to day clinical services and activities of the Centers as it related to patient health and wellness. Responds to patient calls and provides health education. Oversee program development and coordination, assists in developing reports, provides outreach activities and acts as a liaison with internal and external providers.

DUTIES AND RESPONSIBILITIES:

1. Work as part of the multi-disciplinary care team in clinic with our patients. 

2. Develop and evaluate outcomes of individualized service plans. 

3. Provide service referral, linkage, coordination of care and advocacy services for each client as needed. 

4. Assist clients with care navigation, including insurance and benefits eligibility assessment and enrollment. 

5. Monitor services to ensure optimum patient outcomes. 

6. Establish effective working relationships with providers, clinic staff, program administrators, other key internal stakeholders, and staff at collaborating agencies. 

7. Act as a liaison with existing resources in the clinic, hospitals, specialty partners, and community-based organizations. 

8. Assure proper completion of documentation as necessary and in a timely fashion.  Participate as a member of program committees as needed. 

9. Identify and implement special projects when appropriate to enhance the services offered and ensure continued grant funding. 

10. Performs other related duties as assigned. 

JOB QUALIFICATIONS:

High School Diploma or equivalent required

Minimum two years’ experience as a Medical Assistant, Case Manager or related position required

Bachelor’s degree in Public Health or related Healthcare field preferred

Certification in health coaching preferred

Certified Medical Assistant preferred

Education or counseling experience preferred

Experience with personal computers to include internet/intranet navigation and EHR/EMR

Ability to maintain confidentiality at all times

Bilingual in Spanish highly preferred

Certified in Basic Life Support (BLS), American Heart Association required

Scheduled hours and/or work locations are subject to change

Ability to travel from site to site or to scheduled off-site meetings as needed

REQUIRED PHYSICAL AND MENTAL ACTIVITIES AND REQUIREMENTS:

Finger Dexterity: Using fingers to make small movements such as typing or picking up small objects.  Normal fine and gross motor control of fingers and hands.

Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly.

Hearing: Able to hear average or normal conversations and receive ordinary information; hear whispered voice at five (5) feet.

Repetitive Motions: Frequently and regularly using the wrists, hands, and fingers.

Visual: Visual acuity necessary for the proper evaluation of a patient and to prepare or inspect documents or other materials.  Ability to accurately view computer monitors

Physical: Sitting 20-30% of time and standing, walking 70-80% of time. Lift up to 25 lbs; push and pull up to 45 lbs.  Able to bend at the waist, twist and turn along axial plane.