At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
The Healthy Outcomes Team is a health advocacy team looking for dedicated experienced colleagues to help the Medicare population complete important health activities including screening tests, medication adherence, and access to resources related to risk factors. As a Health Coach, you will outreach our Medicare population to provide education and address any barriers to health access while using the member's benefits. This may include coordinating with providers, pharmacies, or other agencies. The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordination to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal health status.Key Responsibilities
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- Inbound and outbound calls to members and providers to help getting services like healthcare visits, screenings, vaccinations, medication refills, etc.
- AssessmentofMembers:Throughmotivational interviewing and theuseofvarioustools,useshealthcare knowledgeandexperienceofhealth risk behaviorstoconductevaluationofmember'shealthstatus.
- Utilizesinfluencing/motivational interviewingskillstoensure memberengagementanddiscern health needs based on key questions and conversation to promote behaviorchangestoachieveoptimumlevelofhealth.
- Partnerswithmemberstoidentifyopportunitiesforintegrationinto availableinternal/externalprograms.
- Usingholisticapproachconsultswith Manager or others to overcome barriers with assisting members in meeting goals and objectives.
- Interpretsandutilizes guidelines/criteriato positivelyimpactmembershealth.
- Providesup-to-datehealthcare information to help facilitate the member's understanding of his/her health status.
- Helpsmemberactivelyandknowledgablyparticipatewiththeir providerinhealthcaredecisions.
- Partners with members and their providers to identify opportunities for integration into available internal/external programs or resources.
- Uses active listening skills, provides coaching, information, and support to empower the member to make ongoing independent healthy healthcare choices.
- Interprets guidelines/criteria and acts to positively impact members health.
- Provides relevant and up-to-date healthcare information to improve the member's understanding of his/her health status.
- Empowers member's participation and engagement in healthcare decisions.
- Incorporates strategies that reduce risk factors and overcome barriers related to complex health conditions, social risk factors, and other issues that impact healthcare access.
- Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues.
- Develops a proactive course of action to address issues presented to enhance the short- and long-term health outcomes as well as opportunities to enhance a member's overall wellness through integration.
- High-energy, empathetic, curious, with an enthusiasm for learning and teaching.
- Desire to understand and meet our members' needs and work through issues.
- Speed and efficiency to meet business metrics and goals.
- Ability to handle pressure and to stay calm and positive in all situations.
- Ability to work independently, apply critical thinking skills when needed, multitask with ease, and demonstrate professionalism in all interactions.
- Ability to absorb and apply new and changing information.
- Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
- High technical literacy not only to use a variety of digital devices/programs/interfaces but also to troubleshoot and solve problems, using resources for escalation as appropriate.
- Excellent computer skills including MS Office applications.
- Excellent communication and time management skills.
- Previous telephonic coaching, education, or case management experience.
- Experience in facilitating client positive behavioral change.
- Experience with motivational interviewing, active listening skills.
- 3-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Nursing, Population Health.
- Managed Care or Medicare experience.
- 1-3 years Microsoft Office experience.
- Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, CDE etc.) highly preferred.
- Bachelor's degree or equivalent experience.
- Bilingual (Spanish).
- Previous telephonic coaching, education, or case management experience.
- Experience with behavioral change and/or motivational interviewing.
- Associate degree or equivalent experience.
40Time Type
Full timePay Range
The typical pay range for this role is:$46,988.00 - $102,000.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.