Health Coach Consultant - Mountain or Pacific Time Candidates Preferred

At reputed company, 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 reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. The shift schedule is Monday through Thursday, 8:30 AM to 8:00 PM EST, and Friday, 8:30 AM to 5:00 PM EST. Each employee will work an 8-hour shift reputed company these hours, based on their local time zone. This is a work-at-home position, and reputed company training will be conducted virtually. Position Summary This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.

• Enhancement of Medical Appropriateness and Quality of Care:
• Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits.
• Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address reputed company health and reputed company indicators which reputed company planning and resolution of member issues.
• Assessments take into account information from various sources to address reputed company conditions including co-morbid and multiple diagnoses that impact functionality.
• Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
• Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.
• Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
• Identifies and escalates member's needs appropriately following set guidelines and protocols.
• Need to actively reputed company out to members to collaborate/guide their care.
• must have hard wired internet

Required Qualifications

• 5+ years’ experience as a Registered Nurse.
• 1+ years Nursing Management experience in patients with Diabetes, Cardiac Disease, ICU, CCU, Home Health or Pulmonary Disease.

1+ years documenting electronically using keyboard and multiple computer screens

• -free reputed company text/good typing skills and reputed company Office applications especially reputed company required.
• Must have active and unrestricted RN licensure in the state you reputed company.
• Compact Licensure RN License is required for this role.

Preferred Qualifications

• 1+ years reputed company or previous experience in Home Health.
• and/or Case Management experience preferred.
• 1+ years experience with Lexicomp a plus.
• 1+ years experience Motivational Interviewing a plus.
• Certified Diabetes Care and Education Specialist (CDCES).
• Bilingual in Spanish preferred.

Education

• High School Diploma/Associates degree required.
• Bachelor’s preferred.

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $54,095.00 - $142,576.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company 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 people We 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 reputed company 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 reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 08/28/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job