Care Coordinator
Job description
Tru Medical is looking for a Health Coach to join our team. The Health Coach (HC) is responsible for a panel of patients that have chronic conditions. In collaboration with the care team, the HC helps patients work on their health related SMART goals.
Duties
Call patients between visits to discuss their care plan, educate them on their disease states, uncover barriers patients have in following their treatment plans, assist with medication adherence.
Enroll patients into the health coaching program by explaining the benefits of the program and how you can help patients as a part of their health care team.
Engage the patients provider when patients need their providers approval for the program.
Educate patients on diabetes, hypertension, asthma, obesity, hyperlipidemia, and gaps in care using Santovia and practice approved patient education materials. Provide patients with clear instructions and education utilizing appropriate guidelines.
Establish SMART goals through motivational interviewing.
Create care plans for patients with chronic medical conditions to improve quality patient care and reduce hospital readmissions. Document care plans in the EMR using the care planning module in eclinical works.
Document data in spreadsheets by adding important information about patients status in the program.
Track patients progress and adjust goals as needed
Collaborate with the patients care team by having monthly meetings with providers. Communicate with physician, Nurse Practitioner, or other health care providers regarding patient’s status in telephone encounters assigned to the asigned provider.
Direct patient to keep follow-up appointments with physician office/specialists and to maintain self-home care based on physician treatment plan.
Participate in related training by attending health coach webinars and 1 on 1's
Report to the management team on the daily numbers reports and monthly care plan goals.
Experience , Education, and Skills
1+ years in a similar role
Medical assistant degree minimum
LPN
Health Coach Program completion
Knowledge in chronic disease states
Motivational Interviewing skills
Bilingual Spanish preferred
Team player with a growth mindset
This role is rewarding as it directly affects patient care, builds trusting relationships with patients, and impacts health outcomes. Those who value making a difference in people's lives should apply.
Job Types: Full-time, Part-time
Pay: $19.00 - $24.00 per hour
Benefits:
- Paid time off
Schedule:
- 8 hour shift
Work setting:
- In-person
Ability to commute/relocate:
- Brooklyn, NY 11206: Reliably commute or planning to relocate before starting work (Required)
Education:
- High school or equivalent (Required)
Experience:
- Computer skills: 1 year (Required)
- Care planning: 1 year (Preferred)
Language:
- Spanish (Required)
License/Certification:
- Medical Assistant, LPN, or higher training (Required)
Work Location: In person
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