Health Coach - Day/Evening

York, PA | Clinical Care | Care Management / Patient Care Coordination | FTE: 1 | Regular | Tracking Code: 107940

Remote Work Capable - Hybrid remote position

General Summary

Provides safe, therapeutic and efficient care and services to patients. Supports the care team by functioning as a health coach for disease prevention and early screening, testing and treatment. Helps patients manage their chronic diseases. Assists in the care of patients, and instructs patients and their families in appropriate care, as directed by their provider. Functions as a member of the care team to assist in the planning and implementation of patient care based upon sound clinical preparation, knowledge, skills and experience. Provides practice and guidance to the patient/caregiver for effective care transitions, improved self-management skills and enhanced patient-practitioner communication. Care is provided in accordance with the provisions of Practical Nurse Licensure with the Pennsylvania State Board of Nursing.

Essential Functions:

  • Provides support to patients of the practice for clinical outcome management, healthy lifestyle information, via appointment coordination and navigation of the health system.
  • Completes transitions of care calls for moderate risk patients discharged from Hospital/ED and thoroughly documents. Arranges follow-up services and identifies issues and concerns to appropriate staff as needed.
  • Communicates and shares information with providers and care team members on issues and concerns such as transition of care between hospital, skilled nursing facility, rehab and home care. Supports the care team by functioning as a health coach for disease prevention, early screening and testing and treatment and for helping patients manage chronic diseases.
  • Generates/review payer lists of patients in order to proactively manage patients and families with service needs for prevention or chronic conditions.
  • Supports the care team by functioning as a coach for disease prevention, early screening and testing and treatment and for helping patients manage chronic diseases.
  • For patient populations where Wellspan is at financial risk, provides direct care management interventions by completing the Shared Care Plan. Interventions include: assisting patients with goal setting, creating action plans to manage their health, addressing barriers to patient adherence to treatment plan, assisting patients with referrals utilizing wellness and self-management programs.
  • Assists patients with instruction and health literacy through teach back of any new medications, instructions and referrals. Monitors outcomes while following up on interventions identified in the care plan within scope of practice. Provides health care information materials and reviews with patient and or family members as directed by providers.
  • Maintains the patient-s records to ensure an accuracy of the patient-s medical treatment. Documents in the patient record under the direction and supervision of the care provider.
  • Uses Motivational Interviewing techniques to engage patients in self-management skills.
  • Ensures practice meets the standards to bill for chronic coaching services.
  • Addresses and mitigates patient social determinants of health needs that could negatively impact care plan follow through.

Common Expectations:

  • Demonstrates a commitment to patients, visitors and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
  • Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
  • Maintains the cleanliness of work areas as required.
  • Maintains professional growth and development.
  • Enters and/or retrieves data from established computer files using knowledge of various computer software applications.
  • Provides outstanding service to all patients, providers, coworkers and customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
  • Attends meetings as required.

Required for All Jobs:

  • Performs other related duties as identified.
  • WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
  • WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

  • Standing - Frequently
  • Walking - Frequently
  • Sitting - Occasionally
  • Carrying/Lifting - Occasionally (50lbs)
  • Pushing/Pulling - Occasionally (50lbs)
  • Kneeling/Crouching - Occasionally
  • Reaching - Occasionally
  • Talking - Frequently
  • Hearing - Frequently
  • Repetitive Motions - Occasionally
  • Eye/Hand/Foot Coordination - Occasionally

Working Environment:

  • Occupational Hazards - Occasionally
  • Bloodborne Pathogen - Exposure

Qualifications

Minimum Education:

  • Certificate Program Post High School Vocational/Specialized Training Required

Work Experience:

  • 1 year Healthcare experience. Required

Licenses:

  • Licensed Practical Nurse Upon Hire Required or
  • Licensed Practical Nurse Multi State License Upon Hire Required and
  • Basic Life Support Upon Hire Required

Courses and Training:

  • Completes all required education programs and competency testing needed to perform at an advanced level. Upon Hire Required

Knowledge, Skills, and Abilities:

  • Proficient communication skills including SBAR technique.
  • Ability to effectively present clinical information to the care team.
  • Proficient in navigating and entering information into an electronic health record.
  • Models team work.
  • Self-motivated and dependable.
  • Able to work independently.
Diana Stump
Diana Stump
Talent Acquisition Consultant

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Join WellSpan, where we invest in our team members:

  • $17 minimum wage starting July 2, 2023
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  • PTO bridging
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  • Childcare
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WellSpan Health recognizes and honors the diversity of our team members, patients and neighbors, and we embrace all the human characteristics that make us similar and unique. We strive to make every person feel welcomed, respected and valued by creating a safe and inclusive environment to which we all feel a sense of belonging. We are equally committed to ensuring all team members have the opportunity to excel and are positioned for success through equitable policies, practices and resources.

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Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)

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