Registered Nurse - RN - Member Health Coach

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary: This is a full-time telehealth role for a Registered Nurse with Virtual Group Coaching and Telehealth experience required. WORK SCHEDULE: Monday-Friday EST working 3 day shifts and 2 evening shifts a per week Evening hours end at 9:00 PM EST Rotating Saturdays will be required per business needs. When required, they are partial shifts. JOB DESCRIPTION: The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status. Assesses members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services Utilizes assessment techniques to determine member's level of health literacy, social determinants of health, technology capabilities, and/or readiness to change

Enhancement of Medical Appropriateness & Quality of Care: Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs Using holistic approach consults with supervisors, Medical Director, Social Worker, Pharmacist and/or others to overcome barriers to meeting goals and objectives Identifies and escalates quality of care issues through established channels Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health Provides coaching, information, and resources/support to empower the member to make ongoing independent medical and/or healthy lifestyle choices Interprets and utilizes clinical guidelines/criteria to positively impact members health Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status Helps member actively and knowledgably participate with their provider in healthcare decision-making Monitoring, Evaluation and Documentation of Care: Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines