Job Description
This role is 36 hours/week and will have a start time between 7am-11am EST. Every other weekend and 4 holidays per year will be required.
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.
Requires an RN with unrestricted active license.
The IHL Nurse provides a telephone-based information and decision support program to eligible members. The Nurse facilitates effective health care decision-making.
-The IHL Nurse improves the quality of care.
-The IHL Nurse improves member satisfaction with their health care plan.
-The IHL Nurse facilitates appropriate use of health care resources.
-The IHL Nurse provides up-to-date health care information to help facilitate members understanding of their health problems and possible options.
-The IHL Nurse provides assistance by clarifying available options for the member's particular health problem or issue.
-The IHL Nurse helps members actively and knowledgeably participate with their provider in their own health care decision-making.
-The IHL Nurse promotes healthy lifestyles to help lower personal health risks, preventing illness.
-The IHL Nurse is aware of the members available health and wellness programs, and makes referrals to these programs as appropriate.
-The IHL Nurse provides clinical review to determine reimbursement for emergency room services.
Additional Candidate Information Successful candidates generally:
-Must have RN licensure in the state of office location.
-Have 3-5 years of clinical experience.
-Have proficient keyboarding skills.
-Enjoy working with computers and evolving technology, prefer online resources over printed documents.
-Have telephone experience in the nursing field, especially telephone triage, emergency room, and/or urgent care experience.
-Are self-motivated.
-Wants to work evenings or nights.
-Wants to work every other weekend.
-Are able to complete 6 weeks Mon-Fri orientation on a variable daytime schedule.
-Applies a broad clinical experience to at times complex issues, ensuring a positive member experience.
-Want to expand their knowledge base while applying excellent communication skills.
-Are leaders of people and process improvement, and want to make a difference in people's lives.
-Are seeking a challenging fast-paced office (and potentially work at home) position.
-Do the right things for the right reason in all interactions.
Required Qualifications
-Active and good standing RN license
-3+ years of clinical experience required
-Experience must be in the following areas: urgent care, emergency room, extensive broad-based medical-surgical, telephone triage, or oncology nursing experience
Preferred Qualifications
-Managed care experience
-Previous coaching
Education
Min level of education preferred for this position: Bachelor's Degree or Equivalent experience
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Hartford, CT
Aetna Inc. operates as a health care benefits company in the United States. It operates through three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment offers medical, pharmacy benefit management service, dental, behavioral health, and vision plans on an insured and employer-funded basis. It also provides point-of-service, preferred provider organization, health maintenance organization, and indemnity benefit plans, as well as health savings accounts and consumer-directed health plans.
In addition, this segment offers Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers’ compensation administrative services, and products that provide access to its provider networks in select geographies. The Group Insurance segment offers life insurance products, including group term life insurance, voluntary spouse and dependent term life insurance, group universal life insurance, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which provide the benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities.
The Large Case Pensions segment manages various retirement products comprising pension and annuity products primarily for tax-qualified pension plans. The company provides its products and services to employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is based in Hartford, Connecticut. As of November 28, 2018, Aetna Inc. operates as a subsidiary of CVS Pharmacy, Inc.