Community Health Coach
About the role
Conduct in-person care management visits to identify and provide appropriate interventions based on the psychosocial, environmental, and spiritual needs of the member. Use pre-established criteria and care management scripts to identify Social Determinants of Health (SDOH) needs while in the members’ home, in accordance with departmental workflow.
Provide education on how to access covered and non-covered benefits and ensure continuity of care across all healthcare settings by collaborating with the interdisciplinary team. Utilize benefit structure and community-based resources to address member needs. Educate members on preventative health, quality of life interventions, plan benefits, Advanced Directives/Health Care Proxy/Power of Attorney (POA), and help to facilitate the completion of such documentation.
Collaborate with the Primary Care Management, report findings, and submit completed documentation to the Support Staff Supervisor.
Requirements
- Bachelor’s degree in Social Work, psychology, or related health field preferred.
- Minimum 1-2 years of relevant work experience in long term care, managed care, home care, geriatrics, hospital setting, or hospice.
- Prior experience in an interdisciplinary service delivery environment preferred.
- Working knowledge of Medicare and Medicaid regulations.
- Strong background in addressing Social Determinants of Health/Certification.