RN Health Coach (Harris County, Texas)

Essential Duties And Responsibilities

• Completes RN Health Coach Evaluation which includes a systematic assessment of patient’s functional, psychosocial needs, fall precautions, safety, environmental, nutritional, Medication reconciliation, Cognitive, and medical history, and Point of Care testing
• Identifies client readiness to change
• Identifies opportunities and issues related to the client’s growth
• With input from patient/care giver establish centered goals and outcomes to formulate and implement plan of care
• Evaluate effectiveness of Care Plan and make necessary adjustments
• Plan and structure the coaching interactions
• Prepares RN Health Coach and progress notes, and coordination of services on a timely basis
• Coeordinat PCP follow ups (call to help ensure they made their appointments) or set an appointment from the patient’s home
• Communicate directly with PCP and/or specialists regarding any problems, or changes in therapy and/or medications
• Provides for the emotional and physical comfort and safety of clients, taking into consideration their rights and cultural backgrounds
• Provides patient education, monitoring of health needs, and coordinating of community resources
• Notify physician and supervisor of unusual reactions and/or changes in client’s condition
• Participate in case conferences, team meetings, staff meetings and Performance Improvement activities as assigned
• Facilitating patient empowerment and quality of life by promoting educated, independent patient choice on all aspects of care
• Helping clients achieve wellness and autonomy
• Improving beneficiary safety and satisfaction

Show compassion and empathy and take a genuine interest in the patient and his/her well-being

Adeherence to all policies and procedures including but not limited to the HIPAA Privacy rule

Documentation on EMR proficient and timely manner

Ensures that all coaching interactions are respectful and non-judgmental

Participation in Genuine at Home sponsored in-service training

Maintains professional licensure and other requirements

Performs other duties as assigned

Knowledge, Skills And Abilities

• Documentation Skills: EMR proficiency
• Analyzing Information: Critical Thinking Skills, Decision Making, Research Skills
• Verbal and written communication proficiency
• People Skills: Conflict resolution, People Management, Integrity, compassion
• Bilingual: Spanish and English

Minimum Education And Experience

• Current Registered Nurse license in the State of Texas (bachelor’s degree)
• Must have two (2) years of Nursing experience, preferable home health and hospital experience
• Strong professional level of knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management
• Problem solving skills and ability to multi-task
• Excellent organizational and time management skills