About This Role
This job involves primary ownership and oversight of a panel of members with varying health statuses and clinical needs. The Wellness Coach assesses health management needs, uses data and clinical judgment to identify appropriate interventions, and conducts outreach to members to develop personalized care plans and encourage behavior changes. The role focuses on improving health outcomes through telephonic, digital, or virtual engagement, and maintaining quality outcomes for the assigned member panel.
Responsibilities
- Maintain knowledge of evidence-based interventions and industry standards to deliver high-quality lifestyle coaching in areas such as tobacco cessation, weight management, sleep hygiene, stress management, nutrition, physical activity, and maternal health
- Maintain oversight over a specified panel of members by performing ongoing assessment of health management needs, identifying clinical interventions, and/or triaging members to appropriate resources
- Create care plans for assigned caseloads to address identified needs, remove barriers to care, and identify internal and external resources to improve member health outcomes, including long- and short-term goals and regular contact plans
- Demonstrate clinical outcomes and cost savings based on wellness interventions and provide support to all members across all age bands, geographic regions, and products
- Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements, professional scope, and accreditation standards
- Participate in work groups focused on continually improving the efficiency, effectiveness, and member-centric focus of wellness coaching services, including the development and implementation of new programs and pilots
- Other duties as assigned or requested
Requirements
- Master's Degree in Nutrition, Health Education, Health Promotion, Exercise Science, Public Health, Social Work/Psychology, Health or Clinical related field OR relevant experience and/or education as determined by the company in lieu of a master’s degree
- 3 years as a Registered Dietician OR Exercise Physiologist OR Wellness/Lifestyle Coach in an environment that focuses on a wellness model or program delivery (i.e., health plan/insurance, disease or condition management, or inpatient/outpatient acute care)
- Familiarity with Highmark’s preventative health services programs & services
- Effective presentation skills
- Strong relationship builder
- Skilled in basic computer skills and software
Nice to have:
- Certified Tobacco Cessation specialist
- Registered Dietician
- Certified Diabetes Educator (CDE)
- Exercise Physiology certification
