Summary RN Health Coach is a purposeful, result oriented structured client interaction that is provided by an RN for the purpose of promoting achievement of client goals. RN Health Coach promote and facilitate growth, he…
Skills: Case Management, Disease Management, Clinical Assessment, Care Coordination, Patient Education
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$75k/yr
Full-time
bachelor degree
Posted 38d ago
~40 hrs/week
Responsibilities
The RN Health Coach provides structured interactions to promote client goals and manage chronic conditions to reduce hospital admissions. Responsibilities include conducting systematic assessments, coordinating care with primary care physicians, and facilitating patient empowerment.
Requirements
Requires a current Florida RN license and a Bachelor's degree with at least 2 years of experience in case or disease management. Candidates must have experience with high-risk Medicare/Medicaid populations and proficiency in EMR and MS Office.
Full job description
Summary
RN Health Coach is a purposeful, result oriented structured client interaction that is provided by an RN for the purpose of promoting achievement of client goals. RN Health Coach promote and facilitate growth, healing and wellbeing of the whole person using coaching principles and healing modalities that integrate body-mind-emotion-spirit- environment. Health Coaching is a skillful use of evidence based, conversations, clinical interventions and strategies to safely engage clients who have Chronic conditions or at moderate to high risk for developing them. RN Health Coach focuses on disease process management and education intended to reduce unnecessary hospital admissions through the patient’s understanding of their condition as well as working closely with the patients’ primary care physician to detect an exacerbation with sufficient time to avoid an ER visit.
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
Identifying client readiness to change
Identifying 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
Coordinate 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
Providing 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
Identifying opportunities for health promotion and illness prevention
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
Adhere to all policies and procedures including but not limited to the HIPAA Privacy rule
Documentation on EMR proficient and timely manner
Prepares clients' discharge by reviewing and amplifying discharge plans; coordinating discharge and post-discharge requirements; orienting and training family members on post discharge care including providing available information on resources available to the patient
Ensure that all coaching interactions are respectful and non-judgmental
Participation in Genuine at Home sponsored in-service training
Adheres to all policies and procedures including HIPAA
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 (RN) license in the State of Florida; Bachelor’s required
2+ years of nursing experience in case management, disease management, home or facility settings
Experience managing adult, Medicare/Medicaid, and medically complex or high-risk patient populations
Strong clinical assessment skills with a focus on chronic condition management and care planning
Experience in care coordination and transitions of care, including post-discharge follow-up and readmission prevention
Experience with patient education, health coaching, and holistic care to drive engagement and self-management
Experience working collaboratively with interdisciplinary teams, including PCPs and specialists
Proficient in MS Office Suite to include Word, Excel, Notes, Outlook
Job Location
Hybrid Remote/Field role
Local travel required throughout Miami Dade – West Broward
Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
Related keywords
Registered NurseRNHealth CoachingChronic Condition ManagementCare PlanningMedicareMedicaidHIPAAEMRPatient AdvocacyHolistic CareTransitions of CareReadmission PreventionPoint of Care TestingPsychosocial Assessment
Producing the best medical outcomes at the most reasonable cost
Industry
Hospitals and Health Care
Company size
51-200 employees
Headquarters
Coral Gables, Florida
LinkedIn followers
2,349
Healthcare industry veterans Joe Caruncho – whose success at the helm of Preferred Care Partners led to annual sales in excess of $750 million – and Orlando Lopez-Fernandez, Jr., MD, founded Genuine Health Group to usher in a new era of healthcare delivery focused on value instead of volume.
Today, Genuine Health is building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through its accountable care organization, PremierMD ACO, the company aims to improve healthcare outcomes, achieve cost savings for the care of patients who receive traditional, fee-for-service Medicare benefits, and serve as a single point of contact to move doctors’ Medicare members into value-based care. And, through its management service organization (MSO), the company aims to deliver financial upside for its participating physicians whose patients are enrolled in Medicare Advantage plans.
For both traditional Medicare beneficiaries and those who choose managed care plans, Genuine Health and its providers are demonstrating the powerful effects of value-based care.
Offices: 806 S Douglas Rd, Suite 700, Coral Gables, Florida 33134, US
Based on 1075 listings with disclosed salaries, most social services jobs in Florida pay between $49k–$98k per year. Individual offers vary with seniority, company size, and specialization.
How many Social Services jobs are open in Florida right now?
There are currently 8,739 open social services positions in Florida listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Social Services roles in Florida?
Companies currently hiring include Florida Department of Agriculture and Consumer Services, Aiken Regional Medical Centers, Orange County Public Schools, Encompass Health, Assisting Hands Home Care, LLC, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Social Services jobs in Florida?
Yes — 734 of the 8739 open social services positions offer remote or hybrid work (215 remote, 519 hybrid).
How do I apply for Social Services jobs in Florida?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.