Health Coach LVN-1
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Health Coach LVN-1
Job Description:
We are currently hiring a talented Licensed Practical or Vocational Nurse for our client as an Engagement Coach. Coaches provide education on Chronic Conditions, Health and Wellness, and Lifestyle Management Programs. They work one-on-one with customers over the phone to establish health improvement plans, set personalized goals, and support them in achieving those goals through behavior changes that improve health status, reduce health risks, and enhance quality of life. The LPN/LVN Engagement Coach plays a key role in ensuring that members maintain a healthy lifestyle while in the community. Successful candidates must hold a valid, current license issued by the state in which they reside.
Key responsibilities:
• Establish health improvement plans based on member specifications
• Establish personalized goals
• Support customers in achieving those goals through behavior changes to improve their health status
• Work with customers to reduce health risks and improve quality of life
• Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, care managers, vendors, and members in adherence with regulatory and contractual requirements
• Provides decision-making guidance to clinical teams on service planning as needed
• Works closely with Clinicians, Medical Staff, and Peer Reviewers to facilitate escalated reviews following Standard Operating Procedures
• Ensures accurate documentation of clinical decisions and works with the UM Manager to ensure consistency in applying policy
• Works with the Manager and other clinical leadership to ensure that departmental and organizational policies and procedures, as well as regulatory and contractual requirements, are met
• Additional duties as requested by the supervisor
• Maintains knowledge of CMS and State regulatory requirements
Education Requirements:
• LPN/LVN- you must hold a valid, current license issued by the state in which the candidate resides
Desired Experience (nice to have):
• Customer experience
• Remote work experience
• Proficient with Microsoft Teams and Office.
Required Knowledge, Skills & Abilities (must have):
• Ability to complete assigned work in a timely and accurate manner
• Ability to work independently
Desired Knowledge, Skills, Abilities & Language (nice to have):
• Flexibility and understanding of individualized care plans
• Ability to influence decision making
• Strong collaboration and negotiation skills
• Strong interpersonal, verbal, and written communication skills
• Comfortable working in a team-based environment
• Knowledge of Medicare and Mass health services and benefits
Hourly wage $24.00
Hours: Monday through Friday, 7 AM to 8 PM Central Time
This is a fully remote work-from-home role. You must have a secure, private workspace at home with a hardwired internet connection with speeds greater than 10MB upload and 25MB download.
Sagility Offers Competitive Benefits Including:
• Daily Pay
• Medical
• Dental
• Vision
• Life Insurance
• Short-Term and Long-Term Disability
• Flexible Spending Account
• Life Assistance Program
• 401K with employer contribution
• PTO and Sick Time
• Tuition Reimbursement
Join our team, we look forward to talking with you!
An Equal Opportunity Employer/Vet/Disability
Location:
Work@Home USAUnited States of America
Job title:
Health Coach LVN-1
Job Description:
We are currently hiring a talented Licensed Practical or Vocational Nurse for our client as an Engagement Coach. Coaches provide education on Chronic Conditions, Health and Wellness, and Lifestyle Management Programs. They work one-on-one with customers over the phone to establish health improvement plans, set personalized goals, and support them in achieving those goals through behavior changes that improve health status, reduce health risks, and enhance quality of life. The LPN/LVN Engagement Coach plays a key role in ensuring that members maintain a healthy lifestyle while in the community. Successful candidates must hold a valid, current license issued by the state in which they reside.
Key responsibilities:
• Establish health improvement plans based on member specifications
• Establish personalized goals
• Support customers in achieving those goals through behavior changes to improve their health status
• Work with customers to reduce health risks and improve quality of life
• Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, care managers, vendors, and members in adherence with regulatory and contractual requirements
• Provides decision-making guidance to clinical teams on service planning as needed
• Works closely with Clinicians, Medical Staff, and Peer Reviewers to facilitate escalated reviews following Standard Operating Procedures
• Ensures accurate documentation of clinical decisions and works with the UM Manager to ensure consistency in applying policy
• Works with the Manager and other clinical leadership to ensure that departmental and organizational policies and procedures, as well as regulatory and contractual requirements, are met
• Additional duties as requested by the supervisor
• Maintains knowledge of CMS and State regulatory requirements
Education Requirements:
• LPN/LVN- you must hold a valid, current license issued by the state in which the candidate resides
Desired Experience (nice to have):
• Customer experience
• Remote work experience
• Proficient with Microsoft Teams and Office.
Required Knowledge, Skills & Abilities (must have):
• Ability to complete assigned work in a timely and accurate manner
• Ability to work independently
Desired Knowledge, Skills, Abilities & Language (nice to have):
• Flexibility and understanding of individualized care plans
• Ability to influence decision making
• Strong collaboration and negotiation skills
• Strong interpersonal, verbal, and written communication skills
• Comfortable working in a team-based environment
• Knowledge of Medicare and Mass health services and benefits
Hourly wage $24.00
Hours: Monday through Friday, 7 AM to 8 PM Central Time
This is a fully remote work-from-home role. You must have a secure, private workspace at home with a hardwired internet connection with speeds greater than 10MB upload and 25MB download.
Sagility Offers Competitive Benefits Including:
• Daily Pay
• Medical
• Dental
• Vision
• Life Insurance
• Short-Term and Long-Term Disability
• Flexible Spending Account
• Life Assistance Program
• 401K with employer contribution
• PTO and Sick Time
• Tuition Reimbursement
Join our team, we look forward to talking with you!
An Equal Opportunity Employer/Vet/Disability
Location:
Work@Home USAUnited States of America