RN Health Coach (Harris County, Texas)

Summary RN Health Coach is a purposeful, result oriented structured client interaction position that is provided by an RN for the purpose of promoting achievement of client goals. RN Health Coach promotes and facilitates 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 are 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 patient’s 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/caregiver 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 coordinates 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 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, showing compassion and empathy, and taking 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 Document on EMR proficiently and in a 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 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 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. #J-18808-Ljbffr Genuine Health Group