Chronic Disease Coach, Registered Nurse

🕒 4 days ago

🌲 North Carolina, South Carolina – Remote

🌲 North Carolina – Remote 🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Coach

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BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Insurance • Finance

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 Description

• Assess for needs related to a member’s chronic condition, clinical risk and readiness for change via company needs questionnaire • Based on the needs assessment, complete and coordinate action plans in cooperation with members, then implement plans to include member goals • Provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to elicit behavior change and increase member program engagement • Participates in patient education with members and providers regarding the member’s condition and available benefit plans • Serves as member advocate through continued communication and education • Promotes enrollment in health and chronic condition management programs • Provides appropriate communications (written, telephone) regarding member conditions to both health care providers and members • Participates in data collection/input into system for clinical information flow • Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies • Maintains current knowledge of network status of all service providers to educate members on care they may receive related to their chronic condition(s) • Assists members with referrals to appropriate internal support areas to ensure proper processing of authorized or unauthorized services, as needed

🎯 Requirements

• Associate's in job related field • Graduate of Accredited School of Nursing OR graduate of a health-related degree OR 2 years job related work experience • 3 years of professional health and wellness experience • Working knowledge of word processing software • Knowledge of quality improvement processes and demonstrated ability with these activities • Knowledge of contract language and application • Ability to work independently, prioritize effectively, and make sound decisions • Good judgment skills • Demonstrated customer service, organizational, and presentation skills • Demonstrated proficiency in spelling, punctuation, and grammar skills • Demonstrated oral and written communication skills • Ability to persuade, negotiate, or influence others • Analytical or critical thinking skills • Ability to handle confidential or sensitive information with discretion. • Within 4 years of hire, must get certification in health coaching (ex: National Board-Certified Health and Wellness Coach)

🏖️ Benefits

• Subsidized health plans • Dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more