CVS Health

Health Coach Consultant - Registered Nurse

5 days ago

PayCompetitive
LocationRemote
Employment typeFull-Time

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  • Job Description

      Req#: R0638776

      At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

      As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

      Position Summary
      This is a full-time telework role within the US.

      Work schedule: Monday-Friday, standard business hours, including 2 evening shifts per week from 12:30-9:00 PM EST.

      Rotating Friday evening and Saturday will be required per business needs, approximately quarterly


      The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status.

      - Assessment of Members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services.
      -Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change.

      Enhancement of Medical Appropriateness & Quality of Care:
      -Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs.
      -Using holistic approach consults with supervisors, Medical Directors and/or others to overcome barriers to meeting goals and objectives.
      -Identifies and escalates quality of care issues through established channels.
      -Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
      -Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
      -Interprets and utilizes clinical guidelines/criteria to positively impact members health Provides up-to-date healthcare information to help facilitate the member¡¦s understanding of his/her health status.
      -Helps member actively and knowledgably participate with their provider in healthcare decision-making.

      Monitoring, Evaluation and Documentation of Care
      - Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals.
      - Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.

      Required Qualifications
      - Active and unrestricted compact RN licensure with ability to apply for and obtain additional licenses required per account needs. Must reside in a compact state and hold multistate nursing license
      - 3+ years of clinical experience
      - Must possess or be willing and able to obtain high speed internet access and be hardwired to internet

      Preferred Qualifications
      - Previous coaching experience
      - Managed care experience
      - Experience with Microsoft Word, Outlook, Excel, and comfortable using various computer programs

      Education

      Associate or Bachelor’s degree required in Nursing

      Anticipated Weekly Hours

      40

      Time Type

      Full time

      Pay Range

      The typical pay range for this role is:

      $54,095.00 - $116,760.00

      This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

      Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

      Great benefits for great people

      We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

      • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

      • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

      • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

      For more information, visit https://jobs.cvshealth.com/us/en/benefits

      We anticipate the application window for this opening will close on: 07/09/2025

      Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

  • About the company

      At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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