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The RN Health Coach provides structured client interactions focused on promoting growth, healing, and well-being using coaching principles for clients with chronic conditions or high risk for developing them. Essential duties include completing comprehensive patient assessments, establishing centered goals, implementing care plans, coordinating follow-ups with Primary Care Physicians, and providing patient education.
Requirements summary
Candidates must possess a current Registered Nurse license in Texas and have a minimum of two years of nursing experience, preferably in home health or hospital settings. A strong professional level of knowledge in adult population clinical assessment and chronic disease management, along with excellent problem-solving and organizational skills, is required.
The 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 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
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 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.
