Tru Medical Management·New York
The Health Coach manages a patient panel to help them achieve health-related SMART goals through education and care planning. Responsibilities include conducting patient calls, documenting progress in eClinicalWorks, and collaborating with providers to reduce hospital readmissions.
Tru Medical is looking for a Health Coach to join our team. The Health Coach (HC) is responsible for a panel of patients. In collaboration with the care team, the HC helps patients work on their health related SMART goals.
Call patients between visits to discuss their care plan, educate them on their disease states, uncover barriers patients have in following their treatment plans, assist with medication adherence. Enroll patients into the health coaching program by explaining the benefits of the program and how you can help patients as a part of their health care team. Educate patients on diabetes, hypertension, asthma, obesity, hyperlipidemia, and gaps in care using Santovia and practice approved patient education materials. Provide patients with clear instructions and education utilizing appropriate guidelines. Establish SMART goals through motivational interviewing. Create care plans for patients with chronic medical conditions to improve quality patient care and reduce hospital readmissions. Document care plans in the EMR using the care planning module in eclinical works. Document data in spreadsheets by adding important information about patients status in the program. Track patients progress and adjust goals as needed
Collaborate with the patients care team by having monthly meetings with providers. Communicate with physician, Nurse Practitioner, or other health care providers regarding patient’s status in telephone encounters assigned to the asigned provider. Direct patient to keep follow-up appointments with physician office/specialists and to maintain self-home care based on physician treatment plan.
Participate in related training by attending health coach webinars and 1 on 1's Report to the management team on the daily numbers reports and monthly care plan goals.
Experience , Education, and Skills 5 years in a similar role - for Medical Assistants 1 year for LPN's 0 years' experience if you have completed a Medical Doctorate Degree - Worldwide
Medical assistant degree minimum
LPN Knowledge in chronic disease states Motivational Interviewing skills
Bilingual Spanish preferred Team player with a growth mindset This role is rewarding as it directly affects patient care, builds trusting relationships with patients, and impacts health outcomes. Those who value making a difference in people's lives should apply. Job Types: Part-time, Full-time Salary: $20.00 - $25.00 per hour plus monthly bonus, quarterly, and yearly bonus potential
Bonus based on performance Paid time off Holiday pay Training 401k Opportunity for advancement Schedule: 8 hour shift Ability to commute/relocate: Brooklyn, NY 11206: Reliably commute or planning to relocate before starting work (Required) Education: High school or equivalent (Required) Experience: Health coaching: 1 year (Preferred) Computer skills: 1 year (Required) Language: Spanish (Required) License/Certification: Medical Assistant, LPN, or higher training (Required) Work Location: In person
Candidates must be a licensed LPN or Medical Assistant (with 1-5 years of experience depending on certification) or hold a Medical Doctorate. Proficiency in Spanish and experience with chronic disease states and motivational interviewing are required or preferred.
Market context
In New York, nursing roles like LPN positions are commonly driven by ongoing staffing needs in hospitals, long-term care, and behavioral health settings. Competition can be stronger for roles that prefer mental health, alcoholism, or chemical addiction experience, so a valid New York State LPN license and accredited nursing education matter. Review the AI-summarized requirements and benefits on this platform to save research time, then tailor your application to highlight any relevant behavioral health experience.
