- Communicate effectively while performing customer telephonic motivational interviewing with external contacts. Educate members in order to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes including health behavior changes.
- Collaborate with Case Management Specialists, Management Team, Physician Advisors, Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care.
- Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs. Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services.
- Attend and participate in required meetings, interagency and/or interdisciplinary team meetings, including staff meetings, internal rounds, and other in-services in order to enhance professional knowledge and competency for overall management of members. Participate in departmental and/or organizational work and quality initiative teams. Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable.
- Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served in order to foster constructive and collaborative solutions to meet member needs.
- Other duties as assigned or requested.
- Bachelor's Degree in Psychology, Social Work Health Education or other Human Services related field.
- 6 years of related and progressive experience in the Behavioral Health field in lieu of Bachelor's Degree.
- Master's Degree in Psychology, Social Work, Counseling, Marriage and Family Therapy,, Health Education or other Human Services related field.
- 3 years experience in Behavioral Health and/or Substance Use roles.
- Prior experience with pediatric population
- Prior experience in a managed care setting
- None
- Board Certified Coach
- Ability to manage critical conversations
- Effective communication skills (listening, verbal and written)
- Comfort in leading one-on-on conversations while practicing clinical and motivational interviewing skills
- Capacity to work under pressure
- Ability to identify risk and gaps in care
-
Health Coach
1 week ago
Elevance Health Harrisburg, United StatesAnticipated End Date: · Position Title: · Health Coach - Bilingual/Spanish · Job Description: · Health Coach - Bilingual/Spanish · $5000 Sign on bonus offered · Relocation: We understand that a career move can also mean a physical move. To assist with the transition, our c ...
-
Health Coach
1 week ago
Capital Blue Cross Enola, Pennsylvania, United States PermanentPosition Description: · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the "Best Places to Work in PA." · The Health Coach is responsible f ...
-
Health Coach
21 hours ago
Capital BlueCross Enola, United StatesPosition Description: · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and its why our employees consistently vote us one of the Best Places to Work in PA. · The Health Coach is responsible for ...
-
Health Coach
2 weeks ago
Capital BlueCross Enola, United StatesAnd Qualifications Operational Activities: Delivers specific health coaching, health education services, and multi-session programs. Assists as directed with creation of programs and services that address new topics in health promotion and wellness u Health, Coach, Wellness, Educ ...
-
Health Coach
2 weeks ago
Capital Blue Cross Enola, United StatesAt Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the "Best Places to Work in PA." · The Health Coach is responsible for delivering superior q ...
-
Health Coach
1 week ago
Elevance Health Harrisburg, United StatesAnticipated End Date: Position Title:Health Coach - Bilingual/SpanishJob Description:Health Coach - Bilingual/Spanish $5000 Sign on bonus offeredRelocation: We understand that a career move can also mean a physical move. To assist with the transition, our company offers relocatio ...
-
Health Coach
2 weeks ago
Capital BlueCross Enola, United StatesPosition Description: · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and its why our employees consistently vote us one of the Best Places to Work in PA. · The Health Coach is responsible for ...
-
Health Coach
2 weeks ago
Capital Blue Cross York, United StatesAt Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the "Best Places to Work in PA." · The Health Coach is responsible for delivering superior q ...
-
Health Coach
2 weeks ago
Blue Cross and Blue Shield Association York, United StatesPosition Description · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the "Best Places to Work in PA." · The Health Coach is responsible for ...
-
Health Coach
1 day ago
Capital BlueCross York, United StatesPosition Description: · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and its why our employees consistently vote us one of the Best Places to Work in PA. · The Health Coach is responsible for ...
-
Health Coach
2 weeks ago
Capital BlueCross York, United StatesPosition Description: · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and its why our employees consistently vote us one of the Best Places to Work in PA. · The Health Coach is responsible for ...
-
Team Leader Member Relations
5 days ago
Jefferson Health Plans Harrisburg, United StatesWhy Choose Jefferson Health Plans? · We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are c ...
-
Bakery Store Manager
5 days ago
Gecko Hospitality Harrisburg, United StatesBakery Store Manager · Bakery/Café/Retail · Salary Up to $50,000 (DOE) · Are you a Store Manager that is looking to work with a company that is full of passion, encouragement, hard work and career growth? If you are, then this is the perfect opportunity for you to bring your tale ...
-
Office Manager
2 weeks ago
Dan Nied - State Farm Agent Harrisburg, United States Full timeOffice Manager Overview · Thank you for your interest in the Office Manager's job posting. After you've read this and if you feel you are still qualified in the position, please let me know and I will contact you with further steps in the hiring process. · The State Farm Agent is ...
-
Lead Teacher Toddlers
2 weeks ago
The Learning Experience Harrisburg, United StatesRole Responsibilities: · Lead, coach, and mentor less experienced teachers in your classroom; model behaviors and provide feedback. · Responsible for the overall classroom management, leading a safe, nurturing, and engaging learning environment. · Serve as a role model, using a ...
-
Lead Teacher Preschool
3 weeks ago
The Learning Experience #275 Harrisburg, United States Full timeLead Teachers at The Learning Experience are ambassadors of happiness, creating opportunities every day that reflect our mission to make a difference in the lives of children, their families, and communities. · Our passionate teachers use a growth mindset to develop young minds a ...
-
UPMC Central PA Harrisburg, United States Full timeUPMC in Central PA has an exciting opportunity for a Physician Informaticist (PI) to play a critical role in providing education and support to provider teams across the UPMC Central Pa system to improve their efficiency and utilization of the EPIC EHR platform, as well as play a ...
-
Plumber
5 days ago
Mr. Rooter Harrisburg, United StatesIf you are looking for a new career where you can get coaching and training for a job that's in demand, we are looking for you · Apply today to join the team at Mr. Rooter Plumbing. We are looking for the best people to join our team. · You may have never thought about plumbing a ...
-
Project Manager LU 422
3 weeks ago
Focused HR Solutions Harrisburg, United States FreelanceThis position will be onsite in Harrisburg, PA once COVID restrictions are lifted. · Our direct client has an opening for a Project Manager rec This is a long term funded position that will be renewed indefinitely and is located in Harrisburg, PA · WE CAN WORK CORP TO CORP OR W ...
-
Manager Application Development
2 days ago
Ryder System, Inc. Harrisburg, United StatesRyderManager Application Development & Support - Remote · Harrisburg, PA, 17108, USA · _Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. ( · The IT Application Development Manager is responsible for the leadership and management of technical resources wh ...
Behavioral Health Coach - Harrisburg, United States - Highmark Health
Description
Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job assures that pediatric members and their families with medical and psychosocial needs have access to high quality, cost-effective health care.
This role supports pediatric members and their families through motivational enhancement by developing goals, self-management skills and behaviors that impact well-being and lifestyle changes.
The incumbent will also encourage engagement in low intensity interventions.This is accomplished by assisting in the initial screening, identifying gaps in care and barriers to adherence, goal setting, planning, arranging, coordinating, necessary to facilitate member access to healthcare services and community resources.
Conducting accurate planning, and collaborating with internal and/or external customers and contacts.Following established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member's care and progress across the continuum of care.
Facilitating and/or participating in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members.The overall goal is to help members navigate the health care system and develop condition self-management skills through behavior change.
ESSENTIAL RESPONSIBILITIES
EDUCATION
Required
Substitutions
Preferred
EXPERIENCE
Required
Preferred
LICENSES or CERTIFICATIONS
Required
Preferred
SKILLS
Language (Other than English):
Bilingual Preferred
Travel Requirement:
0%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Remote
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting:
up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:
_
_The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title.It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
__Compliance Requirement_ _:
This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
_
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.
In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
__Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct.
This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
_Pay Range Minimum:
$17.93
Pay Range Maximum:
$32.26
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
_
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( \_files/employers/poster\_screen\_reader\_optimized.pdf_ )
We endeavor to make this site accessible to any and all users.
If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online atCalifornia Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID:
J238002