Health Coach (Dental Department)

DESCRIPTION:

Under the direct supervision of the Health Education Supervisor in collaboration with clinical care managers the Health Coach helps patients navigate health systems overcome barriers to care and access quality care. Provides a variety of services such as patient counseling treatment adherence assessments navigation and transportation coordination as appropriate. Identifies and assists patients with their health needs but also recognizes when a clinical intervention from other staff members is necessary. The Health Coach functions as an integrated member of the healthcare team responsible for coordinating activities to provide patient centered care. The coach will work with the healthcare team to provide guidance support and care coordination collaborating with staff and community agencies to address barriers to patient wellness.

This position supports the organizations mission vision and values through excellence and competence collaboration innovation respect commitment to our community and accountability and ownership.

DUTIES & RESPONSIBILITIES

1. Provide care navigation to patients identified by clinical provider: facilitating access to internal and external providers or services; following up to ensure that the patient has connected with resources or sought out treatment options.
2. Assess patients current health behaviors and provide health education to patients including goal-setting counseling and support around meeting self-care goals. Counsel patients to overcome barriers to care.
3. Assess patient record for preventive care needed: in consultation with clinical provider advise patient of need for tests or screenings and follow up to ensure completion of preventive care.
4. Provide health navigation education and general services to support preventative care. Connects patient with community resources address health care barriers including connecting to medical translation/interpretation or transportation services and addresses health related social needs.
5. Help patients navigate and understand the available services through Medi-Cal and inform patients of preventive services.
6. Facilitate access to care for patients including scheduling appointments following up on missed appointments. Contact patient in between visits to determine if services were provided or if support is required prior to next appointment.
7. Coordinate health care with the patients care team participating in regular meetings and provide education and guidance to patient as directed.
8. Work with care team to assist patient in obtaining needed testing and treatment to meet health goals.
9. Track patients care coordination needs in transition from hospital discharge to outpatient. Assure that follow up outpatient appointment is scheduled and any ancillary services are scheduled.
10. Use measurement based tools to track patients for clinical and behavioral changes. Document all patient encounters including patient progress recommendations referrals follow-up and clinical outcomes using EHR to be shared with care team. Use the system to communicate with care team and identify patients to engage in care team.
11. Document patient encounter in electronic health record with appropriate supporting documentation including Diabetes Health Coach scores and Care Plan. Stage and drop billing codes per Daily Charge Entry Policy.
12. Assist in development of systems and processes related to care coordination activities that will help the care team provide quality efficient and effective services to patient.
13. Performs under limited supervision with accountability for specific goals/objectives.
14. Ensures a productive work environment and achievement of goals through strategies and practices in line with the CARE fundamentals of communication.
15. Ensure that productivity is effectively managed
16. Performs other duties as assigned consistent with the position as described above.

EMPLOYMENT STANDARDS:

Knowledge of: common health conditions and mental health disorders; primary health care settings and community services and resources health education practices; the needs of the targeted community groups and the interventions necessary to reach this community in a culturally appropriate and sensitive educational forum; social service programs in the community.

Ability to: collaborate and facilitate interdisciplinary team communications maintain effective relationships with patients and members of the care team work with patients by phone or in person ability to listen to patient and communicate patient needs to the team flexibility and ability to manage multiple complex situations; maintain confidentiality; communicate effectively and respectfully with people from different racial ethnic and cultural backgrounds and lifestyles demonstrating a knowledge of and sensitivity to their needs; maintain effective working relationships with agency staff clients other community agencies and the public.

MINIMUM REQUIREMENTS:

• Four years of experience as a Medical Assistant** or four years of experience in care coordination and health education.
• Associates degree Bachelors degree preferred.
• Bilingual Spanish/English required.
• Strong computer skills including Microsoft Word Power Point Excel and internet proficiency.
• Certified Community Health Worker or must be able to obtain certification within 24 months of employment.
• CCAH billing credential or must be able to obtain certification within 180 days of employment.

PHYSICAL DEMANDS:

• Standing walking sitting typing reaching bending moving and/or lifting up to 25 pounds.

SALARY & BENEFITS:

Salary: $31.66 - $39.44 an hour.

Employment Type: Full Time

Benefits: available to all regular Salud employees working 24 hours per week. Part-time employees may receive some benefits on a pro-rated basis:

• Medical Dental Vision and Life Insurance Plans
• Paid Time Off (PTO): 19 days per year
• Paid Holidays: 12 per year
• 401(k) Retirement Plan with employer contribution
• Voluntary Long-Term Disability
• Reimbursement of medical license fees
• Continuing Medical Education
• Eligibility for the State Loan Reimbursement Program (SLRP) through HRSA.

Additional Information:

• Employees on temporary assignments are eligible for holiday pay and California sick pay both pro-rated based on hours worked.
• On-call employees are eligible for California sick pay pro-rated based on hours worked.

** Salud is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex disability age sexual orientation gender identity national origin veteran status or genetic information. Salud is committed to providing access equal opportunity and reasonable accommodation for individuals with disabilities in employment its services programs and activities. To request reasonable accommodation contact the Salud Human Resources Department and