Health Coach
Full Job Posting
ESSENTIAL FUNCTIONS
Outreaches and engages high risk patients regarding their engagement with primary care.
Facilitates completion of self-management needs assessment with high-risk patients, including the social determinants of health screening tool.
Develops a self-management care plan and goals with patients. Sessions are conducted in person or via tele-video (in accordance with NYS regulations). Provides each patient with a copy of their approved plan.
Implements self-management care plan with educational session(s). Sessions are conducted in person or via tele-video (in accordance with NYS regulations).
Ensure providers have approved and signed all self-management plans.
Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers, including mental health and medical specialists, utilizing Unite Us and Referral Point.
Documents notes and care plans timely, and with accuracy, in agency EMR (eCW).
Tracks/ monitors patient progress and produces/maintains detailed, accurate and timely case notes documented in agency EMR.
Provides ongoing engagement with patients, at a minimum of two times per year.
Other duties as assigned.
Required Education and Skills
- High School Diploma / GED required
- Bachelors Degree is preferred
Required experience
2+ years relevant experience in healthcare is preferred
ECW experience preferred
Sun River Health is a network of over 40 Federally Qualified Health Centers (FQHCs) providing primary, dental, pediatric, OB-GYN, and behavioral health care to over 245,000 patients annually. With a dedicated staff of 2,000 doctors, nurses, and health care professionals, we pride ourselves on delivering high-quality, affordable care to those who need it most. Sun River Health started in 1975 when four African American mothers spearheaded efforts to open our first health center in Peekskill, New York to deliver accessible, high-quality, affordable services to patients in need no matter their race, religion, income, or insurance status. Today, after 45 years of service, Sun River Health is still delivering on that promise to communities across the Hudson Valley, New York City, and Long Island.
Job Type: Full-time, 35 hours a week
Pay rate: $24.00 - $25.6744
Responsibilities
- Relation to Mission The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable. Equal Employment Opportunity Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function. Americans with Disabilities Act Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law. Job Responsibilities The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.
Requirements
- High School Diploma / GED required
- Bachelors Degree is preferred
About Sun River Health
Providing comprehensive primary and preventive healthcare for all.
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