Transitional Care Health Coach

Health coaches are registered nurses located in selected clinics, hospitals and/or home based that provide education, support and self-management tools aimed at improving the member’s health. Typical Hours: 8-4:30pm, M-F Health Coaching is one of the fastest-growing industries in the healthcare field. In the role of a Health Coach, you will have the opportunity to positively impact your clients health and wellbeing. As a Transitional Care Health Coach, you will be responsible for providing support, education, and guidance to patients as they transition from hospital to home or between different care settings. You will aim to improve patient outcomes, reduce hospital readmissions, and enhance overall quality of care. You will be required to have a compassionate, patient-centered approach combined with strong communication skills, adaptability and strong-problem solving skills. Essential Functions

• Conduct comprehensive assessments and evaluations for individuals with diverse healthcare needs and gathering pertinent medical and social information to facilitate the development of patient-centered action plans.
• Foster collaborative relationships with healthcare providers and case management teams to ensure coordinated care delivery.
• Provide evidence-based education and information to members, enhancing their understanding of health conditions and treatment options.
• Provide education on medication management, symptom recognition, and self-care techniques.
• Identify and coordinate referrals to appropriate statewide community resources, addressing transitional care and social determinants of health.
• Coordinate follow-up appointments and ensure patients have necessary resources upon discharge.
• Conduct hospital visits to monitor the patient’s progress.
• Actively engage patients and their families using motivational interviewing techniques to promote behavior change and improve health outcomes.
• Teach self-management skills and provide ongoing support to members and their families, empowering them to take an active role in their healthcare journey.
• Utilize a holistic approach to care, considering physical, emotional, and social factors that impact overall well-being.
• Maintain accurate and timely documentation of all patient interactions and interventions in compliance with organizational and regulatory standards.

Requirements

• Registered Nurse (RN) licensed in Oklahoma with an active, unrestricted credential
• Extensive experience in disease management and case management, complemented by exceptional communication skills
• Demonstrates proficiency in documentation and possesses strong writing abilities
• Self-motivated professional with a proven track record of delivering high-quality patient care
• Bilingual communication skills preferred
• Case management certified preferred

Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions. Our business is our people and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health. Are you Ready? We’re on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success. Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are. Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives. Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen! Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate. Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us. Apply tot his job Apply To this Job