Community Health Coach
Listed on 2026-01-12
-
Healthcare
Community Health, Health Promotion
The challenges of affordable healthcare continue to create new opportunities. Elderplan and Home First, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
The Community Health Coach will conduct in-person care management visits to identify and provide appropriate interventions based on the psychosocial, environmental, and spiritual needs of the member. The employee will provide education on how to access covered and non-covered benefits and ensure continuity of care across all healthcare settings by collaborating with the interdisciplinary team, including Primary RN/SW Care Manager and member/member’s representatives.
They will utilize benefit structures and community-based resources to address member needs, educate members on preventative health, and quality of life interventions. The Community Health Coach must be knowledgeable in and adhere to CMS/DOH regulations and policies. They are responsible for completing in-person care management visits semi-annually, as per pre-established criteria and care management scripts, to identify Social Determinants of Health (SDOH) needs while in the members’ home, in accordance with departmental workflow.
They will educate members on plan benefits, preventative health, Advanced Directives/Health Care Proxy/Power of Attorney (POA), and facilitate the completion of such documentation. The Community Health Coach will collaborate with the Primary Care Management team, report findings, and submit completed documentation to the Support Staff Supervisor.
- Bachelor’s degree in Social Work, Psychology, or a related health field required.
- Minimum 1-2 years of relevant work experience in long-term care, managed care, home care, geriatrics, hospital setting, or hospice.
- Prior experience in an interdisciplinary service delivery environment preferred.
- Working knowledge of Medicare and Medicaid regulations.
- Strong background in addressing Social Determinants of Health/Certification.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).