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Allegheny Health Network · 2 weeks ago

Health Coach (CMA/LPN) - Internal Medicine - Federal St. - FT

Pittsburgh, PA

Full-time

Onsite

Entry Level

2+ years exp

Allegheny Health Network is seeking a Health Coach to assist with population health management through patient outreach and care coordination. The role involves supporting patients in self-management, facilitating care gaps, and collaborating with healthcare teams to enhance patient care.

Health CareHealth DiagnosticsMedicalMental HealthPrimary and Urgent Care

Responsibilities

Actively participates in population health outreach through identification of patients with gaps in care through use of analytic tools and patient registries. Contacts patients and facilitates closing gaps in care

Ensures pre-visit planning is completed by performing chart and data reviews in advance of patient visit and preparing for patient arrival by identifying items that need addressed during visit

Demonstrates expanded rooming protocol by assisting the provider in addressing care gaps with the patient and appropriately activating standing orders

Accurately performs clinical transcription during the patient encounter by documenting elements of the clinical visit under direct supervision of the provider and assisting with computerized provider order entry under direct supervision of the provider

Uses a motivational interviewing approach to coach patients toward self-management, self-efficacy, and activation. Engages the patients to assess current state, collaboratively set goals, and review the after-visit summary. Instructs the patient on condition management, behavioral support, and addresses emotional demands of having a chronic condition. Reinforces the clinical care plan and follows up for ongoing activation

Performs registry and quality data review and conducts population outreach to close gaps in care

Oversees the identification of high risk patients and facilitates complex care management referrals. Works collaboratively with care team nurses to provide care coordination to rising risk patients

Reviews and assesses with care team members to achieve population health management goals, to improve patient access to care and to reduce avoidable emergency department visits

Cleans and sterilizes instruments per established standards. Ensures adequate inventory of medical supplies. Ensures all patient treatment areas are stocked with appropriate supplies using established inventory standards

Performs in-house testing following established standards and policies

Performs other duties as assigned or required

Qualification

LPN licensureMedical Assistant CertificationCPR certificationPopulation health managementMotivational interviewingClinical transcriptionData managementPatient outreachCare coordinationInventory management

Required

High school diploma or equivalent

Current State of PA LPN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) OR Medical Assistant Certification

Completion of an accredited course of study in medical assisting or two years of relevant experience

CPR certification

Act 34 Criminal Background Clearance Certificate

Act 33 Child Abuse Clearance Certificate

Act 73 FBI Fingerprinting Criminal Background Clearance Certificate