Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

The Health Coach BH (Behavioral Health) is a Social-Worker.
This is a fully remote position and the candidate can live in any state.
Normal Working Hours: 8:00am-4:30pm in their time zone of residence. In addition, the employee will cover 1 to 2 late nights per week.
There are no weekends or holidays required.
There is no travel required.

The Health Coach BH:

• Utilizes a collaborative process of assessment, planning, implementation, and evaluation, to engage, educate, and influence a member’s decisions related to achieving and maintaining optimal health status.
• Assess members using clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services.
• Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change.
• Enhancement of Medical Appropriateness & Quality of Care.
• Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs.
• Using holistic approach consults with supervisors, Medical Directors and/or others to overcome barriers to meeting goals and objectives.
• Identifies and escalates quality of care issues through established channels.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Interprets and utilizes clinical guidelines/criteria to positively impact members health
• Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making.
• Monitoring, Evaluation and Documentation of Care
• Develops and monitors established plans of care, in collaboration with the member and/or attending physician, to meet the member's goals.
• Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.

Required Qualifications

• Must have an unrestricted active license in state of residence. the Most have one of the following licenses: Licensed Masters Level Social Worker (LMSW/LSW), Licensed Clinical Social Worker (LCSW), Licensed Independent Social Worker (LISW).
• Must be willing and able to obtain multi-state licensure (additional licensures will be paid for by the company).
• 3+ years’ experience in social work

Preferred Qualifications

• Previous coaching experience
• Managed care experience
• Demonstrated ability to communicate, problem solve, and work effectively with people, use good judgment in challenging situations
• Excellent computer skills including MS Office applications such as Excel, Word, and Outlook.
• Ability to work with a multidisciplinary team
• Experience in facilitating patient/client positive behavioral change
• Background in motivational interviewing, active listening skills, Transtheoretical Model, mindfulness based and other evidence-based
• coaching techniques

Education

Masters degree in social work

Pay Range

The typical pay range for this role is:

$66,575.08 - $142,576.72

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 08/29/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.