Clinic Healthcare Coordinator LVN WellMed at Park Springs, Arlington TX

Requisition number: 2360155 Job category: Nursing Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. The LVN Health Coach is responsible for successfully supporting Disease Management/Chronic Care Program requirements for medical group/health plan members. The Health Coach acts as an educator, resource, and advocate for members and their families to ensure a maximum level of independence. The LVN Health Coach will interact and collaborate with multidisciplinary care teams, which include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The LVN Health Coach will assist in providing patient empowerment through the use of motivational interviewing skills, problem solving, and self-management goal setting. Primary Responsibilities: Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed Contacts and performs initial interviews with patients who are in need of health coaching programs Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, focusing on what patients want to improve and educating them about their chronic disease Provide necessary coaching to reduce or eliminate behaviors that are considered high-risk Identify the required goals that each patient must fulfill and advice feasible options for achieving goal Ensure that patients are made aware of health issues, concerns and the way in which one could combat them Must raise awareness about the different available exercises, weight loss programs and other dietary requirements necessary for a healthy lifestyle Utilizes appropriate motivational interviewing techniques necessary for coaching and assisting the patient to complete a self-management goal/action plan Must be able to provide a chart of habits and lifestyle changes that are imperative for the improvement of the concerned patient's health Enters timely and accurate data into the electronic medical record to communicate patient needs and to ensure complete documentation of patient visits and phone calls. Tracks self-management goal outcomes and documents in electronic medical record Maintains current knowledge regarding CHF, IHD, COPD/asthma and diabetes as well as related treatments and complex medications Assists, initiates referrals, and coordinates transitions of car regarding hospitalization follow-up, palliative care, hospice, etc. Establishes a trusting relationship with identified patients, caregivers, clinic staff members and physicians Attends educational offerings to keep abreast of change and complies with licensing requirements, ensures all patient educational materials are up-to-date, and mai