Job Description

Behavioral Health Coach - Pediatric (Remote) at Highmark Health in Boise, Idaho, United States Job Description Company : Highmark Inc. Job Description : JOB SUMMARY This job assures that pediatric members with medical and psychosocial needs have access to high quality, cost-effective health care. This role supports pediatric members and their families through motivational enhancement by developing goals, self-management skills and behaviors that impact well-being and lifestyle changes. The incumbent will also encourage engagement in low intensity interventions. This is accomplished by assisting in the initial screening, identifying gaps in care and barriers to adherence, goal setting, planning, arranging, coordinating, necessary to facilitate member access to healthcare services and community resources. Conducting accurate planning, and collaborating with internal and/or external customers and contacts. Following established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member's care and progress across the continuum of care. Facilitating and/or participating in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members. The overall goal is to help pediatric members and their families navigate the health care system and develop condition self-management skills through behavior change. ESSENTIAL RESPONSIBILITIES + Communicate effectively while performing customer telephonic motivational interviewingwith external contacts.Educate members in order to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes including health behavior changes. + Collaborate with Case Management Specialists, Management Team, Physician Advisors, Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care. + Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs.Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services. + Attend and participate in required meetings, interagency and/or interdisciplinary team meetings, including sta To view full details and how to apply, please login or create a Job Seeker account

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