Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Active Health Management is seeking a Telephonic Health Coach who has experience with virtual face to face and group coaching with health plan members.

You can live anywhere in the United States, but must be able to work hours that align with EST.

Work schedule:

• Monday-Friday: standard business hours with 2 steady evening shifts per week from 12:30-9:00 PM EST.
• Rotating Saturdays are required, per business needs. Typically every 4-6 weeks, 5 hour shift.
• One late Friday until 9 PM ET on a rotating basis. Typically, every 4-6 weeks.

If you are unable to work the requested schedule, please do not apply for this position.

Position Overview:

The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status.

- Assessment of Members through the use of 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.

For more information on our benefit programs, please visit
https://jobs.cvshealth.com/employee-benefits

Required Qualifications

- A Registered Nurse that must hold an unrestricted license in their state of residence, multi-state/compact privileges and have the ability to be licensed in all non-compact states.
- 3+ years of clinical experience in Adult Medical Surgical nursing
- Must possess or be willing and able to obtain high speed internet access and be hard wired to internet

- Proficiency with Microsoft Office application: Word, Outlook, Excel, Teams and Power Point

- Experienced with documenting in an electronic medical records system
- Excellent communication skills

- Must be comfortable with public speaking

- Ability to work independently as well as part of a group

Preferred Qualifications

- Previous telephonic chronic condition coaching

- Virtual group coaching experience via webcam
- Managed care experience
- Experience with Epic EMR data base functionality and documentation

Education

Associate RN degree required

Bachelor's RN degree preferred

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 12/16/2025

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