RN - Population Health - Evernorth Workplace Care - Belle Glade - WPB FL

RN - Evernorth Workplace Care - Belle Glade FL

Role Summary

The RN Population Health Coach is an in-office/in-clinic position located in Belle Glade (2 days per week), Wellington (1 day per week), WP (1 day per week) and Delray (1 day).

The primary focus of the RN is clinic functions, care coordination and individual coaching, and site health promotion.

In collaboration, with the Evernorth Workplace Care Health Centers and Cigna Group account teams, the RN facilitates both onsite provider appointments and virtual appointments connecting the patient to an off-site provider.

Additionally, the RN will conduct patient appointments for chronic condition education, lab draws, point of care testing, patient outreach and provides wellness counseling.

A core objective of this position is patient education, facilitation of wellness programs, and providing care coordination for those with care gaps or needs that may be more complex.

Clinical Functions/Virtual & Telemedicine

Prepping patient for virtual provider:


* Vitals


* Clinical photos


* CLIA waived testing


* Labs


* Immunizations

Overall management and day to day operations of the health center


* Scheduling


* Ordering Supplies


* CLIA testing


* Health Center review compliance


* Order management


* Daily clinic compliance testing

Care Coordination & Coach Responsibilities

Monitoring & Coaching


* Provide brief, regularly scheduled or spontaneous counseling to reinforce prior education as appropriate, or to support and motivate.


* Help engage patient in ownership and self-care of their problem(s).


* Alert provider of any psychosocial concerns uncovered in the course of coaching if not already documented.


* Provide onsite support to patients in order to help them identify a need for behavior change to improve health status, reduce health risks and improve quality of life.


* Review progress on patient goals with patient, documenting interactions and interventions as directed using Cigna health technology tools, and forward to provider for input, passing along input from provider to patient.

Education and Triage/Referring


* Review/reinforce care plan with patient, once created by provider and assess future educational and/or program referral needs.


* Collect and organize data from patient to present to provider; notify patient of provider recommendations, if any.


* Triage patients in whom medical, psychosocial, or economic issues are uncovered by MA/Health Coach and referred to them, and ensure they are connected with the appropriate internal or community resource, in consultation with provider.


* Consult with other onsite health and wellness resources to ensure patient's comprehensive health needs are being addressed.


* Care Coordination & Population Health


* Generate population health reports as directed by provider, and delegate tasks based on results to MA and/or Health Coach


* Revi...