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Blue Cross Blue Shield of MichiganBM

Health Coach Diabetes Management Program

Blue Cross Blue Shield of Michigan is the largest health insurer in Michigan, serving 4.3 million members with accessible and innovative health care solutions.

Blue Cross Blue Shield of Michigan

Employee count: 5000+

Salary: 48k-81k USD

United States only

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Responsible for supporting health promotion and wellness programs aimed at encouraging members to adopt healthy lifestyles by actively participating in wellness activities. Position will provide assessment, health education and behavior change counseling using a collaborative approach to facilitate change.

  • Assist in the identification and development of member health education needs through health assessment activities that may include online health risk appraisal, telephonic outreach, etc.
  • Provide telephonic outreach and counseling on member compliance with nationally accepted health prevention guidelines and general health and wellness strategies.
  • Perform research and communicate on relevant topics in health promotion and disease prevention.
  • Facilitate collaboration between health education resources, the community and the company.
  • Comply with applicable regulatory and licensing requirements such as NCQA, CMS, URAC, etc.
  • Monitor, evaluate and report programs’ effectiveness (e.g. outcomes).
  • Prepare presentation/display materials and conduct targeted education/wellness programs targeting specific health strategies for designated populations.
  • Serve as liaison between internal and external stakeholders to champion and develop programs aimed at prevention, wellness and disease management.
  • Provide coaching for diabetes condition management including self-management, glucose monitoring, medication use, nutrition, physical activity, stress reduction, reducing complications, etc.
  • Use motivational interviewing and behavior change techniques to set individualized goals, develop action plans and track member progress.
  • Refer members to internal or external resources (programs, providers) and collaborate with those resources to ensure a seamless continuum of care.
  • Document all interactions, assessments, care plans, etc. within required timeframes.
  • Comply with applicable regulatory and licensing requirements such as NCQA and CMS.
  • Monitor, evaluate and report programs’ effectiveness (e.g., outcomes) and participate in continuous improvement activities.

EDUCATION

  • Bachelor’s degree in health education, Health Promotion, Nutrition, Nursing, Exercise Physiology or Social Work required.
  • Master’s degree in related discipline is preferred.
  • Certified Diabetes Educator Specialist (CDE) or Certified Diabetes Care and Education Specialist (CDCES)
  • Certified Health Education Specialist (CHES) certification, Licensed Registered Nurse (RN), American College of Sports Medicine (ACSM) certification.
  • Medical licenses require current unrestricted state of Michigan licensure.
  • Valid and unrestricted Michigan driver’s license is required.
  • Continuous learning, as defined by the Company’s learning philosophy, is required.
  • Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE

  • Two (2) years of experience in a health promotion/education setting, counseling on health topics such as nutrition, exercise, cholesterol, hypertension, stress, alcohol and smoking.
  • Two (2) years of experience in delivering chronic condition coaching or diabetes education.

QUALIFICATIONS

  • Excellent interpersonal, verbal and written communication skills.
  • Ability to work at a high energy level in a team environment with minimum supervision.
  • Ability to be flexible and to manage multiple tasks with a strong customer focus.
  • Clinical knowledge of disease prevention and wellness strategies.
  • Good working knowledge of current industry standard PC software applications (e.g. Microsoft Office Suite) and proven administrative abilities.
  • Working knowledge and understanding of health behavior change theories, counseling, interviewing techniques, strategies and application required.
  • Ability to plan, implement and evaluate employee disease prevention and health promotion programs.
  • Reliable transportation, current auto liability coverage and an acceptable driving record as travel is required.
  • Knowledge of NCQA, CMS, URAC, HEDIS standards as applicable to designated department assignment.
  • Other related skills and/or abilities may be required to perform this job based on designated departmental assignment.

Diabetes Management Program

ADDITIONAL SUMMARY

Responsible for delivering a structured, evidence-based diabetes education and coaching program for members with diabetes. The role is focused on improving self-management, medication adherence, lifestyle modification and clinical outcomes for a diverse member population.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Provide coaching for diabetes condition management including self-management, glucose monitoring, medication use, nutrition, physical activity, stress reduction, reducing complications, etc.
2. Use motivational interviewing and behavior change techniques to set individualized goals, develop action plans and track member progress.
3. Refer members to internal or external resources (programs, providers) and collaborate with those resources to ensure a seamless continuum of care.
4. Document all interactions, assessments, care plans, etc. within required timeframes.
5. Comply with applicable regulatory and licensing requirements such as NCQA and CMS.
6. Monitor, evaluate and report programs’ effectiveness (e.g., outcomes) and participate in continuous improvement activities.
EDUCATION AND EXPERIENCE
1. Two (2) years of experience in delivering chronic condition coaching or diabetes education.
2. Certified Diabetes Educator Specialist (CDE) or Certified Diabetes Care and Education Specialist (CDCES)

PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $48,200 and $80,800.

EEO Statement: All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Candidates are hired on an "at will" basis. Nothing herein is intended to create a contract.

About the job

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Job type

Full Time

Experience level

Salary

Salary: 48k-81k USD

Education

Bachelor degree

Experience

2 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Blue Cross Blue Shield of Michigan

Learn more about Blue Cross Blue Shield of Michigan and their company culture.

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Through groundbreaking technology, we are revolutionizing health care at Blue Cross Blue Shield of Michigan. Founded in 1939, we are proud to be the largest nonprofit health insurer in Michigan and serve over 4.3 million members across the state and nation. Our mission is clear: we are dedicated to providing affordable, innovative products that enhance the health and well-being of our members. With a network of over 35,000 health care providers, we ensure our members have access to quality health care coverage when they need it most.

BCBSM strives to improve health outcomes through partnerships with local communities and health organizations. Our Building Healthy Communities program has positively impacted over 500,000 students in schools across Michigan. Additionally, our Strengthening the Safety Net initiative has contributed over $18 million to support health clinics that serve low-income populations. We believe that everyone deserves access to quality health care, which is why we focus on advancing health equity and reducing health disparities.

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Blue Cross Blue Shield of Michigan

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