Education & Experience Required:

Bachelor's degree in appropriate field of specialization (Nutrition, Exercise Physiology, Respiratory Therapy, Counseling, or Pharmacy)
Must be a U.S. Citizen
Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
Minimum of 3 years of experience in health education, exercise instruction or patient education; or any combination of education and experience, which would provide an equivalent background
Certification, advanced certification, and/or licensure in appropriate field of specialty as required to practice in state of residence (I.

E. RPh/Pharm D;

RD/LD/LDN

; RRT;

EPC/ACSM-EP/ACSM-CEP/NASM-BCS

; RN;

LPC/LCSW/LMFT

)

Preferred:

Health Coach certification such as (NSHC or ACE)
Direct experience in health coaching, disease management and knowledge of behavioral and/or clinical assessment techniques, health and/or patient education and behavior change techniques preferred
Experience with a Managed Care Organization (MCO) supporting clinical programs
Knowledge of government health care programs, TRICARE, or Medicare/Medicaid Key Responsibilities
Conduct initial consultations with beneficiaries to identify opportunities, anticipate complications or barriers and act to avoid them; provides health instruction to the beneficiary/family; refers the beneficiary to their health care team as needed. Non-clinical staff are not required to evaluate or interpret clinical data elements.
Collaborates with beneficiary's health care team to achieve best overall outcome while reinforcing treatment plans and orders.
Educate and empower beneficiaries on self-management skills to manage their chronic conditions and/or lifestyle changes.
Under clinical supervision, develops individualized, educational plans in a timely manner. Integrates educational plans with appropriate clinical guidelines for the disease states. Transfers cases requiring more intensive management to Health Coach RN, Disease Management RN or Case Management.
Collaborates and coordinates services with cross-functional team using disease management strategies and targeting specific disease populations. Refers to appropriate Population Health programs and other case management and care coordination programs. Collaborates with Military Treatment Facility, outside agencies, and provider networks.
Reviews, identify and assist with SDoH health disparities and educates beneficiaries about TRICARE benefits and directs them to appropriate resources.
Adhere to URAC standards, TRICARE policy, contractual requirements, and nationally recognized practice standards.
Performs other duties as assigned.

Competencies Commitment to

Task:

Ability to conform to established policies and procedures; exhibit high motivation. Communication /

People Skills:

Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy:

Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping /

Flexibility:

Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Empathy /

Customer Service:

Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position. Independent Thinking /

Self-Initiative:

Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Team-Building /

Team Player:

Ability to manage large amounts of complex information, communicate clearly, and draw sound conclusions. Ability to organize tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail oriented.

Technical Skills:

Knowledge of TRICARE programs and benefits, Managed Care, and URAC national best-practice standards; population health and disease management interventions, crisis intervention strategies, collaboration skills, legal and regulatory requirements, and HIPAA privacy regulations.

Working Conditions Working Conditions:

Ability to cover any work shift
Ability to work overtime, if needed

Onsite:

Works within a standard office environment

Remote:

Private and secure workspace and workstation with high speed internet is required

Extensive computer work with prolonged sitting, wearing of headset, typing, speaking on a phone Company Overview Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996. Benefits We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $72, 000 to $80, 000 per year. Equal Employment Opportunity TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. 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