Health Coach (5 positions available)

Position Overview

Key Responsibilities

• Conduct initial and ongoing coaching intake conversations and non-diagnostic assessments of patient priorities, readiness for change, daily habits, and barriers to care. Establish baseline goals and program measures using approved tools.
• Partner with patients to develop achievable action plans that support disease self-management.
• Use motivational interviewing, active listening, and strengths-based coaching to support medication-taking routines, physical activity, sleep, stress management, and nutrition goals established with the care team.
• Provide regular follow-up, review progress, and help patients adjust their goals. Involve family members or caregivers when appropriate and with the patient’s permission.
• Deliver culturally responsive education using approved materials and teach-back methods. Facilitate evidence-based workshops and group coaching on prevention, wellness, and chronic disease self-management.

• Identify social determinants of health and connect patients with food assistance, transportation, housing, financial assistance, and other community services. Follow up on referrals to help patients access needed support.
• Collaborate with specialists, primary care providers, care managers, registered dietitians, behavioral health professionals, community health workers, and other team members to align coaching goals with treatment plans and avoid duplication of services.
• Build relationships with community organizations and participate in outreach activities to engage patients who face geographic, technology, or other barriers to care.

• Document patient contacts, goals, action plans, referrals, and progress accurately and promptly in the electronic health record (EHR) and designated program systems.
• Collect and compile enrollment, retention, participation, referral completion, approved outcome measures, and patient satisfaction data to support grant reporting. Meet program documentation standards and reporting deadlines.
• Participate in team meetings and quality-improvement activities; use patient feedback and program data to improve engagement, access, and coordination.

• Help patients use telehealth platforms, approved remote patient monitoring devices, and digital health tools. Address basic access or usability barriers and refer technical or clinical questions to the appropriate team member.
• Protect patient privacy and follow institutional policies, applicable confidentiality requirements, grant requirements, and established documentation and safety procedures.
• Work within health coaching training and assigned responsibilities. Refer symptoms, medication questions, abnormal monitoring results, and other clinical concerns to licensed clinicians according to established protocols. The role does not independently diagnose, prescribe, adjust medications, or provide medical nutrition therapy.

• Associate or bachelor’s degree in public health, nutrition, health education, exercise physiology, human services, or a related field.
• National Board Certified Health & Wellness Coach (NBC-HWC) credential or an equivalent recognized health coaching certification approved by the organization; candidates without certification must obtain it within six months of hire.

• At least one year of experience in health education, health coaching, patient navigation, or public health outreach.
• Knowledge of behavior change principles and chronic disease self-management, with strong active listening, motivational interviewing, and interpersonal communication skills.
• Ability to explain approved health information clearly and empathetically, adapt communication to patients’ language and health literacy needs, and work effectively with diverse patients and interdisciplinary teams.
• Strong organizational skills, attention to detail, and proficiency with EHR systems, Microsoft Office, and telehealth platforms.
• Valid driver’s license and access to reliable transportation for local travel, patient and community site visits, and community events.

• Experience serving rural or medically underserved communities, including patients with obesity, diabetes and cardiometabolic disease, or barriers related to social determinants of health.
• Experience in primary care, outpatient care, population health, community health, or transitional care; familiarity with local community resources and referral networks.
• Experience facilitating group programs, supporting digital health tools, or collecting and reporting data for grant-funded programs and quality-improvement activities.