Health Coach

• Conduct proactive telephone outreach to support engagement in healthcare services, preventive care, and follow-up activities
• Facilitate Transitional Care Management outreach after hospital discharges or qualifying healthcare events
• Coordinate follow-up appointments and communication between patients and healthcare providers
• Support reduction of avoidable hospital readmissions by reinforcing discharge instructions and identifying barriers to follow-up care
• Schedule Annual Wellness Visits and other preventive care appointments
• Conduct Social Determinants of Health surveys and refer identified concerns to appropriate resources or internal teams
• Support medication adherence by confirming prescription fills and coordinating with pharmacies, providers, and internal teams
• Educate patients about healthcare benefits, resources, and services
• Document outreach, appointment coordination, barriers, and follow-up activities in designated systems
• Collaborate with clinical and operational teams to escalate concerns and support continuity of care
• Maintain patient confidentiality and comply with HIPAA, organizational policies, and care coordination protocols
• Perform additional duties as assigned
• Report to the Manager, Operations

Explore Health Coach at Better Health Group. Review requirements and application details.