Health Coach

All Ways Caring HomeCare

The Health Coach provides guidance, support, and resources to clients and primary family caregiver on the CCSP/SOURCE Structured Family Caregiver Program (SFC). The Health Coach in collaboration with the branch RN provides an assessment of the needs of the SRC client and creates a “coaching plan”. The Health Coach monitors and provides ongoing assessments, training, and support to the primary (family) caregiver and the client adjusting, as necessary.

• Provides assessment with collaboration of the RN to ensure the SFC client goals and needs are being met
• Prepares a “coaching plan” for the Primary Family Caregiver to follow to provide ADL and IADL care for the SFC client
• Assists the client and the Primary Caregiver with determining eligibility for assistance and resources to compliment the SFC program
• Provides coaching and training to the Primary Family Caregiver to ensure all goals of the client are being met
• Maintains effective communication with the Primary Family Caregiver, RN, and Medicaid Waiver Case Manager
• Possesses knowledge of community resources related to medical issues, housing issues, financial and social issues for dealing with the client’s care. Makes referrals to other professionals and programs
• Conducts monthly contact visits with the client and the Primary Family Caregiver by home visit or telephone
  • Additional home visits and ongoing communication with the caregiver must be provided based on the current need of the waiver member and the caregiver
• On a semi-annual basis at a minimum, the Health Coach must visit the waiver member and caregiver with the waiver Case manager, with all parties present during the visit. This joint visit is intended to further establish communication between all members of the care team. Personal Support Services
• Monitors daily progress notes and tasks performed via the electronic visit verification applications for indications that the caregiver may need additional training or support and document all contact with the caregiver
• Schedules case conference with the client, the Primary Family Caregiver, the RN, and that Medicaid Waiver Case Manager on a semi-annual basis
• Sends summary reports to the Medicaid Waiver Case Manager until the external portal is developed on a monthly, quarterly, and as needed basis
• Health Coaches must alert the SFC provider’s nurse and the CCSP or SOURCE case manager of any concerns about the member or caregiver’s health, safety, or unmet needs

• Two or more years of experience working with elderly, medically frail, and disabled clients, and caregivers
• Excellent communication, computer, and organizational skills

All Ways Caring HomeCare delivers quality, compassionate, and individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy, and independence. Whether recovering from illness, injury, or surgery, living with a chronic disability, or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions, and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, older adult care management, Alzheimer’s/dementia care, respite care, and other programs. For more information, please visit www.allwayscaring.com. Follow us on Facebook and LinkedIn.