Bright Health
Through powerful relationships with care partners, Bright Health aims to help people live healthier and brighter lives

Health Coach, SNP at Bright Health (Remote)

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Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.

If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.


SCOPE OF ROLE  

The Health Coach coordinates and facilitates members’ individualized plan of care in collaboration with members, families, caregivers, and other health care providers. The Health Coach uses their clinical judgment to determine a member’s needs both in the home and throughout an acute care episode. The Health Coach provides support, guidance, education, and acts as a liaison between the member’s PCP and specialty physicians to maximize health outcomes and prevent unnecessary hospitalizations. This role also supports a variety of care programs, outreach, education, quality improvement, and other initiatives as needed. 

ROLE RESPONSIBILITIES 

The Special Needs Plan Health Coach job description is intended to point out major responsibilities within the role, but it is not limited to these items. 

  • Conducts face-to-face visits with members in both healthcare facilities and in their homes and initiates telephone outreach  
  • Facilitate “Intakes” and maintain required documentation in EMR web-based application including but not limited to the following: Surveys, Health Risk Assessment progress notes, and other documentation as required by Bright Health. ​ 
  • Uses all components of the Eric Coleman Transitions of Care model and nursing process including assessment, triage, planning, implementing, and evaluating care to meet the members’ needs  
  • Provides health maintenance, medication, and disease management education to members and families/caregivers  
  • Coordinates appropriate member care appointments, community resources, referrals, management program benefits and special focus programs  
  • Ensure member’s preventive care appointments are scheduled and encourage member to participate in those appointments. ​ 
  • Maintains compliance with CMS mandated health risk assessments, care plans, and interdisciplinary care team meeting requirements.  
  • Active participation in Interdisciplinary Care Team presentations  
  • Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the members’ primary healthcare provider(s) and medical directors  
  • Takes an active role in coordinating and initiating member’s access to Bright Health programs and specialty benefits offered beyond traditional Medicare  
  • Effectively communicates, problem-solves, and maintains productive and effective interpersonal relationships while effectively prioritizing patient care.  
  • Works with outside facilities, agencies, and vendors on a routine basis, maintaining positive working relationships  
  • Supports members and their families/caregivers, and provides compassionate care  
  • Frequent travel is required for member visits, conferences, community events, health fairs, etc. 
  • Make referrals / linkages to community resources on an individualized basis. ​ 

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE 

  • Current Licensed Practical Nursing or Licensed Vocational Nurse certificate from an accredited Nursing Program  
  • Two (2) or more years' experience as an LPN/LVN, preferably in a case management setting  
  • Driver’s license, auto insurance, and safe driving history  
  • One (1) year of healthcare related experience required 
  • Awareness and experience with HIPAA requirements for healthcare communications preferred 
  • Prior experience with URAC/NCQA accreditation preferred 
  • Bi-Lingual preferred

PROFESSIONAL COMPETENCIES 

  • Prioritizes and plans work activities; uses time efficiently and has the ability to multi-task. 
  • Excellent communication skills, both oral and written 
  • Approaches challenges calmly and objectively to identify the best solution 
  • Capable communicator that can interact with others at multiple levels within the organization, customers and providers 
  • Leads through influence and example 
  • Strong operational mindset and uses data to draw insights 
  • Thrives on driving results in a collaborative environment 

LICENSURES AND CERTIFICATIONS 

  • Current Licensed Practical Nursing or Licensed Vocational Nurse certificate from an accredited Nursing Program; or equivalent combination of education and experience. 

WORK ENVIRONMENT 

The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Travel, up to 10% of the time may be required. 

 
We’re Making Healthcare Right. Together.
We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
 
Focusing on Consumers
We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
 
Building on Alignment
We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
 
Powered by Technology
We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
 
          
 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
 

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Where we are

We are downtown at 515 Congress Avenue, right in the heart of downtown! Tons of restaurants and close to public transportation.

Technology we use

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What are Bright Health Perks + Benefits

Bright Health Benefits Overview

We have 2 different health insurance plans, all through BlueCross Blue Shield (HDP & PPO). We cover the majority of the cost for the employee and some cost for family. We have two dental plans and a vision plan as well. We have a Lifestyle Spending Account and options for HSA/FSA. We put 4% of your total earnings into your 401K plan and you are immediately vested. We have all the latest technology (Mac or Surface laptops – your choice) to use including standing desks. Fully stocked fridge with snacks and drinks. Last Wednesday of every month is reserved for WellBeing Wednesday where we don't schedule any meeting that day so our employees can focus on deep work or learning something new.

Culture
Volunteer in local community
Partners with Nonprofits
Friends outside of work
Eat lunch together
Daily sync
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Dedicated Diversity/Inclusion Staff
Unconscious bias training
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Bright Health is proud to offer a wellness stipend of $200/month to all employees!
Onsite Gym
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
We will put 3% of your total earnings into your 401K plan, even if you don't put anything in. It's a safe harbor contribution.
401(K) Matching
Bright Health provides employees with a 401(k) plan managed by Vanguard. We provide a ‘safe harbor’ non-elective contribution equal to 3% of your compensation, regardless of participation in the p
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
We provide up to 6 weeks of parental leave for the primary caretaker. We also provide 2 weeks of leave for the secondary caretaker.
Flexible Work Schedule
Bright Health provides employees with a flexible work schedule that includes Core hours, Flexible start and end times.
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Happy hours are hosted on occasion.
Relocation Assistance
Fitness Subsidies
Bright Health employees are eligible for discounts on several gym memberships.
Home Office Stipend for Remote Employees
Professional Development Benefits
Tuition Reimbursement
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Time allotted for learning
Online course subscriptions available
Customized development tracks

Additional Perks + Benefits

Bright's primary goal is to offer employee benefits and perks that are as flexible as possible to meet each employee's unique needs!

An Insider's view of Bright Health

What’s the vibe like in the office?

The office has a relaxed and laid back vibe but people are very serious about their work - perfect!

Anthony

Data Engineer

What does your typical day look like?

My day is so varied, given how quickly we're growing, which is fulfilling for me. I have a good balance of strategic and tactical work in my day as well as time to focus and time to collaborate.

Jen

VP, Digital

What makes someone successful on your team?

A hard-working team player who thinks first and codes next is likely to learn a lot and quickly become a valuable member of the team. Lots of experience with some of our tooling is always nice, but if someone can't knowledge-share well or responds poorly to code reviews and other requests for collaboration, it'll be a tough fit.

Brian

Software Engineer 3

How do your team's ideas influence the company's direction?

We hire smart individuals who thrive on accomplishment and purpose. Our teams are exposed to the bigger picture through constant communication and dialogues – that encourages them to come up with innovative solutions to problems. We've made significant adjustments on our direction in technology and process that were initiated by the team.

Abdullah

VP, Engineering

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