Transitional Care Health Coach

Telligen
United States, Oklahoma, Oklahoma City
Jul 31, 2025
The Transitional Care Health Coach is responsible for providing support, education, and guidance to patients as they transition from hospital to home or between different care settings. This role aims to improve patient outcomes, reduce hospital readmissions, and enhance overall quality of care. Health coaches are registered nurses located in selected clinics, hospitals and/or home based that provide education, support and self-management tools aimed at improving the member's health. Typical Hours: 8-4:30pm, M-F Health Coaching is one of the fastest-growing industries in the healthcare field. In the role of a Health Coach, you will have the opportunity to positively impact your clients health and wellbeing. Essential Functions Professional Health Coaching Services for Oklahoma Medicaid Members. Conduct comprehensive assessments and evaluations for individuals with diverse healthcare needs and gathering pertinent medical and social information to facilitate the development of patient-centered action plans. Foster collaborative relationships with healthcare providers and case management teams to ensure coordinated care delivery. Provide evidence-based education and information to members, enhancing their understanding of health conditions and treatment options. Provide education on medication management, symptom recognition, and self-care techniques. Identify and coordinate referrals to appropriate statewide community resources, addressing transitional care and social determinants of health. Coordinate follow-up appointments and ensure patients have necessary resources upon discharge. Conduct hospital visits to monitor the patient's progress. Actively engage patients and their families using motivational interviewing techniques to promote behavior change and improve health outcomes. Teach self-management skills and provide ongoing support to members and their families, empowering them to take an active role in their healthcare journey. Utilize a holistic approach to care, considering physical, emotional, and social factors that impact overall well-being. Maintain accurate and timely documentation of all patient interactions and interventions in compliance with organizational and regulatory standards. Requirements This role requires a compassionate, patient-centered approach combined with strong communication skills, adaptability and strong-problem solving skills. Registered Nurse (RN) licensed in Oklahoma with an active, unrestricted credential. Extensive experience in disease management and case management, complemented by exceptional communication skills. Demonstrates proficiency in documentation and possesses strong writing abilities. Self-motivated professional with a proven track record of delivering high-quality patient care. Bilingual preferred. Case management certified preferred. Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions. Our business is our people and we're looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us Are you Ready? We're on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity. Ownership: As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success. When employee-owners grow and thrive, we all win. Community: Putting others first and being a good corporate partner wherever we work, and play makes us who we are. We Show Up. For our clients, for our communities, and for each other. Ingenuity: We're a team of passionate professionals driven by hard work and big ideas. We understand that high-value breakthroughs come from taking calculated risks. If it will benefit our clients and advance our mission, we're all ears. We celebrate free-thinking and challenge the status quo, so brainstorm away! Integrity: Smiling faces (virtual or in-person) are the norm around here. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence. Thank you for your interest in Telligen! Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate. As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination). Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers, and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. Telligen does not accept 3rd party solicitations from outside staffing firms.