Altru Health System

Health Coach

Grand Forks, ND
Join our team!
Sep 01, 2020
Job Type
Job Summary

The Health Coach develops an ongoing relationship with patients who have chronic complex diseases by acting as a liaison between the patient and their healthcare team. The Health Coach is active in-patient education, goal setting, and self-management support for these patients.

Essential Job Functions

Acts as the primary contact person for the patients/families with chronic disease care to ensure and promote continuity of care. Contacts patients prior to and/or after physician visits, monitors patient compliance with the treatment plan and appointments and assists with reminder calls if appropriate.

Provides ongoing communication with physicians and staff regarding patients appropriate for chronic disease care and works closely with physicians, staff and patients in coordinating chronic disease care. Coordinates necessary patient education material.

Collaborates with physicians and staff in patient care visits using evidence based medicine guidelines for chronic disease care. Assists physicians utilizing Healthy Planet, running reports, and interpreting results.

Facilitates data collection and analysis of chronic disease measures and identifies opportunities for improvement. Assists in the development of data collection tools and collection of data related to these tools for chronic disease care.

Manages and monitors the database registries for chronic disease care and prevention wellness.

Assists physicians and staff with clinical information regarding patients/families with chronic disease care. Participates in the facilitation of continuous access to the medical record and plan of care.

Participates in patient safety, Joint Commission, and audits for primary care clinics. Acts as a resource for compliance reporting and accreditation requirements according to established guidelines and within established time frames.

Performs other duties as assigned or needed to meet the needs of the department/organization.

Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.

Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.

License, Certification & Registration

Registered Nurse-North Dakota Board of Nursing (NDBON) or Compact State Agreement-Prior to Start Date

Registered Nurse-Minnesota Board of Nursing-Within 6 Months of Start Date

Basic Life Support (BLS)-American Heart Assoc. or American Red Cross CPR for Prof. Rescue-Within 2 Months of Start Date

Education & Experience


A minimum of 3 years of related experience-Preferred