Integrated Care Coach Educator

Integrated Care Coach Educator at Centerwell in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Integrated Care Coach Educator works within the Clinical Education team and is focused on training and educating peers in the High-Risk Patient Management (HRPM) program, focused on Integrated Care Coaches. This role is designed for individuals with lived Integrated Care Coach experience, with lower-level clinical licensure. + Working within an interdisciplinary care team, the Integrated Care Coach is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to increase patient engagement, address social needs and increase access to care. + The Integrated Care Coach Educator has a deep understanding of all the High-Risk Patient Management roles and gains the respect and confidence of their peers as a peer educator. This role has a functional understanding of transitions of care management and can effectively complete TCM outreach to patients with recent observation, ED visits, or discharges. The role reports to the Associate Director of Clinical Education, CIT Education lead on a team consisting of interprofessional educators. Primary Responsibilities: + Design, develop, and deliver comprehensive onboarding and continuing education programs for Integrated Care Coaches and care integration team members, supporting high-risk patient management, value-based care, population health, and senior care models. + Serve as a subject matter expert in care coordination, chronic disease management, social needs navigation, and patient engagement strategies, ensuring education aligns with evolving clinical workflows and care models. + Lead education and competency development on the 5Ms Geriatric Framework (What Matters Most, Mind, Mobility, Medications, Multi-complexity) to support holistic patient assessment, care planning, and engagement. + Demonstrate expert competence to develop and facilitate field-based training and readiness initiatives, including home visit protocols, community-based patient engagement, situational awareness, and field safety best practices. + Design and deliver education that prepares Integrated Care Coaches to effectively support transitions of care workflows, including post-discharge outreach, reinforcement of discharge instructions, medication review support, appointment follow-up coordination, and timely escalation of clinical concerns. + Develop and deliver education that prepares Integrated Care Coaches to support patients’ social drivers of health (SDOH), including navigation of housing instability, financial instability, caregiver strain, psychosocial needs, food instability, employment and education access, transportation barriers, and social isolation. + Develop chronic disease education curricula to ensure Integrated Care Coaches are equipped to deliver evidence-based patient education, reinforce provider and pharmacy recommendations, and support long-term disease self-management. + Develop and deliver training on patient trust-building, motivational interviewing, engagement strategies for resistant or disengaged patients, and techniques to address low health literacy. + Monitor performance through direct observation, chart review, data analysis, and call monitoring; provide coaching, feedback, and remediation to ensure quality, compliance, and continuous improvement. + Collaborate closely with clinical, operational, compliance, and market leadership to assess training needs, develop program enhancements, and support workforce readiness initiatives. + Support onboarding and preceptor programs to ensure smooth transitions for new hires and sustained clinical competency across markets. + Maintain limited active Integrated Care Coach practice and/or field engagement (up to 10%) to remain current in clinical workflows and patient care delivery. Use your skills to make an impact Required Qualifications + More than 5 years of experience in Integrated Care Coach role and field/community-based supports and interventions + Demonstrated clinical foundation with ability to effectively translate complex clinical concepts into practical, learner-appropriate education + Knowledge of community health and social service agencies and resources + Experience working as part of an interprofessional team + Experience in training and/or training content development + Prior experience conducting home visits and knowledge of field safety practices + Strong knowledge in both social and clinical spaces to promote patient engagement, social needs to be addressed holistically from patient’s perspective, and in creating dynamic care plans. + Proficient in the following computer skills: Microsoft Office applications, Word and Excel, email, apps, Teams + Must reside within 50 miles of a PCO market/center + Ability to travel up to 30%, largely within local and regional markets. Preferred Qualifications + LVN or LPN licensure preferred. Advanced clinical licensure not required. + Prior experience in working with geriatrics/senior population + Familiarity with state Medicaid guidelines and application processes + Preferred experience in care management program/project management or implementation + Knowledge of EMR/documentation platforms including Salesforce and AthenaOne Work from Home Requirements + To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information + Satellite, cellular and microwave connection can be used only if approved by leadership + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Key Competencies + Program Workflow Expertise: You demonstrate up-to-date knowledge of relevant program workflows and protocols + Training Delivery and Presentation: You facilitate engaging and structured didactic training sessions, utilizing available technology to maximize training effectiveness. You tailor information to match the skills and education of the learner + Content Development: You develop clear, relevant, and evidence-based training materials tailored to the role(s) you are supporting + Communication and Leadership: You communicate and advocate effectively and professionally with clinical leadership and interprofessional teams. You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience + Strategic Thinking & Systems Contribution: You provide meaningful input during program design discussions, including identifying opportunities for innovation and improvement. You are a problem solver with the ability to identify needs and drive the work with low to moderate oversight + Real-World Knowledge Application : You apply experiential knowledge appropriately within a value-based care model during training or coaching + Coaching & Staff Development: You support staff development through mentorship, role-modeling, reverse shadowing, and constructive strengths-based feedback Benefits and Perks: + At Humana, we value our employees and are committed to providing a supportive and rewarding work environment. As Integrated Care Coach Educator, you will enjoy a comprehensive benefits package designed to enhance your well-being and professional To view full details and how to apply, please login or create a Job Seeker account

Created: 2026-03-02