Job Description

Job Description

As a Health Coach, you will be a trusted partner to patients, helping them understand their conditions, stay engaged in their care, and take practical steps toward better health. You’ll work closely with a care team of clinicians to coordinate care and support patients holistically.

Key areas you’ll add value

• Conduct one-on-one coaching sessions in homes or community settings, building trusted relationships with up to 20 patients each week.
• Educate patients about chronic conditions such as diabetes, COPD (Chronic Obstructive Pulmonary Disease), asthma, CHF (Congestive Heart Failure), and hypertension.
• Motivate and empower patients through goal setting, accountability, and culturally sensitive health coaching.
• Help patients engage or re-engage with primary care, including scheduling visits and ensuring follow-up after hospitalizations.
• Support care coordination by reviewing charts, confirming appointments, and helping patients prepare for visits.
• Guide patients in identifying and accessing community, health plan, and government resources (e.g., food assistance, housing, transportation) using resource directories and other tools.
• Document patient encounters and progress accurately in our internal database-Salesforce to inform the broader care team.
• Collaborate with Nurse Practitioners and Social Workers to facilitate case reviews and support patients with complex needs.
• Communicate patient risks or complications promptly to clinical team members for follow-up and triage.
• Support other tasks as needed to best meet the needs of the patient, their primary care provider, or the care team

What you’ll bring

• 2+ years of experience in customer service, community work, teaching, case management, or other people-centered roles.
• High School diploma or GED required (some college or healthcare experience preferred).
• Strong interpersonal and organizational skills; able to build rapport quickly and follow through consistently.
• Comfort with technology and adaptability, experience using systems like Salesforce or willingness to learn.
• Ability to work independently and collaboratively across a care team.
• Commitment to health, wellness, and supporting others in achieving their goals.
• Local travel on a regular basis - required (up to 70%) within the surrounding community.

Who we’re looking for

• Empathetic, humble, and conscientious—you inspire trust and motivation in others.
• Comfortable with change and ambiguity; self-directed and adaptable in a fast-paced environment.
• A practical problem solver who acts quickly and thoughtfully to move work forward.
• Skilled at building authentic connections with people from all walks of life.
• Curious, open to feedback, and driven by continuous learning.
• A strong ambassador for Diverge Health’s mission, values, and purpose.

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