Board Certified Health Coach
•Collaborative member of an IDT comprised of RNs, APPs, LCSWs, Behavioral Health APPs, Care Coordinators, Dietitians, Pharmacists, Nephrologists, and Transition of Care Coordinators to manage CKD 4 and 5 patients seeking to manage their health and chronic conditions •Closely managed Care Plans of close to 900 patients •Utilized Motivational Interviewing along with principles of CBT and ABA as coaching techniques •Employed PEARLs training to reduce symptoms of depression and improve quality of life •Triage inbound patient calls and route concerns to appropriate clinical staff member •Established and maintained relationships with patients through regular telephonic communications; including engaging in longitudinal follow up after transitions of care to facilitate timely provider visits and escalate urgent concerns •Participated in patient engagement initiatives to screen for and escalate unmet healthcare needs •Coached patients to help them attain their specific transplant goals such as weight loss •Interacted with patients daily from the launch of this CKCC program •Documented all patient interactions and relevant information in the physician's EMR and Acumen/Epic