Health coaches have a passion for helping people improve their health—and with that, their lives. This rapidly growing profession is an attractive career for individuals who want to make a difference in the lives of others and help them enjoy the benefits of improved well-being.
People from a wide range of backgrounds and varying levels of education and experience become health coaches, and there is a range of programs to match. Health coaching is a growing field due to a bigger focus on wellness by individuals and the healthcare industry.
“More people want to make sure they’re healthy in case they do get sick, so more are looking to a health and wellness coach to help them achieve their goals,” says Leigh-Ann M. Webster, NBC-HWC, executive director of the National Board for Health and Wellness Coaching (NBHWC), a nonprofit that has established professional standards for this largely unregulated profession.
Wondering whether health coaching is right for you? We can help you decide with details on what health coaches do, where they work, required education, and job opportunities.
What Is a Health Coach?
A health coach is a partner who motivates and encourages others—rather than an expert who counsels or offers advice.
“A health and wellness coach partners with clients or patients, depending on whether it’s a clinical or non-clinical setting, to essentially walk alongside them to help them create behavior changes in their own life that will lead to improved health outcomes and overall well-being,” Webster says.
A health coach can prescribe specific actions or non-pharmaceutical treatment, but only if they have the additional credentials, such as a dietitian’s license, to do so.
“The health coach recognizes and honors the fact that the client is the expert of his or her own life,” says Araceli De Leon, MS, an ACE-certified health coach and personal trainer.
Working with Clients
Health coaches can work with clients who have a variety of goals, including losing weight, managing stress, or controlling chronic conditions like high blood pressure or diabetes. In many cases, a person might not know how to reach a goal. That’s when they may turn to a health coach.
Generally, a health coach guides a client in strategizing about how to change unhealthy behavior. According to Melinda Huffman, BSN, MSN, CCNS, CHC, co-founder of the National Society of Health Coaches (NSHC), a coach’s role includes:
“If you have a set amount of time in which you’re working with the person, you have a main goal for them and you work backward by creating smaller, digestible goals that lead up to the main goal,” De Leon says.
Health coaches can work with clients in person or virtually. Many clients prefer one-on-one meetings, but others thrive on the motivation and support of group meetings with others who have similar goals.
While some clients may need only one or two sessions with a health coach to get on track, others may see a coach for weeks or months as they take a series of steps to make lifestyle changes.
There are many career paths for a health coach. Your opportunities will depend on your education and expertise and whether you specialize or pursue a certification, like those offered by the NBHWC and the NSHC. If you prefer the structure of full-time, relatively stable work, a coaching role with a health insurance company or a business that offers wellness services for employees might appeal to you. Private gyms or community fitness centers have full- and part-time positions with flexible hours.
Coaches who have a background in healthcare, perhaps as a medical assistant or a nurse, may work in a physician’s office or at a hospital as part of a patient’s healthcare team.
Many health coaches have their own businesses and set their own hours. Some coaches in private practice also work as motivational speakers or conduct group coaching for people who have similar goals.
“There are a lot of coaches who decide they want to be self-employed, so they will develop a niche and may get additional certificates or certifications that support their niche in the marketplace,” says Webster.
For example, a health coach who wants to focus on helping patients improve wellness to prevent diabetes could complete the federal Centers for Disease Control’s National Diabetes Prevention Program training, which would prepare them to work with these patients.
Education Required to Be a Health Coach
There are many educational pathways to become a health coach. The most basic education is a non-degree certificate program, which is offered by community colleges, private health coaching schools, colleges, and universities. You can find options for in-person and online studies.
Admission requirements for coaching programs vary widely and generally fall into three categories, depending on the program:
While a health coaching program may be an attractive option for students who want to jump start a career change, it can also help clinical and wellness professionals such as nurses expand their existing services or pursue a new career focus.
A health coach certificate program typically includes health basics and coaching techniques. Some emphasize a specific approach or focus on one aspect of coaching. For example, some programs emphasize integrative medicine, an approach that considers a range of factors that influence wellness, including mind, body, spirit, and community.
Choosing a program will depend on “what a person wants, what they want their focus to be, where they’re headed in their life, and what’s interesting to them,” Webster says.
While there isn’t a universal accreditation body for health coaching programs, many schools carry “approval” or accreditation from one or more professional organizations. And in some cases, you may need to attend a specific program to be eligible to apply for a credential.
When looking at schools, consider whether they:
Huffman says program reviews and testimonials are also valuable.
When you complete a health coaching program, you’ll earn a certificate. You can then pursue certification, which demonstrates that you have a specific level of knowledge and expertise in a profession.
While they aren’t required to coach, you can earn one of the following credentials, depending on your education and experience:
Unlike many other professions, health coaches aren’t required to be licensed to practice. But state and local regulations can limit the type of information you’re allowed to provide.
“We always encourage coaches to be aware of what is permissible and what is not in their state regarding the discussion of nutrition,” Webster says. “For example, if a coach decided to write out a meal plan or do something that’s not within their scope of practice, that would not be considered a violation in some states and in other states, it’s a big violation.”
Salary and Job Prospects
The field of health coaching is growing fast. While the U.S. Bureau of Labor Statistics (BLS) doesn’t report specifically on salaries for the profession, the role is similar to a health education specialist. According to the BLS, health education specialists earn a median annual salary of $56,500, and the profession is expected to grow 13% through 2029.
One factor driving the growth is the healthcare industry’s shift to focusing on disease prevention and wellness, Huffman says. Coaches are also gaining increasing recognition and acceptance as part of healthcare teams, Webster says.
Since 2020, the American Medical Association (AMA) has been tracking health coaching services to assess their use and effectiveness. This data could be used to support AMA acceptance of health coaching as a medical service at some time in the future.
“I think having that additional recognition has really placed health and wellness coaching on the map, particularly in healthcare,” Webster says.
With professional insight from: