Coaching Team Operations

Hiring Health Coaches: What to Require and How to Test for Skill

Nearly every applicant will say they use motivational interviewing. A 15-minute role-play shows you who actually does.

Two women talking on a couch, one explaining with her hands while the other listens with an open notebook
Hiring health coaches works best in two steps. First, set a short list of requirements, such as board certification and comfort with the channels your program uses. Then test the skill itself: ask every candidate the same scored questions and watch them run a recorded role-play with a scripted member. Coaching skill shows up in conversation, not on paper.

Post a health coach opening and the résumés start to look alike. Most mention motivational interviewing. Many list a certification. Plenty describe a personal health turnaround that got them into the work. None of that tells you what you most need to know: what happens when a real member says something hard.

Here's what to require on paper, how to test for skill, and what matters less than it looks.

What to require when hiring health coaches

Start with the credential most hiring managers ask about. The National Board for Health & Wellness Coaching awards the NBC-HWC title, and its exam requirements are more than a course certificate. A candidate has to finish one of more than 138 approved training programs, pass a skills assessment inside that program, log 50 coaching sessions afterward and then pass the board exam. They also need an associate's degree in any field, or 4,000 hours of work experience.

50
coaching sessions a coach must log, after passing a skills assessment, before sitting for the NBHWC board exam

So a board-certified coach has been trained, observed and has practiced on real people. That's a solid floor. If your clients expect it, we'd require board certification or a certificate from one of the board's approved training programs. Ask for the credential and check it: the board will confirm it for you.

Beyond the credential, we'd keep the required list short:

  • Comfort with your channels. If most of your coaching happens by phone and secure message, someone who's only coached in person has a gap to close.
  • A clear sense of scope. They should be able to say, in plain words, where coaching stops and a referral starts.

Candidates who are also registered dietitians or nurses can be strong hires. They can work within their license, but the national board's condition is that the dual role is discussed with the member and documented from the start. Your scope of practice policy should say how your team handles it.

What a résumé can't tell you

Certification shows someone was trained. It doesn't show how they coach today, with your members, on your program. And asking them won't tell you either.

In a trial of 140 licensed addiction counselors learning motivational interviewing, Miller et al. (Journal of Consulting and Clinical Psychology, 2004) recorded their real sessions and scored them. The counselors' own ratings of their skill had no relationship to how skilled they actually were on tape.

That's why "trained in motivational interviewing" on a résumé is a starting point for a conversation, not evidence. It's the same reason we'd check coaching quality on recordings once someone's on the team, rather than relying on self-assessment.

How to test coaching skill before you hire

You'll learn more from 45 minutes of structured screening than from three rounds of friendly conversation. This is the process we'd use.

Ask every candidate the same questions

A large 2022 review of hiring research by Sackett et al. (Journal of Applied Psychology) found structured interviews were the top-ranked way to predict job performance. Structured means the same questions in the same order for every candidate, scored against a written rubric. The same review found that many methods predict less well than older estimates suggested, so no single step is a sure thing.

Good questions ask about real situations. "Tell me about a member who stopped showing up. What did you do?" "Tell me about a time a member asked for something outside your scope." Decide before the first interview what a strong answer sounds like.

Run a recorded role-play

This is the step that does the most work. Write a short script for a "member," played by one of your experienced coaches, and give every candidate the same 15 minutes with them. Record it, with the candidate's consent, so two people can score it.

Build in the moments that separate good coaches from the rest. Our member wants to lose weight, has tried before and asks halfway through, "Can you just tell me what to eat?" Then score a few things:

  • Do they listen before they advise? Count reflections, not just questions.
  • Do they ask before giving information? "Would it help if I shared what's worked for others?"
  • Do they stay in scope? The meal plan question needs a kind redirect, not a meal plan.
  • Who picks the next step? The member should leave with a plan they chose.

Ask for one written reply

A lot of coaching now happens by message. Give candidates a member message, such as "I skipped everything this week and I'm thinking of quitting," and ten minutes to answer. You'll see tone, length and judgment in one short reply.

What matters less than it looks

These come up in nearly every hiring round. In our view, none of them should decide it.

  • Which approved program they attended. With more than 138 to choose from, the program name tells you less than the role-play does.
  • Their own health story. It can make someone a warm coach. It still isn't the same as coaching skill.
  • Years in a nearby field. Personal training, nursing and sales all bring useful skills, but none of them is coaching on its own.
  • A polished interview. Charm in a conversation about yourself isn't the same as patience in a conversation about someone else.

The first 90 days

Hiring doesn't end with the offer. For the first three months, we'd review a few recorded sessions with the new coach every few weeks, using the same rubric as the role-play, so feedback starts early instead of at the first annual review. That's also when a strong onboarding plan pays off, because a new coach shouldn't spend those weeks learning your program from memory.

Where Avidon fits

When the program lives in your platform, you can hire for coaching skill instead of program knowledge. Avidon includes more than 40 behavior change courses grounded in cognitive behavioral science and built by health coaches and clinicians, so a new coach assigns proven content on day one rather than writing it.

Avidon's reporting also shows coach and member engagement, appointments and task loads, and its tracker dashboard can show members' progress by lead coach. So a coaching lead can see where a new coach needs support early, without building a spreadsheet to find out.

If you run coaching for clients or members, see how Avidon works for coaching companies.

Frequently Asked Questions

What coaching leaders ask before they post the next opening.

Should I require board certification when hiring health coaches?+
If your clients expect it, we'd require board certification or a certificate from one of the NBHWC's approved training programs. Board certification from the NBHWC means a coach finished an approved training program, passed a skills assessment, logged 50 coaching sessions and passed a national exam.
What should I ask in a health coach interview?+
Ask every candidate the same questions about real situations, like a member who stopped showing up or asked for something outside a coach's scope. Score the answers against a rubric you write before the first interview.
How do I test a health coach's skills?+
Run a short, recorded role-play with a scripted member, played by one of your experienced coaches. Score whether the candidate listens before advising, asks before giving information, stays in scope and lets the member choose the next step.
Can a registered dietitian or nurse work as a health coach?+
Yes. They can work within their license, and the NBHWC says the dual role should be discussed with the member and documented from the start. Your scope policy should spell out how your team handles it.
How do I know a new health coach is working out?+
Review a few recorded sessions with the new coach every few weeks during the first 90 days, using the same rubric as the hiring role-play, so feedback starts early.

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Author

  • The Avidon Health logo.

    Avidon Health is transforming how organizations promote healthier lifestyles through behavior change science and technology-driven coaching. Our mission is to empower individuals to achieve better health outcomes while driving measurable business success for our clients.

    With over 20 years of expertise in health coaching and cognitive behavioral training, we’ve built a platform that delivers personalized, 1-to-1 well-being experiences at scale.

    Today, organizations use Avidon to reimagine engagement, enhance health, and create lasting behavior change—making wellness more accessible, impactful, and results-driven.

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