SPECIFIC DUTIES AND RESPONSIBILITIES: All duties are subject to accommodation in accordance with the American Disability Act (ADA).

• Utilizes assessment skills to identify the needs of those with diabetes, hypertension, obesity and other chronic diseases.

• Develops individualized, patient educational plans based on assessment findings

• Provides education on a variety of topics including heart health, diabetes, asthma, weight management and a healthy lifestyle.

• Assists patients in self-monitoring, managing signs and symptoms of diabetes and other chronic illness, and adherence to treatment plans.

• Ensures best practices and evidence-based care to achieve best patient outcomes.

• Provides care to patients across the spectrum

• Works as part of a team to ensure coordinated, patient-centered care

• Supports and complies with established clinical and agency policies and procedures, including QI/QA and medical records, in accordance with Joint Commission and PCMH standards, and federal and state mandates, including FTCA regulations and scope of practice

• Supports data collection systems and reporting of statistical data necessary for grant or QI/QA purposes as needed

• Participates in performance improvement activities to ensure desired outcomes are achieved.

• Participates in such continuing professional educational activities as needed to maintain licensure

• Other related duties as assigned

Qualifications:

• Possess good interpersonal and organizational skills
• Computer literacy
• Ability to work with a culturally diverse population.

Education and/or Experience:

• Bachelor’s Degree in Nursing
• Certified Diabetes Care and Education Specialist (CDCES) preferred
• 3 to 5 years’ experience in diabetes education and collaborative care chronic disease management

Physical Requirements and Work Environment:

The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.