Diabetes Educator / Chronic Care Nurse

Job Description

Job DescriptionSalary: Dependent on Licensure and Experience

Diabetes Educator / Chronic Care Nurse

Evergreen Family Medicine is committed to providing excellent care for your family with clinics in Roseburg, Sutherlin and Myrtle Creek Oregon. Evergreen Family Medicine serves outpatient needs, including Urgent Care, Family Practice, Womens Health, Occupational Health, and school-based telehealth.

Evergreen Family Medicine is a Drug Free Workplace. All candidates that are offered employment will be required to pass a pre-employment drug screen and background check.

Responsibilities and Duties:

• Maintains confidentiality according to HIPPA regulations and EFM policies
• Adheres strictly to EFM departmental standards and policies, including state and federal regulations.
• Communicates effectively and professionally with coworkers, managers, and patients via phone, email, or in person.
• Coordinates the case management process from the patients admission to discharge and follow-up care, including ER follow up care.
• Capable of assessment of physical functioning as well as an understanding of both acute and chronic illness and disability.
• Identifies patients who are suitable for chronic acre/case management intervention. Seeks authorization for chronic care/case management services for families.
• Assess needs of patients/family, coordinates care and resources. Plans, develops, and implements appropriate patient care goals.
• Familiarity with community support services and resources. Knowledge of relationships among medical, psychological, and behavioral components of illness/injury.
• Monitors and documents quality of care to ensure patient care plan goals and appropriate and understood as well as implemented. Identifies patient needs, including those of ethical and cultural nature and assures that they are addressed.
• Assists with finding resources that can help with funding for medications and insurance issues.
• Identifies delays in service request or treatments and communicates them to the healthcare team.
• Establishes measurable chronic acre/case management goals that promote cost-effective, high-quality outcomes.
• Provides and/or assists in diabetic education, smoking cessation, and wound care management.
• Visits patients in care facilities and performs Chronic Care Management Services
• Reviews, evaluates and selects appropriate educational materials for program participants
• Provides classes and talks on diabetes prevention and lifestyle changes for individual participants, family members, community groups, and staff
• Manages related activities and programs, such as lifestyle change programs to encourage positive and healthy activities for patients.
• Administers class evaluations, monitors data for areas needing improvement and makes program changes as needed based on data
• Works with patients to customize the program to the individual with consideration for lifestyle, cultural, social, psychological and economic needs
• Compiles and submits reports as required for metrics
• Works to identify individual needs for other services not necessarily directly related to the Diabetes Prevention Program
• Provides blood glucose testing at events
• Other duties as directed by management

Qualifications and Skills:

• Degree, license or certification in LPN or RN with 2 years experience in clinical hands-on patient care or equivalent combination of education, experience and training
• Certified Diabetes Educator or Certified Health Education Specialist is required
• Experience in Diabetes education and/or nutrition is preferred; specialized training in Diabetes and/or nutrition may substitute for experience.
• Knowledge and skills with computer programs (e.g., Microsoft Office Suite, Excel and Publisher) is required
• Excellent verbal and written communication skills are required

Physical requirements:

• Prolonged periods sitting at a desk and working on a computer.
• The employee is frequently required to walk; use hands and fingers, handle, or feel; and reach forward with hands and arms.
• The employee is occasionally required to sit and stoop, kneel, or crouch.
• The employee must be able to talk, hear.
• May be exposed to patients with infectious diseases.
• Must be able to lift up to (20) pounds at times.
• Must be able to withstand physical and emotional stress.

Our culture and values are every employees responsibility: The needs of our patient come first S.P.I.R.I.T

• Stewardship
• Patient & Population Focused Health Care
• Integrity
• Respect
• Innovation
• Teamwork

Benefits:

• Health, Dental, Vision benefits
• Life Insurance
• 401k with a company match up to 6%
• Paid Time Off