Under the direction of the Director or Nursing, the RN Diabetes Educator is part of the primary care practice team and is responsible for organizing, coordinating and providing care management services and education to patients with diabetes.
The RN Diabetes Educator will focus on patients with and at risk for diabetes and related conditions to achieve behavior change goals which, in turn, lead to better clinical outcomes and improved health status. Diabetes educators apply in-depth knowledge and skills in the biological and social sciences, communication, counseling, and education to improve patient self-management.
1. Utilizes the Primary Care Medical Home model to deliver care that addresses current diseases, preventative and health maintenance follow-up 2. Collaborates with care teams to identify appropriate patients for diabetes self management education (DSME) and provide comprehensive multidisciplinary services to patients/families 3. Facilitate behavior change through motivational interviewing and conducting thorough, individualized patient needs assessment, develops care plan to address needs and clinical health status, and involves the patient and their families/significant others in care plan design 4. Monitors patient progress according to care plan objectives 5. Provides ongoing feedback and updates to patient’s primary care provider 6. Coordinates information and guidance given to the patient and/or family for improved self-management skills and enhanced patient-practitioner communication 7. Participates as a member of the multi-disciplinary Care Team towards the development and implementation of services, including medication and insulin initiation and management 8. Assists high acuity, complex patients as needed, during their medical appointment in understanding relevant details of the visit, as requested by either the patient or the medical team 9. Be able to analyze, evaluate and use critical thinking to make decisions and problem solve. 10. Attend and participate in staff meetings/ trainings/ exercises 11. Functions at highest level according to credentials and competency 12. Share accountability for overall patients’ health outcomes, working in coordination with Care Teams 13. Be part of a team and cooperate in accomplishing department goals and objectives. 14. May rotate to multiple sites to provide diabetes education 15. Completes other job duties/tasks as assigned
Teaching & Education:
1. Possess the skills and competencies to provide education about diabetes self-management to other health care providers. Diabetes educators may educate and supervise other health professionals, care coordinators and other personnel who interface with people with diabetes and their families and care givers. 2. Provides as-needed teaching to patients during medical appointments in order to assist in understanding their disease, medication compliance, specialty services recommended by primary care provider and/or any other medical needs the patient may require assistance in understanding. 3. Uses a step-by-step process when teaching skills. 4. Ability to develop and implement patient diabetes education classes as requested. 5. Uses positive reinforcement and encouragement. 6. Uses a flexible approach with a diverse population. 7. Attends both mandatory in-service trainings and related meetings, providing feedback to staff on the content of educational programs attended.
1. Completes ECW notes and other necessary paperwork for all care coordination and other services or teaching provided in a timely manner. 2. Monitors and maintains confidentiality in accordance with Neighborhood Healthcare policy and legal requirements. 3. Initiates and processes Unusual Occurrences per documentation guidelines. 4. Prioritizes activities according to need, and required follow-up. 5. Provides accurate and timely reports to supervisor and site staff as required.
1. Works in cooperation with coworkers and supervisory staff. 2. Acts as resource regarding current trends in patient education and nursing/medical management of patients. 3. Promotes collaborative teamwork. 4. Communicates effectively with staff, representatives of other agencies and the public. 5. Accepts and uses direction and supervision. 6. Ability and willingness to self-motivate, prioritize, and be agreeable to change processes to improve effectiveness. 7. Interacts in a manner which is professional, respectful, positive, helpful, and promotes trust. 8. Adapts to changing patient or organizational priorities. 9. Demonstrated ability to work and communicate with people from various ethnic, socio-economic, educational and experiential backgrounds. 10. Adheres to Infection Control protocols. 11. Performs all duties and responsibilities in accordance with the Nurse Practice Act and in accordance with basic principles and guidelines of professional nursing. 12. Acts in a manner consistent with HIPPA, the Corporate Compliance Program and Code of Conduct.
Additional Salary Information: Depends on experience
Neighborhood Healthcare provides comprehensive outpatient health care to meet the needs of individuals and families in our community. We promote regular and continuous care, where the patient is at the center of care.
Patients work closely with a care team to ensure quality of care. Our fully integrated system of care improves health outcomes and encourages healthy living.