Diabetes Care Manager – Chronic Care Management

Florence, SC

TRACKING CODE

6852

JOB DESCRIPTION

Diabetes Care Manager 

Essential Functions 

•    Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.  •    Responsible for managing targeted populations to achieve efficient and effective care delivery. •    Shall be responsible for implementing safe, appropriate, effective and efficient: •    Utilization management processes; •    Care coordination activities; •    Total cost of care initiatives; and Identification, enrollment and linkage for high risk patients •    Ensures continuity of care through evidenced based methods, including, but not limited to, medication reconciliation, self-management plan, engagement of family and care givers, education and referrals. •    Creates population based management strategies and processes (based on a solid understanding of care management, including disease management and preventive care) that help patients manage their healthcare needs and foster care quality, cost-effectiveness, and patient engagement. •    Works with interdisciplinary team to develop care plan and address gaps in care. •    Works closely with patient to understand disease specific related issues or interpret health risk assessment information to ensure patient meets or exceeds goals. •    Proactively anticipates and coordinates care services across multiple providers and care settings, process comprehensive self-management and health education for targeted member populations. •    Promotes and facilities improved clinical outcomes and patient satisfaction, as well as efficient use of resources in order to obtain optimum value for both the patient and reimbursement. •    Performs complete assessment of patient’s current health status and available resources, including barriers which may hinder patient’s ability to achieve optimal health. •    Establishes collaborative partnerships with patients to assist them in examining patters of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. •    Responsible for ensuring patient goals are achieved within specified time period based upon individual needs, reasonable expectations and documented outcomes. •    Demonstrates expertise in care management and serves as resource to the interdisciplinary health care team. •    Integrates knowledge of external and internal regulatory requirements into the review and management of cases. •    Functions as the patient’s consistent point of contact, serving as a bridge across the care continuum, actively collaborating across multiple disciplines to create aligned processes for transitions of care. •    Responsible for providing both clinical education and health education. •    Ability to provide case management and care coordination to various populations across the system, •    Engages in quality improvement activities.

Work Schedule: 80 Hours Biweekly. Full Time.

Qualifications /Training: •    Three years of total nursing experience required with a minimum of one year in care coordination/case management required •    Certified Diabetes Educator and/or 2 years of experience with Diabetes

Licenses/Certifications/Registrations/Education: •    Required: Associates degree in Nursing required •    Current unrestricted nursing license required. •    Will obtain diabetes certification within one year of hire.  

WORK SCHEDULE

Full time

JOB LOCATION

Florence, SC, United States

POSITION TYPE

Full time