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