Job description
About Assure Health:
Assure Health is a fast-growing remote patient monitoring and virtual care provider that has proven to improve outcomes for patients and lower the cost of care. We are a 50-state provider network and have built a best -in-class technology platform to deliver excellent, relationship-driven care for patients with chronic conditions in collaboration with health systems and health plans
The Role:
The Certified Diabetes Care and Education Specialist (CDCES) will provide specialty level endocrine/diabetes care to a defined panel of patients using advanced Remote Patient Monitoring (RPM) technology while working collaboratively with a dynamic team of clinical experts. The care team is comprised of Registered Nurse Care managers (RNs), CDCES/RNs, Nurse Practitioners (NPs), Dietitians (RDs), and patient coordinators, all of whom will work simultaneously to move patients to their targeted health goals under the direction of a Lead Endocrinologist. Applying clinical expertise and knowledge of diabetes management, the CDCES will deliver remote education and care management to patients with individualized care plans set forth by the Nurse Practitioner and Endocrinologist. The CDCES will provide independent patient monitoring, outreach, education and titration of medications using approved protocols with the support of physicians and NPs.
Responsibilities:
Identify gaps in diabetes knowledge to address and work to fully equip the patient with skill sets needed for self care.- Provide full DSMT (Diabetes Self Management Training) to patients remotely by using digital tools and virtual interactive platforms over a series of visits.
- Support and educate patients on the use of diabetes technology: including proprietary blood glucose meters, commercial continuous glucose monitors and diabetes smartphone apps
- Using integrated remote patient data, the CDCES will assist in medication adjustment using validated titration protocols with support from the medical provider when needed.
- Independent judgment will be used to identify the need for modification of the current treatment plan based on glucose trends. The CDCES will then work with the medical provider to explore other interventions or escalate therapy as needed.
- Identify SDOH (Social Determinants of Health) and apply problem solving skills to ensure optimal outcome by coordinating referrals to community resource programs, such as rehabilitation, financial assistance, behavioral health and other social services when needed.
- Serve as a resource to answer any clinical diabetes questions from the team and provide ongoing collaborative diabetes education to both internal and external health care team members.
Skills and Qualifications:
Current and unrestricted RN License in California- BSN Degree with CDCES certification required
- Spanish language skills require
- Knowledge of diabetes technology including Dexcom sensors, Libre sensors/flash readers, insulin pumps, diabetes smartphone apps, insulin calculators
- Knowledge and experience with ordering various insulins and other anti-diabetes therapies
- Passion for improving patient outcomes long-term
- Able to work full-time remotely (no nights, weekends or on-call)
- Strong communication skills and able to navigate team dynamics
- Proven experience being a quality, patient-focused care giver
- Previous experience in diabetes care management is preferred
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