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For consideration of any position we require a fully completed application. This includes Education Information, Employment History and Work Experience. Account for all employment within the last ten years, beginning with your current or most recent employer. In addition, indicate any other experience which you feel is relevant to the position for which you are applying (military experience, volunteer or experience gained etc.). If the field is not applicable, mark N/A. Please attach your resume as supplemental information only. Applications will be rejected if “SEE RESUME” is written on any portion of this section.
Under the supervision of the Diabetes Program Director, the Diabetes Case Manager (DCM) will conduct baseline assessments, develop treatment plans, and provide intensive case management and education to patients with diabetes to achieve treatment goals. In addition, the DCM will provide appropriate referrals and facilitate communication between Nursing, Medical, and Outreach.
MAJOR DUTIES AND RESPONSIBILITIES:
Working collaboratively with the local Diabetes Program Team, other health professionals and community agencies, local RPMS[CE1]staff, Coordinating Center[CE2], IHS, and other grantees, the Diabetes Case Manger:
- Collaborates with the Diabetes Team to develop and implement a patient care plan that meets the IHS Diabetes Standards of Care and standards for medication dosage, and treating or monitoring treatment of CVD risk factors to recommended target levels. Evaluates educational and clinical outcomes and makes appropriate referrals. Monitor patient’s care plan and verifies that services are meeting client’s need; acts as client advocate when circumstances dictate.
- Conducts Cardiovascular Disease (CVD) Risk assessments and provides appropriate case management and referral to all persons with diabetes. Focus will be on reduction of CVD risk factors including obesity, hypertension, hyperlipidemia, etc.
- Obtains, documents, and tracks all clinical visits, specified laboratory values and dosages of medications prescribed and administered.
- Uses case management techniques to monitor education and clinical interventions for individual clients. Routinely monitors group data for performance improvement activities.
- Provides diabetes self-management training and education to individuals or groups on all aspects of diabetes care with special emphasis on CVD risk factors. Use reliable, science-based, and culturally-relevant education material for providing comprehensive diabetes self-management training.
- Documents on educational encounters; topics covered and evaluation of the patient’s understanding in the medical record.
- Develops a process to assist the patient with establishing a goal-oriented plan for behavior change and methods to evaluate outcomes.
- Uses teaching strategies that use a variety of approaches and methods which incorporate theories and concepts related to adult learning, readiness for change, empowerment, and motivational interviewing.
- Procures, organizes, evaluates, updates, and develops patient education materials for use by health are professionals, patients, and family members. This includes home monitoring equipment and supplies.
- Answer incoming calls on new cases and proceeds with a plan of action in collaboration with physicians, families and clients. Keeps clients and physicians informed and assists in coordinating care.
- Monitor and input case notes, to provide up-to-date and accurate information on status of case ensuring effective interdepartmental communication.
- Interpret policies for patients, physicians and staff to ensure understanding and adherence to policies.
- Assists other departments with interpretation of medical information, to ensure that consistent and accurate medical information is given.
- Assist RN Site Managers, Public Health Nurses, and Community Health Representatives in problem solving complex patient issues.
- Knowledge of and skill in using Windows based applications
- Broad knowledge of medical diagnosis and appropriate treatments.
- Able to manage and prioritize multiple tasks; ability to pay close attention to detail and multi-task.
- Excellent written and verbal skills; proven ability to communicate with patients, physicians, co-workers and business contacts in a courteous and professional manner.
- Possess problem solving interpersonal and phone etiquette skill; ability to use initiative in solving customer problems. Proven ability to maintain a positive and professional attitude.
- Data entry skills as required.
- Attend required meetings and training sessions, and participate in organizational performance improvement activities.
- Participate in clinic related health events in the communities served by the corporation. This may require working weekends and evenings, if needed.
- Other duties as assigned by the Director of Diabetes Program.
Education & Experience
Bachelor of Science Degree
At least two years experience with Diabetes Education in a medical setting.
Experience with computerized medical management system desirable
Must have a current California License as a Registered Dietitian
Valid California Driver’s License with a safe driving record, DMV record required.
Current CPR Certification that meets the guidelines of the American Heart Association or Red Cross (Can be obtain prior to orientation)
Work a variable schedule to meet the client and Program needs. Must be able to work with the Indian Community, and be sensitive to Indian culture and its needs.
There is frequent exposure to contagious diseases. Walking and standing is frequent for long periods of time. Some sitting and lifting are required. The incumbent will be required to assist patients who are frail or handicapped.
You are also advised that this organization is required to give preference in employment and training to qualified Indian candidates (Title 2 U.S. Code 472 and 473) and Public Law 93-638 provided the applicant has submitted appropriate verification of Indian preference for employment.
NOTICE OF DRUG-FREE WORKPLACE ENVIRONMENT:
Riverside-San Bernardino County Indian Health Inc., has adopted a Drug-Free and Alcohol-Free Policy, in part, to satisfy its obligations under the Drug-Free Workplace Act of 1988. It is unlawful for any employee to manufacture, distribute, dispense, possess or use a controlled substance in the workplace. In addition, Riverside-San Bernardino County Indian Health, Inc., must be notified within five (5) calendar days of any criminal drug statute conviction for a violation occurring in the workplace. Employees who are suspected of violating Riverside-San Bernardino County Indian Health, Inc.’s Drug-Free and Alcohol-Free Policy may be required to submit to inspections of their persons, vehicles or personal property. This may include medical testing for alcohol and/or drug use.
ADDITIONAL JOB DETAILS:
$36.06 – $38.46 per hour
- Medical, Dental and Vision to all Full-Time Employees
- Paid Time Off, Extended Illness Time
- Paid Holidays
- Paid Time off for Bereavement and Jury Duty
- 401(k) – Retirement Programs
- Life Insurance- 2 Times Your Annual Pay (Limit Applies)
- Long Term Disability
- Supplemental Benefits- Accident, Critical Illness, Life, Short Term Disability
- Employee Assistance Programs
- Employee Fitness Program
- Tuition Reimbursement Program for Native American Employees
- Career Advancement Opportunities
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