Registered Nurse Care Manager - Diabetes

This innovative, technology-forward virtual medical practice that specializes in remote patient monitoring and chronic care management is currently hiring due to rapid growth. Our expert clinical team utilizes the latest digital technology to deliver personalized care to patients in a virtual care setting that allows easy, everyday patient access to the care team. Our streamlined integration of care is partnered with the local primary team and together, this fuels a powerful approach to achieving optimal patient outcomes. If you join our team, you will maximize your current and potential skills, and then discover the dual reward of professional and patient satisfaction.

The Diabetes RN 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 composed of Registered Nurse Care managers (RNs), CDCES/RNs, Nurse Practitioners (NPs), 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 RN/LPN will deliver remote education and care management to patients with individualized care plans set forth by the Nurse Practitioner and Endocrinologist. The RN/LPN will provide independent patient monitoring, outreach, education and titration of medications using approved protocols with the support of physicians and NPs.

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 RN/LPN 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 RN/LPN 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.