Provides direct nursing care in accordance with estabilished policies, procedures and protocols of the Chronic Disease Program.
Utilizing the chronic care model and in accordance with nationally-recognized best practices, coordinates the delivery of patient care provided by the healthcare team.
Provide counseling and education during clinic visits for patients and/or family members with diabetes and hypertension.
Perform medication reconciliations for/with high risk patients.
Participates as a team member and promotes teamwork by assisting the care team with direct patient care and department activities.
Perform follow-up telephone counseling for patients seen during clinic.
Serve as a resource for patients to encourage patient empowerment and compliance.
Acts as a resource within the clinic to other staff members in regards to the care of patients with diabetes.
Participates in collaboration with the health care team in identifying, evaluating, and prioritizing patient and family needs to develop a plan of care.
Delegate tasks and responsibilities to Chronic Disease Health Educators to maximize patient care.
Maintain knowledge of care guidelines and parameters for scheduling tests, referrals and appointments.
Identify opportunities to improve work flow, work processes and patient care, and work cooperatively to implement these and other quality improvements.
Participate in problem identification and resolution in functions relevant to duties.
Maintain effective communication with Unit staff, other floor personnel, Clinic management and all departments.
Demonstrate support for decision making, policies and procedures.
Participate in quality improvement processes and projects, including policy and procedure development and updates.
Adhere to HIPAA guidelines
Education: RN, graduate of an accredited school of nursing.
Experience: Two years experience in health education, counseling or working in a health clinic.
Current professional license to practice in the State of Texas.
Knowledge, Skills, and Abilities:
Bilingual in English/Spanish
Strong written and verbal communication skills, including reflexive listening;
Skill in public relations and group presentations
Basic counseling skills and health education knowledge, including understanding of human anatomy and physiology
Able to establish and maintain cordial and professional relationships with patients, volunteers, and Clinic staff;
Able to develop and use resource and referral systems.
Able to work independently, exercising personal initiative.
People s Community Clinic is committed to equal employment opportunity regardless of race, color, national origin, religion, gender, sexual orientation, age, language, disability, pregnancy, gender identity or sex stereotyping.
Associated topics: cardiothoracic, care unit, coronary, domiciliary, intensive care, intensive care unit, mhb, nurse, nurse rn, registed
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.