Diabetic Care Manager Nurse (Adult & Pediatric)
Core
Plans targeted patient populations, manages resources and denials, and facilitates discharge planning and transitions of care for diabetic patients.
Role type
Diabetic Care Manager Nurse (Adult & Pediatric)
Builds
Discharge plans, care transitions, and post-acute referrals
Domain
Healthcare / Diabetic Care
Required skills
Registered Nurse license, 3 years clinical experience, discharge planning, utilization management, denial management, care coordination, patient education, multidisciplinary collaboration, resource management, documentation, advanced directives coordination, payer regulations knowledge
Preferred skills
Bachelor's degree in Nursing (BSN)
Technologies
Electronic record systems
Responsibilities
Manages transition/discharge planning for assigned patients; Collaborates with multidisciplinary team to facilitate transitions; Monitors patient progress and intervenes as necessary; Provides education to staff, physicians, and patients/families; Meets with patients/families to assess needs and develop individualized plans; Initiates and facilitates referrals to post-acute services; Communicates transition plans to team and families; Documents interactions and planning activities; Assists patients with medical power of attorney and advanced directives; Collaborates on financial management and entitlement program coordination; Utilizes quality screens to identify potential issues; Completes clinical reviews; Applies utilization criteria to ensure medical necessity; Screens for authorization and level of care; Facilitates covered day reimbursement certification; Educates staff on payer regulations; Fosters integration of staff and students; Completes annual specialty accreditation education
Seniority
Mid-level, hands-on IC