Rn Manager

The Harold Schnitzer Diabetes Health Center Diabetes Education RN Manager provides management of all aspects of the inpatient and outpatient diabetes education program, including the diabetes education department budget, all human resource responsibilities, and direct management and leadership of inpatient and outpatient diabetes educators who are registered nurses and registered dietitians (RDs and RNs). The Diabetes Education RN manager oversees the Diabetes Education Program Accreditation, collaborates with the program coordinator to ensure the education program meets the requirements established by the American Diabetes Association, and collectively identify and implement quality improvements. The Diabetes Education RN manager collaborates with the inpatient diabetes educators to develop diabetes care and education transition programs and nursing education for skills days. This leadership position provides logistical support to the Harold Schnitzer Diabetes Center Outreach Program Manager to expand diabetes prevention programs across the State. The Diabetes Education RN Manager develops sustainable strategies to increase diabetes education services to patients across OHSU Health with the aim of improving patient outcomes. This leadership position develops and implements clinical programs including clinical policies and workflows for the diabetes center and diabetes education departments. This position works to assure access to innovated integrated health care systems and safe and efficient back-office clinic operations. The Diabetes Education RN Manager works under the guidance of the Diabetes Center Medical Directors and reports to the Division Manager while collaborating closely with the DoM Director of Clinical Operations and the front and back office supervisors. The Diabetes Education RN Manager leads in such a way that supports diversity, creativity and an environment characterized by a strong ethic of trust, respect, and cooperation. This position is requires to have direct patient care and the ability to work as a collaborative team member on a management team, including building a professional partnership within and outside the Harold Schnitzer Diabetes Health Center.
Overview of Diabetes Education RN Manager Duties: Manages Diabetes Education department: diabetes educators, inpatient diabetes educators. Provides technical and logistical support to outreach program manager. Advances diabetes education services across OHSU Health by partnering with OHSU primary care, Population Health, and OHSU partners. Facilitating integration of diabetes services across OHSU Health including affiliated hospitals. Works with OHSU partner's diabetes educators to standardize delivery of diabetes education services. Ensures access to diabetes education services from both internal and external referral mechanisms. Develops clinical workflows and policies and manages special clinical projects. In conjunction with back-office supervisor, actively participates in, and promotes values of service excellence. Ensures efficient back-office operations and delivery of high quality of care. The Diabetes Education RN Manager must possess strong knowledge and experience with Epic and program development to design robust and efficient workflows.
Diabetes Education Manager  Manages 15 direct reports (RDs represented by AFSCME and RNs represented by ONA, all serving as Diabetes Care and Education Specialists). Manages the diabetes education department budget and all human resources duties. Guides and directs Diabetes Education template design to support patient demand and efficient template utilization.  Designs sustainable provider appointment ratios and patient panels. Leads and supports redesign of diabetes education collateral materials for implementation across OHSU Health.  Establishes and implements compensation mechanisms for the exclusive diabetes education collateral resources with pediatric outreach and primary care stakeholders, OHSU partners, and other potential external collaborators. Manages OHSU contracting with industry partners for insulin pump teaching.  Monitors roles of Diabetes Care and Education Specialists including direct face-to-face patient care, Educator of the Day (EDO) and telephone triage, and care management program to provide patients with fast, competent and efficient diabetes care advice. Collaborates with inpatient clinical leadership in developing care protocols that facilitate patient transition to outpatient diabetes care and education services. Oversees the centralized education supply unit (CESU) workflows are sustainable, standardized and in compliance.  Collaborates with behavioral health and leadership to integrate diabetes and psychosocial screeners and assessment tools to support patients who meet criteria for care coordination and care management. Provides expert opinion and review of Spanish language diabetes education collateral materials Guides the development and implementation of Spanish language diabetes education curriculum and classes.  Supports the Diabetes Center Outreach Program Manager:
Assists in developing Epic workflows Supports new billing and contracting protocols to expand the National Diabetes Prevention Program (NDPP) across the State Collaborates in development of and long-term planning of outreach activities.  Provides data to support grant applications, philanthropic discussions, and funds seeking activities to advance the outreach agenda of the Center. Diabetes Education Integration within OHSU Health  Streamlines diabetes education referrals and patient access within OHSU and OHSU partners. Designs outpatient diabetes education services to increase access to pre-diabetes, diabetes self-management trainings, medical nutrition therapy and diabetes technology training.  Collaborates with OHSU primary care, population health, and ambulatory leadership to pay for a diabetes educator professional and facilitate onsite diabetes education services at primary care clinics.  Provides data analysis and recommendations to improve care process models, evaluating opportunities for program improvement, increased patient satisfaction and cost-containment. Designs a compelling proposal for pediatric diabetes outreach education to become expansion site(s) under HSDHC's Education Program ADA accreditation.  Develops a cohesive and standardized diabetes education program across OHSU Health.  Supports annual diabetes education professional development across OHSU Health.  Utilizes quality improvement tools and strategies to implement and track improvement initiatives. Interprets data, quality indicators, and applies findings to craft and monitor improvement efforts. In collaboration with providers, educators, Division Manager, DoM Director of Clinical Operations, Clinic Supervisors and Diabetes Center Medical Directors, identifies and evaluates strategic outreach activities aimed at improved care and access to care for patients with diabetes. Clinical Program Management Activities Advocates for program development based on needs of patients that are unmet in surrounding clinics or for whom appointments on Marquam Hill are not optimal. Maintains current telehealth models of care for chronic disease management and ensures compliance with all relevant institutional policies and practices. Anticipates operational and functional requirements to enable program development and expansion. Evaluates new products for use in practice. Participates in clinic wide quality improvement efforts and serves as a partner to DoM Director of Clinical Operations in implementing continual process improvement efforts.  Serves as EpicCare workflow expert and partners with the Back-office Supervisor to inform, educate and support staff with EpicCare related questions and changes.  In conjunction with the Back-office Supervisor develops and implements indirect and direct care processes for maximized efficiency and patient satisfaction including but not limited to: prescriptions, refills, prior authorizations, and certificates of medical necessity, point of care testing.  Designs new delegated care protocols in collaboration with medical directors and triage RNs to promote efficiency to the educator of the day (EOD) and triage roles.  Responsible for delegated care protocols annual reviews and staff competencies.  Develops clinical protocols and workflows in coordination with leadership and providers for care management, including frequency of visits, contact with clinic, telehealth interventions, and psychosocial services.  Direct Patient Care and Call Triage Responsible for telephone triage coverage of patient needs requiring timely response and care coordination. Occasionally provide education to the public and community with lectures, talks, and other engagements invited to participate in; work with dietetic interns and medical and nursing students during their rotations Delivery of Diabetes Self-Management Education & Support (DSMES) both individual and group, to patients and families referred, utilizing ADA and Association of Diabetes Care and Education Specialists (ADCES) Standards of Care and Practice Guidelines. Assess, interpret, develop, implement, evaluate and document a care plan for each patient/family and safely deliver this care. Assess patient/family learning, cultural, and linguistic needs, including social determinants of health barriers and readiness for change. Assess patient/families' most effective learning methods. Implement patient-centered care in all teaching sessions utilizing available tools and resources. Teaching takes place in the ambulatory setting. Assist patient and family/caregiver in identifying behavior goals and incorporates these into the teaching plan. Provide health teaching and counseling which is supportive and restorative of health. Documents response to these actions. Provide education to patients starting on or currently on insulin pump therapy. Applies delegated are protocols for initiation of insulin pump therapy and/or collaborates with the medical provider to determine initial pump settings and required adjustments to minimize hypo/hyperglycemia.  Provide education to patients starting or currently on continuous glucose monitors systems and other diabetes technology (glucometers, smart insulin pens, diabetes technology apps, etc.). Maintain appropriate and timely documentation on all patient encounters; documentation supports ADA and billing requirements.  BSN, RN, CDCES
5 years experience in medical diabetes management in a direct patient care setting. 
2-3 years ambulatory experience working as Certified Diabetes Care and Education Specialist.
Must have worked within a health care setting within past 3 years. Demonstrated organization skills. Demonstrated problem solving skills. Demonstrated communication, interpersonal and conflict resolution skills. Demonstrated leadership and planning skills.
Strong interpersonal, organizational and communication skills needed. Ability to work on varied projects while managing day-to-day operations within the division. Work positively and constructively with a diverse group of faculty and staff. Computer skills necessary included: the suite of Microsoft office programs.
Current Oregon State RN License
Current Certification in Diabetes Care and Education 
Master's degree in Healthcare Management, MBA, Nursing (focus in education, administrations) or Public Health Or 5years Experience in Diabetes Education administration.  WA license highly desired 

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