Diabetes and Nutrition Program RN Care Coord

Company: Chase Brexton Health Care
Location: Columbia
Posted on: May 24, 2025

Job Description:

Job SummaryA Diabetes and Nutrition Program RN Care Coordinator is responsible for providing comprehensive care management, education, and support to patients with diabetes and nutrition-related health concerns. This role combines clinical nursing expertise with care coordination and patient education skills. The Nurse Care Coordinator will collect and analyze patient-level data, assist with the development and maintenance of diabetes and nutrition care plans, and evaluate outcomes of interventions. Assures compliance with regulatory body standards (including Joint Commission, HRSA, PCMH, and grant funding sources).Major Duties And ResponsibilitiesAnalytical and Critical Thinking

• Assess patients' nutritional and health needs using documentation in the Electronic Health Record
• Conduct an interview and assess patient's understanding of diabetes and nutrition knowledge to prepare an individualized care plan.
• Collect and analyze performance improvement dataCommunication
  • Counsel patients on nutrition issues, healthy eating habits, and diabetes self-management
  • Provide education on medical conditions, including diabetes, through various formats such as group classes, workshops, and written materials
  • Provide a basic diabetes and nutrition education and coordinate follow up for Diabetes Self-Management Training (DSMT), nutrition management or pharmacotherapy management.
  • Participate in strategic planning and operational improvement initiatives
  • Provide training and orientation for clinical staff on diabetes care and nutrition management
  • Train and supervise diabetes and nutrition navigator to efficiently support the program operations at its max capacityTeamwork
    • Collaborate with interdisciplinary healthcare teams to ensure continuity of care
    • Coordinate transitions of care and referrals to internal and external services
    • Serve as a resource for Chase Brexton staff on nutritional management of patientsCompliance, Policy, and Procedure
      • Drive compliance to the National Standards for Diabetes Self-Management Education and Support (DSMES)
      • Develop and implement policies and procedures related to diabetes care and nutrition servicesWillingness to Learn
        • Engage in professional development activities to keep abreast of care management practices and patient engagement strategies.
        • Attend training sessions and staff meetings as assigned.Skills And Abilities
          • Ability to coordinate communication effectively between various disciplines involved in diabetes and nutrition management.
          • Able to prioritize competing responsibilities and manage complex caseloads.
          • Motivational interviewing skills.
          • Experience with documentation in an Electronic Medical Record
          • Ability to work with computers in word processing, and database applications preferred.
          • CPR certified by scheduled start date.
          • Must be flexible and adapt to a changing environment.Education And/Or Experience
            • Graduate from an Accredited School of Nursing; Current Maryland Nursing License
            • Chronic disease management experience, especially in Diabetes.
            • Encouraged to maintain membership in professional organizations such as the AAACN, ANAC, etc.
            • Preferred: Certified Diabetes Educator (CDE) or Certified Diabetes Care and Education Specialist (CDCES)Working Conditions/Physical Demands
              • Work is typically performed in an office environment. Depending on client/population needs, may also include clinical and community and/or home-based activities, as appropriate to program.

Keywords: Chase Brexton Health Care, Dundalk , Diabetes and Nutrition Program RN Care Coord, Healthcare , Columbia, Maryland