CDE or Diabetes Care Specialist (RN/RD) Pediatrics and Maternal Fetal Medicine
Billings Clinic

The Pediatric Certified Diabetic Educator should have a broad knowledge base in diabetes care. This position is responsible for facilitating the education management of patients with newly diagnosed or poorly controlled diabetes from point of entry into Billings Clinic through the continuum of care. The strength of the role is in education and active collaboration with the multidisciplinary team and physicians to promote quality patient care. The Pediatric Certified Diabetic Educator promotes effective utilization; monitors health care resources and assumes a leadership role with the multidisciplinary team to achieve optimal clinical, financial and resource outcomes. This position develops and provides education to Billings Clinic staff, patients, as well as to care providers and family member of diabetics.

Essential Job Functions

•Supports and practices the mission and philosophy of Billings Clinic, Care Management and the Diabetes program.
•Education. Provides education to patients and families based on their specific needs including new patient education, injection and pump skills, training and troubleshooting and sick day management. Provides and coordinates education to nurses for disease related technology. Facilitates local and regional diabetes education for coordination of care between care providers of children with diabetes (school nurses, foster families, regional CDEs, etc.)
•Quality Improvement. Identifies issues, purposes solutions and reviews findings of monitoring and evaluation activities Accountable for oversight, planning, implementation and evaluation of the American Diabetes Association Educationally Recognized Diabetes Self-Management Education Program for Billings Clinic for pediatric patients. Acts as a change agent by participating in work re-design projects. Participates in maintaining
•Professional Development. Develop, implement and monitor policies/procedures of care related to diabetes patients and blood glucose monitoring protocols. Proactively support staff by advancing competence of diabetes care through education development
•Assessment. Gathers timely information from patient, family, medical team, medical record and other key resources. Anticipates needs based on reason for admission and discharge needs. Interacts and educates patients, families and public. Considers legal issues: Guardianship, care providers. Reassesses patient as needs change or dictate. Initial chart review (prior to assessment) and concurrent chart reviews. Identifies physical, psychological and spiritual needs and incorporates them into the plan of care. Encourage use of blood glucose protocols. Attend Diabetes Rounds as designated by the program director
•Planning: Formulation of Discharge Plan. Attend scheduled Diabetes Team meetings. Demonstrates timely intervention. Demonstrates creativity when needed. Considers resources available. Collaborates with physician(s) and other appropriate resources on treatment goals, projected length of stay, and discharge plan. Advocates for patient and family (care conferences, health care team meetings). Facilitates patient care conferences as needed. Reviews physician orders. Ensures compliance/accuracy with discharge plan. Make follow-up appointments for Diabetes Clinic as needed.
•Implementation: Patient Care Coordinator. Interacts with community resources/networks. Demonstrates knowledge of community resources. Ensures confidentiality. Ensures services appropriate for age/level of care. Monitors clinical pathways and collects appropriate data as dictated. Educates and trains staff for management of diabetes patients.
•Evaluation: Matches plan to patient/family physical, emotional, resource, and safety needs. Identifies risk management issues and communicates to supervisor/Risk Management Department. Communicates variances in discharge plan to patient, family and medical team.
•Interdisciplinary Team Participation: Incorporates team recommendations into plan. Ensures discharge needs are addressed and consensus reached. Incorporates clinical pathways info as appropriate/available. As delegated by the health care team, provides patient care and treatments according to scope of RN license, adhering to policy and procedures; documentation is concise and thorough.
•Documentation. Contents thorough and timely. Reflects plan, limitations, patient choice, legal considerations, family input, and education. Meets Cerner and other department/organizational/ professional documentation standards.
•Facility Compliance//HIPAA/QI/PRO. Participates in interdepartmental collaboration. Develops/implements processes/protocols and promotes changes as organizational needs dictate. Participates in process to ensure compliance and monitors knowledge of requirements. Reports needs/noncompliance issues. Completes assigned projects/duties. Assists in maintaining .
•Utilization Review. Demonstrates resource management. Demonstrates cost effectiveness. Provides timely interventions. Collaborates with care management team members. Monitors patient care to avoid redundancy, duplication or fragmentation.
•Professional Accountabilities. Demonstrates care Management standards. Participates in committees/unit involvement. Participates in and/or seeks out continuing education opportunities to maintain Diabetes Certification once attained.
•Safety. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
•Performs other duties as assigned or needed to meet the needs of the department/organization