Clinical Lead for Diabetes and Cardiovascular Disease Prevention - Fair Haven Community Health Care

Fair Haven Community Health Care 


FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is “To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive.”


For 53 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients.  We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay.


Job purpose


Reporting to the Director of Medicine, the Clinical Lead for Diabetes and Cardiovascular Disease Prevention leads the FHCHC Diabetes Prevention Program [DPP], Diabetes Self-Management, and Intensive Lifestyle Intervention (ILI) programming. This is the clinical role that oversees related programs to achieve integration across diabetes and cardiovascular disease prevention and management.


Duties and responsibilities



+ Teaches group classes during diabetes screening events (oral glucose-tolerance test [OGTT] events) and conducts individual clinical encounters with participants.


+ Reviews OGTT results and provides clinical follow-up of results and treatment plans for patients with abnormalities/new diagnoses with DPP Nurse Coordinator.


+ Oversees and teaches ILI groups and oversees CDC data submissions and certification processes pertinent to DPP.


+ Integrates DPP and ILI data into existing quality improvement framework to support optimal quality metrics at the population level pertaining to diabetes and CV disease prevention.


+ Serves as quality coordinator for Diabetes Self Management Program. Submits relevant data to DPH in an accurate and timely fashion.


+ Collaborates with internal stakeholders including our Director of Programs, Clinical Director of Quality, Virtual Care Program Manager, and Food Program Director to integrate the DPP  and Diabetes Self Management programs with related programs such as our remote patient monitoring program (RPM) and our prescription for food program.


+ Develops and maintains community partnerships pertinent to the prevention and management of diabetes and cardiovascular disease.


+ Conducts individual patient visits 70% of the time (which may include OGTT visits) and performs the remaining duties in normal more than 30% of the time.  



Qualifications


MD/DO, PA, or APRN with demonstrated abilities in program management for at least one year. The ideal candidate will be a strong communicator with relationship-centered interpersonal skill, a detail orientation, financial thoughtfulness and with a hands-on leadership style. Fluency in Spanish is preferred. Those with Clinical Diabetes Educator certification, program management certification, and/or experience with quality improvement paradigms are highly encouraged to apply.


Direction  Reports


DPP Nurse Coordinator


 


 


 


OSHA Status


Category I—Increased Risk Position


Potential exposure to hazardous waste and blood borne pathogens, clinical settings


Physical requirements


Physical Demands: Requires walking, bending, sitting, standing, writing, reading, telephone use, data input into computer, pulling medical records, Mental Demands: Ability to cope with continual changing priorities under potentially stressful conditions. Manual Dexterity Required:  Ability to use a keyboard, telephone.


American with Disabilities Requirements:


External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.


Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.


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