Who we are
Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.
Our commitment is to:
· Strive to apply an equity lens to all our work.
· Reduce health disparities.
· Create an equitable work environment.
About the Role
Responsible for providing evidence-based diabetes education, health coaching, and chronic disease support to members enrolled in CHPW's Diabetes Care Program. Partners with members, providers, and interdisciplinary care teams to improve diabetes outcomes through education, behavior change, and clinical support. Promotes member self-management, improves quality outcomes, and practices within professional scope and organizational guidelines.
To be successful in this role, you:
- Have a bachelor’s degree in nursing (preferred for nurses), or a master’s degree in nutrition, Dietetics or relevant field, or equivalent combination of education and highly relevant experience, required.
- Other licensed clinicians with a CDCES certification may be considered based on education and experience.
- Possess a current, unrestricted license in the state of Washington as Registered Nurse (RN) or Registered Dietitian (RD/RDN), or other relevant licensure required.
- Possess a relevant certification, such as Certified Diabetes Care and Education Specialist (CDCES), Board Certified in Advanced Diabetes Management (BC-ADM), or other relevant certification, required, or must obtain CDCES or an approved certification within two (2) years of date of hire.
- Have a minimum of two (2) years’ experience in chronic disease management, diabetes education, or health coaching for diabetes management, or a combination of education and experience which provides an equivalent background, required.
- Previous experience in Managed Care, Medicare, and/or Medicaid, preferred.
- Experience with Motivational Interviewing, preferred.
Essential functions and Roles and Responsibilities:
- Provide evidence-based diabetes self-management education and support, chronic disease education, and health coaching to members enrolled in CHPW's Diabetes Care Program using motivational interviewing, behavior change strategies, and evidence-based practice.
- Assess members' clinical status, health literacy, readiness for change, barriers to self-management, social determinants of health, and educational needs by reviewing available clinical information, including laboratory values, medications, claims history, provider documentation, and glucose monitoring data to develop individualized self-management goals and action plans.
- Educate members on diabetes disease processes, medication adherence, glucose monitoring, nutrition, physical activity, risk reduction, and prevention of diabetes-related complications within professional scope of practice.
- Interpret clinical data, including laboratory results, continuous glucose monitoring (CGM) reports, blood glucose trends, and other available health information to identify opportunities for intervention, reinforce treatment goals, and provide individualized education.
- Provide Medical Nutrition Therapy (MNT) for diabetes and other chronic conditions to support improved clinical outcomes.
- Evaluate member progress toward individualized health goals and adjust education strategies based on member needs, outcomes, evidence-based practice, and member readiness for change.
- Collaborate with primary care providers, specialists, pharmacists, community partners, and interdisciplinary care teams to reinforce treatment plans, promote continuity of care, and facilitate referrals to appropriate clinical and community resources. Identify members who require comprehensive Case Management services and coordinate referrals according to established program guidelines.
- Utilize population health data to identify members appropriate for outreach, support HEDIS and Population Health Management initiatives, improve quality outcomes, and address gaps in care related to diabetes and other chronic conditions.
- Document member assessments, education, coaching, interventions, goals, outcomes, and all related clinical activities in the organization's care management system in accordance with organizational policies, regulatory requirements, and documentation standards.
- Serve as a clinical resource by participating in quality improvement initiatives, workflow development, policy and procedure updates, educational resource development, and department projects that improve member outcomes and program effectiveness.
- Represent CHPW through collaboration with providers, community organizations, health fairs, educational seminars, workgroups, and other outreach activities that promote diabetes prevention, education, and self-management.
- Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.
Knowledge, Skills, and Abilities:
- Knowledge of nutrition, exercise, and medications related to diabetes and prediabetes management.
- Knowledge of HEDIS measures.
- Ability to build trust with members and assist them in developing positive behavioral lifestyles to improve their health.
- Ability to handle multiple priorities.
- Skilled in motivational coaching, planning and goal setting.
- Effective written and verbal communication skills.
- Effective active listening and empathy skills.
- Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data.
- Proficient in Microsoft Office.
As part of our hiring process, the following criteria must be met:
- Complete and successfully pass a criminal background check.
Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
- Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
- Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.
Compensation and Benefits:
The position is FLSA Exempt and is not eligible for overtime. Based on market data, this position grade is 66E and has a 10% annual incentive target based on company, department, and individual performance goals. Salary determined at offer will be based on labor market data and a candidate's years of relevant work experience and skills relevant to the position.
CHPW offers the following benefits for Full and Part-time employees and their dependents:
- Medical, Prescription, Dental, and Vision
- Telehealth app
- Flexible Spending Accounts, Health Savings Accounts
- Basic Life AD&D, Short and Long-Term Disability
- Voluntary Life, Critical Care, and Long-Term Care Insurance
- 401(k) Retirement and generous employer match
- Employee Assistance Program and Mental Fitness app
- Financial Coaching, Identity Theft Protection
- Time off including PTO accrual starting at 17 days per year.
- 40 hours Community Service volunteer time
- 10 standard holidays, 2 floating holidays
- Compassion time off, jury duty pay.
Sensory/Physical/Mental Requirements:
Sensory*:
- Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.
Physical*:
- Extended periods of sitting, computer use, talking and possibly standing.
- Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion.
- Frequent torso/back static position; occasional stooping, bending, and twisting.
- Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching.
Mental:
- Frequent decision-making. Ability to gather and assess data, determine appropriate actions, apply protocols and knowledge to unique situations, problem-solve and provide consultation.
Work Environment:
Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
*Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.
*The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.
