The Collaborative Care Lead serves as the primary point of contact among patients, primary care providers, and the specialty care team to ensure care coordination and deliver high-quality diabetes care
Job Summary
The Collaborative Care Lead serves as the primary point of contact among patients, primary care providers, and the specialty care team to ensure care coordination and deliver high-quality diabetes care.
This role involves using data insights and clinical judgment to identify patients for intervention and partnering with various healthcare professionals to deliver personalized care to patients with diabetes living in rural Kansas.
The Collaborative Care Lead is responsible for documenting patient encounters, communicating with program leadership, and collaborating on the development and refinement of clinical intervention tools and protocols.
Matching Summary
The Collaborative Care Lead serves as the primary point of contact among patients, primary care providers, and the specialty care team to ensure care coordination and deliver high-quality diabetes care.
Skills & Requirements
Must-have
Care coordination for diabetes patients
Collaboration with primary and specialty care
Data-driven patient risk monitoring
Patient outreach and intervention
Documentation and communication with leadership
Travel up to 70% within Kansas
Nice-to-have
Development of clinical intervention tools
Training and onboarding healthcare providers
Refining clinical protocols and dashboards
Experience with rural healthcare delivery
Key Requirements
Bachelor Degree in Nursing
5 or more years clinical care experience
Certified Diabetes Care and Education Specialist (preferred)