Healthy Living Coach

Position Responsibilities

• Collaborate with clinical staff and complementary programs to facilitate a team-based approach to patient care, reinforcing recommendations made by other providers.
• Ensure HLC patients are seen and referred in accordance with grant requirements.
• Educate patients on disease processes and progression, behavior modification, SMART goals, and habit tracking.
• Provide in-person and telephonic coaching to prediabetic and diabetic patients, focusing on improved decision making, motivation, and resource navigation to improve disease outcomes.
• Define and document individualized patient goals, follow up with patients regularly, and track patient progress.
• Instruct patients on self-monitoring, including glucometers and continuous glucose monitoring systems.
• Identify potential barriers to fulfilling the evidence-based care plan thereby decreasing risk factors and potential for disease progression.
• Support registered dietician and providers with health education for patients within and outside of the program.
• Manage and document distribution and utilization of gym passes by eligible patients.
• Ensure compliance with agency and grant guidelines, including regular data collection and database updates.
• Facilitate patient enrollment in the grant and other community partner programs.
• Manage and coordinate patient communications and education related to prediabetic and diabetic health management.
• Assist and rotate with Clinical Manager-Nursing with oversight of daily operations of patient visits, including check-in/out processes and room assignments.
• Consult regularly with the clinical staff and the Prescription Health Program regarding patient needs.
• Utilize the EHR system for all patient encounters and communications.
• Oversee grant funds and supplies for prediabetic and diabetic patients.
• Participate in program evaluations and improvements.
• Partner with the Director of Contracts & Quality Assurance to submit monthly, quarterly and annual grant reports.
• Provide patient challenges and successes for grant reporting.
• Assist in the facilitation of group classes on chronic disease management and diabetes.

Quality And Safety

• Absorb and assist with back-office clinical processes, as needed.
• Ensure compliance with protocols for safe disposal of biohazardous materials.
• Ensure ancillary services are provided in accordance with applicable regulations, clinic policies and procedures, and referring provider requirements.

Miscellaneous

• Absorb and assist with other duties as assigned by the Lead Nurse Practitioner and Chief Health Imitative Officer.

Required Skills & Abilities

• Strong written and verbal communication skills.
• Excellent organizational skills and attention to detail.
• Effective time management abilities and adeptness at coordinating competing deadlines.
• Demonstrated proficiency in building strong relationships with internal and external stakeholders.
• Ability to prioritize teamwork and collaboration across departments.
• Proficient in Microsoft Office Suite, particularly with Excel.
• Aptitude for learning new technological skills and utilizing a variety of technologies.
• Experience with Electronic Health Records (EHR), preferably eClinicalWorks.
• Dedication to and embodiment of the mission and values of the St. Petersburg Free Clinic.

Education & Experience

• Minimum of an associate’s degree or higher.
• Active Licensed Practice Nurse (LPN) licensed strongly preferred.
• Certified Diabetic Educator designation, preferred.
• Direct patient care experience with adult diabetics, minimum of 3-5 years.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Agency-wide Responsibilities

• Maintain documentation and records in compliance with policies and procedures.
• Maintain confidentiality.
• Support the St. Petersburg Free Clinic’s commitment to diversity and inclusion.
• Adhere to agency policies and procedures, and all Federal, State, and local regulations.