Job description
NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.
Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.
Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.
We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.
Role:
The Clinical Quality & DSMES Program Coordinator will lead the strategic and operational execution of our ADA-recognized Diabetes Self-Management Education and Support Program as well as clinical oversight for NationsNutrition programming. This role is responsible for ensuring DSMES program compliance, delivering high-quality diabetes education, quality assurance for clinical coaches, and coordinating interdisciplinary care to support patients in achieving their health goals.
Key Responsibilities:
- Monitor and evaluate the clinical delivery of programs, including ensuring care pathways are up to date, developing appropriate clinical resources, and assessing proper documentation
- Assess registered dietitian clinical support by monitoring and evaluating quality of care provided through completing monthly quality assurance
- Collaborate with registered dietitians to support high-quality, integrated care
- Monitor clinical alerts (blood pressure, blood glucose, heart rate) from members through connected devices and program outcomes, including patient satisfaction, clinical metrics, and utilization data
- Serve as the DSMES Quality Coordinator in alignment with ADA Education Recognition Program standards
- Ensure program documentation, reporting, and quality improvement initiatives meet ADA compliance requirements
- Monitor DSMES coaches to ensure provision of education using evidence-based practices and the AADE7 self-care behaviors
- Train and mentor staff involved in DSMES delivery and support ongoing professional development
- Actively participates in ADA audits, process improvements, and support reporting processes
- Ability to work independently and make decisions based on standard of care
- Take accountability for your work and the results of your efforts
Skills & Competencies:
- Excellent communication and interpersonal skills
- Strong organizational abilities and detail oriented
- Self-starter that is able to manage many priorities simultaneously
- Thrives in a fast-paced environment that requires critical thinking and creative problem solving
- Ability to work independently and collaboratively across teams
- Data-driven mindset with experience in program evaluation
- Commitment to health equity and patient-centered care
Minimum Qualifications:
- Registered Nurse (RN) with active compact state licensure, 3+ years of experience
- Must hold and maintain Certified Diabetes Care and Education Specialist (CDCES) certification, staying up to date with the required 75 CEU’s in 5 years to maintain certification
- 2+ years of experience in diabetes education or chronic disease management
- Experience coordinating ADA-recognized DSME programs, with strong understanding of ADA standards and accreditation processes
- Must be comfortable utilizing advanced technology
- 100% Remote: must have consistent access to clean, quiet workspace; solid internet connection; proficient technical experience
NationsBenefits is an equal opportunity Employer.
