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Job Description

The Division of Endocrinology, Diabetes and Bone Disease is providing care for patients with endocrine diseases—including, but not exclusive to diabetes— throughout the city by unifying protocols, programs, and treatments in the newly created Mount Sinai Health System to serve our community with endocrine disorders through outreach, education, and innovative community based programs.

Under the direction of the program’s leadership, the outpatient Diabetes Care Coordinator (DCC) acts as an integral part of the health care team at Mount Sinai physician network practice sites and/or faculty practice. The DCC formulates cohesive relationships with physicians, administrators, health care professionals, and office staff at their assigned practice sites to foster the implementation and ongoing delivery of Diabetes Self-Management Education/Training (DSME/T), Medical Nutrition Therapy and diabetes patient care. The DCC evaluates patient’s diabetes skills, knowledge of diabetes, and patient care needs including their nutritional needs as well as other co-morbid conditions and risk for developing a diabetes related complication. In collaboration with the medical team creates customized care plans for the provision of appropriate nutrition and diabetes care as per the American Association of Diabetes Educators (AADE) guidelines.

The DCC is responsible for activities that support patient focused care and the achievement of the American Diabetes Association and American Heart Association patient care goals. These activities include, but are not limited to, responding promptly to patient referrals from physicians and health professionals, performing diabetes, obesity and cardiovascular patient assessments as per departmental protocols, evaluating patient’s readiness to change, goal setting, evaluation of response to therapies, providing DSMT/ MNT, communicating variances in clinical indices to physicians and other members of the medical team, and following through in treatment plan enhancement. The DCC serves to promote clinical excellence and cohesive relationships at assigned physician practices. The DCC adheres to the policies and requests of the Mount Sinai Doctors physician practices and/or faculty practice and supports the Medical Director, Administrative, and Clinical leadership of the practice in accomplishing their objectives.

Qualifications

+ Bachelor’s degree or higher from an accredited institution, with completion of ACEND (Accreditation Council for Education in Nutrition & Dietetics)-accredited dietetic internship. Master’s degree preferred.

+ On-going portfolio documentation of continuing education in diabetes care and nutrition in progress.

+ Minimum 5-10 years’ progressive experience in nutrition and dietetics, including diabetes education. Demonstrated working within community-based diabetes, hospital, or physician practice on Diabetes Self-Management Education.

+ Registered dietitian (RD) from the Commission on Dietetic Registration (CDR) required

+ Certified Dietitian Nutritionist (CDN) from the NYS Department of Education Office of the Professions required or process initiated upon hire.

+ Advanced Certification, Certified Diabetes Care and Education Specialist (CDCES).

Responsibilities

+ Program Implementation: Successfully facilitates the implementation of the Diabetes Alliance or other program related to obesity and cardiovascular disease at select Mount Sinai physician network practice sites. Actively engages network and faculty practice physicians, their office manager, administrative staff, and health care professionals by: (1) explaining the objectives of the program, (2) reviewing the implementation requirements, including referral criteria and processes, (3) articulating the program interventions, value, and communication processes (5) discussing program guidelines and means of documentation, (7) highlighting diabetes self management educational topics, and (8) reviewing outcome measures and end points.

+ Establishing Cohesive Clinical Relationships with Network Physicians: Establishes and builds cohesiveness clinical relationships with network physicians and Mount Sinai specialists at network physician practice sites by discussing patient specific cases, opportunities to optimize patient care, patient’s response to treatment plan enhancement, and supports the dissemination of best practices surrounding diabetes self management education at each physician practice site.

+ Drives Clinical Value and Optimal Credibility: Performs patient care assessments, diabetes self management education, and builds customized care plans as per departmental guidelines with the medical team to reduce the risk of diabetes related complications, optimize patient and provider satisfaction, and patient care outcomes. Collaborates with physicians to update patient care plan and to support patients in understanding their treatment plan. Relates continuous glucose monitoring date as well as cloud connected glucometer data to the managing physician and follows-up with the patient in reinforce the updated treatment plan.

+ Focuses on Continual Quality Improvement: On an ongoing basis, identities opportunities to enhance effectiveness of the Diabetes Alliance or other program. Identifies variances in patient care processes and nutritional related issues at the practice level. Documents strategies to positively influence patient care, and works with the leadership to build and implement new standard operating procedures to enhance diabetes care.

+ Documents Clinical Effectiveness: Documents all patient encounters (face-to-face, video visits and telephone) as per departmental protocols. Ensures that clinical process measures related to diabetes and cardiovascular disease are clearly documented. Supports patient goal setting and documents patient’s progress in achieving their goals as per protocols. Adheres to the American Diabetes Association guidelines for documenting patient goals, patient education, and outcomes related to patient’s knowledge base, therapeutic lifestyle changes, and self care activities.

+ Builds Nutritional and Weight Management Plans and Educational Offerings: Develops Mount Sinai branded culturally sensitive meal planning and weight loss collaterals that can be utilized across all patient care setting (inpatient, ambulatory care, and network physician practice sites) in support of preventing diabetes and/or weight loss for those with diabetes and or cardiovascular disease. Builds cohesive relationships with physicians from Diabetes Alliance, Bariatric Surgery, Diabetes Center, and Cardiology to support the multidisciplinary approach to weight loss and healthy eating for those with diabetes, at-risk for developing diabetes, and cardiovascular disease, which can be adopted at select physician network practice sites.

+ Supports the Development of a Medical Team for Patients: Establishes a medical team for patients with diabetes, pre-diabetes and cardiovascular disease to support the goals of care outlined by the American Diabetes Association. Works effectively with Mount Sinai specialists (endocrinologists, cardiologists, bariatric surgeons, and vascular surgery) and primary care physicians while working onsite at network physician practice sites to ensure patients have access to specialty care to avoid adverse events.

+ Community Outreach and Marketing: Represents Mount Sinai at community based Diabetes and Cardiovascular Events. Educates the public and at risk communities in a culturally sensitive manner on optimal nutritional practice to support overall wellness. Links patients with specialty services available at Mount Sinai to ensure access to diabetes and cardiovascular specialty care.

+ Supports the clinical integration of new diagnostic tools, electronic medical records, and health care technology into daily practice operations.

+ Supports the implementation of patient satisfaction and retention initiatives to support the ongoing growth of patients under management by the network.

+ Monitors practice to ensure compliance with: Mount Sinai’s compliance standards, OSHA requirements, HIPAA compliance, emergency preparedness, universal precautions, JCAHO and practice certification standards, and managed care provider standards.

+ Other duties and responsibilities as assigned.

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $59895 - $105725.42 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.