Coordinated Care Specialist - Diabetic Care Coordinator Job in Norfolk, VA

at EyeCare Partners

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit



Builds and maintains relationships with community providers, provides support to patients and families to improve health status through monitoring of diabetic eye measures and education. Responsible for triaging acute/chronic eye disease referrals and scheduling accordingly. Supports community and internal group education sessions. Responsible for the database management and HEIDS quality measurement reporting.


Demonstrates quality patient service during interactions with patients, coworkers, and vendors:

· Exhibits a positive attitude and is flexible in accepting work assignments and priorities

· Meets attendance and tardiness expectations

· Is dependable; follows policies and procedures

· Maintains professionalism in interactions with patients and coworkers

· Performs quality work and consistently exhibits initiative



  • Communicates directly with patients who are referred via CCD to ensure patients follow-up on referrals and appointments. This includes phone contact, email and direct mailings.
  • Documents results appropriately within the Electronic Health Record. Coordinates as necessary with the PCP to ensure results are communicated.
  • Tracks and maintains current register of all CCD referred patients within the Electronic Health Record and ensures all data is accurately loaded.
  • Serves as liaison with network Optometrists collecting both billing and clinical data.
  • Assists the Diabetic Coordinator as needed with community events.
  • Assists with the management and internal functionality of the integrated eye network.
  • Participates in team/staff meetings; attends in service meetings and applicable workshops.
  • Other duties as assigned.


JOB QUALIFICATIONS To perform the job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily with or without reasonable accommodation. The requirements below are representative of the minimum knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.



  • High School Diploma or Equivalent.
  • Working knowledge of prevention, diagnosis and management of Diabetes Mellitus Type 2.
  • Proficient in Microsoft Office applications.
  • Experience managing databases, health record database management preferred.
  • Ability to participate in team/staff meetings; attend in-service meetings and applicable workshops.



  • N/A