Diabetes Registered Nurse
Muckleshoot Indian Tribe - Auburn, WA

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The primary duties as the Diabetic RN are to establish and manage medical care plans for diabetic patients. This is conducted via one on one quarterly sessions or as needed in conjunction with group health education events. This position partners directly with the Registered Nurse and Community Health Representative for the Diabetes Program. As a team member you are charged with contributing to dietary and medical care methodology that is used as guidance to patients of all ages with an existing diagnosis of diabetes and for the prevention of diabetes. This position is in charge of collecting and reporting data along with utilizing an electronic health care reporting system of patient findings..


  • To be in attendance and on time.
Assessment Skills:
  • Collect data pertaining to patient assessment in a complete and systematic manner.
  • Monitor working environment to assure effective use of resources.
  • Demonstrate ability to screen and triage phone calls and refer/respond appropriately.
  • Assesses individual client’s nutritional needs using anthropometric, biochemical, clinical and dietary information; formulates and documents care plan.
  • Assess the patient’s need for exercise and provide counseling on various exercise and movement techniques appropriate to their condition and nutritional care plan.
  • Adept at utilizing diabetes monitoring equipment, laboratory results and provides appropriate interventions.
Clinical Skills:
  • Work with the Elders to help promote healthy eating and prevent deterioration in their health status.
  • Coordinates care with other health care providers and makes referrals to appropriate services; provides and documents case management, as needed.
  • Develops and presents information to clients individually, in classes or to community groups on diabetic nutrition, medication management, exercise and related topics. Participates in weight management classes.
  • Participates in the collection and analysis of data to identify populations at risk and participates in research and improvement of health care delivery.
  • Work with other Tribal Health Programs to improve the overall personal health of the patients.
  • Provide appropriate nutrition and wellness information to the patient and their families to help promote improved personal health practices and develop increased participation by all family members.
  • Provides technical assistance and nutritional consultation, including in-service training for other health care providers.
  • Coordinates and participates in community outreach programs, health fairs, diabetes health events, annual MIT Diabetes Prevention conference and other related activities in the Tribal community.
  • Oversees the monitoring and quality assurance of diabetes programs to meet laws, regulations, policies and procedures.
  • Attend social functions to evaluate specific culturally based foods which may be incorporated or substituted in the nutritional care plan.
  • Demonstrates comprehensive knowledge, skill and judgment within scope of practice.
  • Performs patient assessments and interventions for patients for nurse visits to include vital signs, dressing changes, wound care, chronic disease follow-up, and blood sugar checks.
  • Provides diabetic foot care.
  • Participates in annual diabetes audit; data collection, preparation, compilation, DMS updates and submission process. Compiles and evaluates DMS data for ongoing monitoring of patient status.
  • Participates in annual diabetes grant budget process.
  • Assists with GPRA indicators as they relate to diabetes.
  • Demonstrates knowledge of CDC, Dept. of Health, OSHA standards as they apply to the healthcare environment.
  • Adheres to standard precautions as appropriate.
  • Practices within the parameters of licensure and demonstrates accountability for own professional conduct.
  • Remains calm and professional in emergency situations. Responds appropriately.
  • Document recommendations in the correct format in the PCC.
  • Write diabetes and nutrition based articles and information for newsletters, patient education literature, brochures, and other relevant published materials
  • Writes nutritional guidelines and health education objectives for the prevention and/or progression of diabetes, and associated complications of diabetes to include CV disease, retinopathy, neuropathy and nephropathy.
  • Represents the MIT Health Program in a positive and professional manner when interacting with patients and the community.
  • Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, directors and providers.
  • Proficient in written communication, mail handling, filing, record keeping and documentation in the medical record.
  • Maintains strict confidentiality when dealing with sensitive client, clinical and workplace issues.
  • Demonstrates appropriate phone etiquette.
  • Proficient with computer programs, data compilation and reporting.

Because of the Tribe’s commitment to community service and the well being of it’s members, each employee may be expected to perform a wide range of office and field duties. Such duties may or may not be related to their regular responsibilities.


Required: Washington State license as a Registered Nurse and two (2) years of clinical experience in an ambulatory setting.

Preferred: Certified Diabetes Educator (CDE) and/or experience in a tribal health environment.


Ability to: Communicate effectively in the English language in person, by phone, and in writing. Enter/extract and analyze data for DM patients. Be physically active up to 60% of the time to include standing, lifting, bending, and reaching. Knowledge of: Medical terminology, anatomy, physiology and pathophysiology. Equipment, supplies and materials needed for medical treatment. Basic laboratory procedures including preparation and screening. Health care system structure and function. Infectious disease management, control and safety standards. Effective supervision. Medical record documentation. Basic pharmacology. Human systems (wellness, illness, growth and development, nutrition, behavioral, psycho-social and family systems). Skill in: Triage. Phlebotomy. Physical assessment. Communication (oral and written). Problem solving. Interviewing patients. Time management. Crisis intervention. Initiating appropriate emergency response. Maintaining and establishing working relationships and working with diverse populations and cultures. Handling a number of tasks simultaneously. Reading and following written medical orders.


The working conditions described here are representative of those that must be met by an employee to successfully perform the essential duties of this class. Work is performed mostly in a clinic setting. While performing the duties of this job, the employee is continuously required to talk, see and hear. The employee is occasionally required to sit, walk, bend, balance, crouch, kneel, reach and twist; and frequently use both hands to finger, handle, or feel objects including medical instruments, and reach with hands and arms. The employee must occasionally lift, move, push/pull and/or carry up to 40 pounds. Specific vision abilities required by this job include close and far acuity and the ability to adjust focus. Hand-eye coordination is necessary to operate computers and various pieces of office equipment. The noise level in the work environment is usually moderately quiet

Licenses or Certifications Required:

Washington State Registered Nurse License

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