+ Assess, plan and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care+ Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services+ Manage the care plan throughout the continuum of care as a single point of contact+ Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members+ Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team

+ Responsible for the management and operations of the location(s), including business development, budgeting, planning, people management, recruiting, and fiscal management. + Develops and manages the partnership between operations and clinical leaders. Collaborates with clinical leadership to deliver on company’s purpose, maintain compliance and accreditation, and ensure employee and client satisfaction. + Manages, directly and through others, the performance management and development of team members to ensure the retention, development, and performance of employees. + Responsible for location growth and client satisfaction. + Regularly review, interprets, and assesses the performance of location team to identify opportunities for improvement. Collaborates with location teams to focus resources and efforts for maximum success as defined by company’s leaderboard and financial metrics. + Develops, schedules, and maintains the Social Operating System Calendar for the location(s) to ensure operational and clinical alignment with operating plan, growth initiatives, technology plan, location opportunities, and team and client needs. + Responsible for all federal and state regulatory requirements. + Responsible for QAPI compliance. + Performs other tasks as needed to ensure that the location(s) meets its metrics in support of its strategic objectives.

+ Provide direct support and assistance to doctor and NP. + Assess patient condition (vitals, CGM monitors, BG monitors) + Updating patient records + Educate patient on diabetes regimen + Schedule patient appointments