Rachel A. Malish
Austin,TX
Summary
Adult Clinical Nurse Specialist with more than 25 years' combined experience as an ACNS, RN, and Certified Diabetes Educator teaching diabetes management, health education, exercise physiology, wellness, and nutrition at the college level, and in community and hospital settings. Knowledgeable about pathophysiology of all types of diabetes, including DeFronzo's "Ominous Octet;" mechanism of action of insulins; GLP-1 medication. Understand the benefits of GLP-1 on major adverse cardiovascular events (MACE), cardiovascular death, and major strokes. Experienced in teaching and implementing American Diabetes Association and American Association of Clinical Endocrinology Standards of Care. Salix Pharmaceuticals speaker on oral diabetes medication, Cycloset (dopamine receptor agonist).
Overview
32
32
years of professional experience
Work History
Diabetes Cardiometabolic Educator
Novo Nordisk Inc.
Austin, TX
02.2023 - 12.2025
- Instructor in DM2 pharmacological management; and ASCVD, ADA, and AACE Standards of Care. Remove barriers to prescribing GLP-1 and reinforce clinical benefits to using GLP-1 early.
Endocrinology Management
Premier Family Physicians
Austin, TX
01.2015 - 02.2023
- Served as the endocrine specialty resource for ~50+ providers (physicians, mid-level providers, chronic care nurses and Austin Geriatric Specialists).
- Managed over 600 endocrinology/diabetes patients. Played key role in preventing hospitalizations via quality care improvement, including CMP, A1C, micro-albumin ratio, and cholesterol management.
- Responsible for outpatient diabetes education/pattern management for people with Type 1 and Type 2 diabetes, osteoporosis, hypothyroidism, hyperthyroidism, prolactinomas, adrenal hormones, hypertension, and mixed hyperlipidemia.
- Developed a diabetes management program in the primary care setting. Conducted shared medical visits/taught diabetes self-management classes.
- Managed insulin therapy and taught diabetes self-management/ pattern management to patients on multiple daily injections and/or continuous subcutaneous insulin infusion therapy.
- Interpreted Continuous Glucose Monitoring System reports, recommend insulin/medication changes.
Adult Clinical Nurse Specialist Endocrinology
Austin Diagnostic Clinic
Austin, TX
09.2008 - 12.2014
- Roles similar to above.
Graduate Teaching Assistant Department of Pharmacology
University of Texas at Austin
01.2007 - 01.2008
- Assisted teaching undergraduate Nursing Pharmacology course. Gave introductory pharmacy practice lectures and helped lead physical assessment labs. Served as a resource/tutor for undergraduate and graduate pharmacology nursing students.
Diabetes Nurse Specialist, Certified Diabetes Educator
Austin Diagnostic Clinic
06.2002 - 01.2007
- Quality Coordinator of American Diabetes Association Accredited Education Recognition Program at Austin Diagnostic Clinic.
- Taught diabetes self-management training (DSMT) individual and group setting.
Registered Nurse/Diabetes Nurse Specialist
St. John Medical Center
Tulsa, OK
01.2000 - 01.2002
- Provided inpatient and outpatient diabetes education.
- Updated and changed hospital policies; provided staff in-services on diabetes education services, maintained Hospital-wide competencies, nursing guidelines for diabetes medications, etc.
Adjunct Instructor
Rogers University
01.2000 - 05.2000
- Medical Terminology required 3-hour credit/ instructor for nursing/paramedic students.
Registered Nurse/Intensive Coronary Care Unit
St. John Medical Center
Tulsa, OK
01.1998 - 01.2000
- Worked as float in all critical care departments (intensive, neurology, coronary and surgical): ICCU, NICU, CICU, SICU.
Exercise Physiologist
St. John Medical Center
Tulsa, OK
01.1994 - 01.1996
- Exercise Physiologist for Healthy Lifestyles, Cardiac Rehabilitation, and Therapeutic Aquatics Program departments.
Instructor, Department of Health and Human Performance
Northeastern State University
Tahlequah, OK
01.1994 - 05.1994
- Encouraged students' critical thinking skills by facilitating classroom discussions.
Education
M.S.N. - Adult Health, Clinical Nurse Specialist
The University of Texas
Austin, TX05-2008
A.A.S. Associate Degree R.N. -
Rogers State University
Claremore, OK05-1998
M.S. - College Teaching/Health and Physical Education
Northeastern State University
Tahlequah, OK05-1994
B.S. - Health and Human Performance
Northeastern State University
Tahlequah, OK05-1992
Skills
- Diabetes management
- Clinical education
- Patient care coordination
- Insulin therapy management
- Continuous glucose monitoring
- Chronic disease management
Affiliations
- American Association of Diabetes Educators, 01/01/03 to present
- Texas Clinical Nurse Specialists, 01/01/08 to present
- Bluebonnet Chapter, AADE, Austin Chapter, 01/01/02 to present
- American Diabetes Association, 01/01/92 to 01/01/96, 01/01/02 to present
- American Nurses Association, 01/01/08 to present
Current Certifications
- Certified Diabetes Care and Education Specialist, National Certification Board for Diabetes Educators, 01/01/03 to present
- Basic Life Support Health Care Provider, American Heart Association
- Certified Insulin Pump and Continuous Glucose Monitor Trainer
Current License
Advanced Practice Registered Nurse, Clinical Nurse Specialist-Adult Health, AP 117025, TX
Research
The effect of exercise on glycosylated hemoglobin A1C levels in Native Americans with non-insulin dependent diabetes mellitus., V. Brooks, PHD., Northeastern State University, Health and Human Performance Department, 05/08/94
Timeline
Diabetes Cardiometabolic Educator
Novo Nordisk Inc.
02.2023 - 12.2025
Endocrinology Management
Premier Family Physicians
01.2015 - 02.2023
Adult Clinical Nurse Specialist Endocrinology
Austin Diagnostic Clinic
09.2008 - 12.2014
Graduate Teaching Assistant Department of Pharmacology
University of Texas at Austin
01.2007 - 01.2008
Diabetes Nurse Specialist, Certified Diabetes Educator
Austin Diagnostic Clinic
06.2002 - 01.2007
Registered Nurse/Diabetes Nurse Specialist
St. John Medical Center
01.2000 - 01.2002
Adjunct Instructor
Rogers University
01.2000 - 05.2000
Registered Nurse/Intensive Coronary Care Unit
St. John Medical Center
01.1998 - 01.2000
Exercise Physiologist
St. John Medical Center
01.1994 - 01.1996
Instructor, Department of Health and Human Performance
Northeastern State University
01.1994 - 05.1994
M.S.N. - Adult Health, Clinical Nurse Specialist
The University of Texas
A.A.S. Associate Degree R.N. -
Rogers State University
M.S. - College Teaching/Health and Physical Education
Northeastern State University
B.S. - Health and Human Performance
Northeastern State University