Registered Dietician

Blue Cross Blue Shield of Massachusetts • Hingham, MA

8d • $39 - $48

About The Position

Ready to help us transform healthcare? Bring your true colors to blue. The Role The Medicare Advantage Clinical Registered Dietician focuses on arranging and coordinating services that a member needs to get well or stay well. The Clinical Registered Dietician also works to remove barriers that prevent the member from engaging in an appropriate plan of care. The Team The Clinical Registered Dietician will be working with a team of other dedicated and compassionate nurses and providers to help meet department business objectives and measures. The Clinical Registered Dietician will be using a member-centric, collaborative process involving assessment, planning, targeted intervention and advocacy, for our members. The Clinical Registered Dietician will work with the member to identify options and services that meet their specific health needs through the health care continuum to promote optimal, cost-effective outcomes.

Requirements

• Ability to adapt and be flexible to change as priorities within this environment change constantly
• Willingness to learn new skills from both a business and clinical perspective
• Strong teamwork and communication skills as well as ability to be self-directive
• Cultural competence (demonstration of awareness, attitude, knowledge, and skills to work effectively with a culturally and demographically diverse population.
• Clinical assessment (ability to interpret, evaluate, and clearly document complex medical information using a directive and focused approach to identify relevant and actionable conditions, circumstances, and behaviors)
• Care planning (ability to identify and clearly document member-driven, specific, measurable activities that address actionable conditions, circumstances, and behaviors to improve health outcomes and cost-effectiveness of services)
• Member collaboration and engagement (ability to secure and maintain the motivation, participation, and collaboration of all relevant parties in a purposeful plan to improve health outcomes and cost-effectiveness of service delivery)
• 3-5 years direct patient clinical experience, (private practice, home care, hospital, or extended care facility)
• Health care professional with active Massachusetts license; Licensure in additional states a plus
• Knowledge of managed care plans and health insurance experience a plus
• Registered Dietitian with active Massachusetts license to practice. Note: any restrictions against a license must be disclosed and reviewed.
• Bachelor’s degree preferred in Nutrition/Dietetics masters a plus

Nice To Haves

• Certified Case Manager (CCM) is preferred, required for some roles

Responsibilities

• Assess and evaluate member or family support needs by using various data tools and resources
• Demonstrates clinical expertise and expanded knowledge of advanced nutrition and application to the complex patient
• Assist members and their families in the administration of their health plan benefits, promote medication compliance, coordinate care with treatment providers, PCP’s and other providers including VNA providers
• Assist the member in shared decision-making and goal setting to meet their nutrition care plan
• Evaluates nutrition plan and provides follow-up as needed.
• Collaborate within a team of professionals (supervisors, managers, account representatives, member service associates, and physicians) to conducts a nutrition assessment, which includes obtaining a nutrition history, review of risk factors, and medical history, and identification of nutrition behaviors contributing to risk
• Discusses results of nutrition assessment with patient identifying areas where patient can decrease health risks.
• Interact with treatment providers, PCPs, and physicians as needed to support the plan of care
• Monitor for clinical quality concerns and refers appropriately
• Provides telephone triage and crisis intervention when situation warrants, collaborating with utilization management peers when appropriate
• Promote Healthy Eating Habits to prevent and trat illness through dietary modification education
• Will need to understand regulatory requirements for designated programs: Medicare Advantage Federal Employee Program Commercial Care Medex

Benefits

• We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees