Registered Dietician

Fresenius Medical Care•Williamsburg, VA

8d•$62,000 - $104,000

About The Position

Provides nutritional services for the facility’s in-center and home patients, as applicable, to maximize nutritional status and improve clinical outcomes. As a member of the interdisciplinary healthcare team, supports the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities and participates in process improvement to help patients achieve individualized goals determined by their physicians. The role assesses patient knowledge of diet and kidney disease, provides individualized nutrition education and counseling, conducts nutritional assessments, calculates diet prescriptions, and contributes to written comprehensive plans of care. It monitors nutritional status and therapy outcomes, reviews nutrition-related laboratory results, identifies patients at risk of malnutrition, recommends interventions, and coordinates with patients, caregivers, physicians, facility staff, and the interdisciplinary team. The position also maintains accurate medical records, participates in QAI and care plan meetings, keeps professional knowledge and credentials current, and helps ensure work areas are safe and clean. The work environment is a health care facility with controlled air temperature and moderate noise. The employee may be exposed to infectious or contagious diseases or materials. Daily work includes desk and computer work and interaction with patients, facility staff, and physicians. Travel between assigned facilities and community locations is required; travel to regional, Business Unit, and Corporate meetings may also be required. The position has no supervisory responsibilities.

Requirements

Registered Dietitian credential as defined by the Commission on Dietetic Registration.
Current state licensure, if applicable.
At least 1 year of professional work experience in clinical nutrition as a Registered Dietitian.
Demonstrated leadership competencies and skills, including teaching ability, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building, and decision making.
Ability to perform responsibilities with minimum supervision.
Basic computer skills.

Nice To Haves

Board Certified Specialist in Renal Nutrition certification is encouraged.
Previous renal experience is preferred.

Responsibilities

Assess patients’ knowledge of diet and kidney disease and provide education suited to their learning needs.
Educate patients, families, and caregivers about nutritional status, adequacy measures and results, fluid status, and nutrition-related laboratory parameters.
Complete nutritional assessments and participate in interdisciplinary comprehensive assessments.
Participate in developing written, individualized comprehensive plans of care in accordance with applicable federal and state guidelines.
Calculate diet prescriptions according to standards of practice.
Complete progress notes for chronic dialysis patients and maintain accurate medical records in accordance with company policies and applicable regulations.
Provide ongoing nutrition assessment and outcome-oriented counseling to support effective nutritional status.
Identify patients who are malnourished or at risk for malnutrition and collaborate with the interdisciplinary team on interventions, resources, and solutions.
Review each patient’s albumin level and body weight at least monthly and implement the plan of care with patient, family, or caregiver involvement.
Monitor adherence and response to nutrition therapy, adjust therapy as needed, document barriers to achieving goals, and implement plans to address those barriers.
Collaborate with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician’s Kt/V prescription.
Collaborate on management and recommendations related to mineral metabolism and renal bone disease, anemia and iron status, nutritional and psychosocial status, vascular access, modality, rehabilitation status, and sodium and volume control.
Follow FMCNA algorithms and medical record policies.
Report nutrition QAI results and participate in the interdisciplinary QAI program.
Coordinate with team members in providing Pre-ESRD education as appropriate.
Work with the Case Manager when appropriate to coordinate patient education and identify candidates for physician referral for nutritional supplements under disease management agreements.
Review nutrition-related laboratory results, counsel patients or caregivers, formulate actions, recommend treatment changes, and communicate results and recommendations to physicians, facility staff, and other care providers as appropriate.
Participate in relevant staff, quality improvement, and care plan meetings.
Consult with the FMS Corporate Dietitian about nutrition concerns as needed.
Maintain and improve professional knowledge and skills, and maintain dietetic registration and continuing education hours as required by the American Dietetic Association and applicable state regulations.
Collaborate with the interdisciplinary team to ensure work areas are safe and clean.
Perform other assigned nutrition management and related duties.