Registered Dietitian - LWE

Montefiore New Rochelle•City of New Rochelle, NY

3d•Onsite

About The Position

The Registered Dietitian provides in-depth nutrition assessments for patients at high nutritional risk or as required by policy, including nutrition-focused physical examinations and identification of nutrition diagnoses and their causes. The dietitian develops individualized medical nutrition therapy care plans, interventions, goals, and discharge recommendations; educates patients and families about appropriate diet therapies; and monitors progress toward resolving nutrition diagnoses and achieving goals. The position serves as a core member of interdisciplinary patient-care teams and contributes nutrition expertise to hospital staff and associates. Duties include prioritizing and completing consultations, assessing nutritional needs and malnutrition risk, recommending and monitoring diet orders and nutrition support, documenting care in the medical record, counseling patients and caregivers, and participating in departmental education, policy development, and quality improvement activities. The role also supports dietetic students and interns and maintains professional knowledge and credentials.

Requirements

Bachelor of Science degree required.
Registered Dietitian/Nutritionist credential required.
Maintain active Registered Dietitian credentialing.
Average 15 continuing education credits per year, or 75 credits over five years.

Nice To Haves

Master of Science degree preferred.

Responsibilities

Triage assigned units daily to prioritize nutrition consultations, follow-ups, and patients who may need consultation; communicate with nursing and provider teams when a consult is appropriate.
Complete nutrition consultations within applicable policy time frames and document interventions and any delays.
Assess patients’ nutritional status and needs using medical records, interviews, nutrition-focused physical examinations, diet history, laboratory and medication information, fluid balance, weight status, intake, and tolerance of oral, enteral, or parenteral nutrition.
Calculate estimated calorie, protein, fluid, and micronutrient needs; determine how well needs are being met; and recommend appropriate diets, supplements, and nutrition support.
Perform and document nutrition-focused physical examinations for appropriate patients, including assessment of muscle and fat stores and signs of fluid retention or dehydration.
Identify and document malnutrition using ASPEN/AND criteria and communicate findings and care plans to the interdisciplinary team.
Formulate appropriate nutrition diagnoses, etiologies, evidence, and PES statements in accordance with Academy of Nutrition & Dietetics terminology standards.
Develop and document realistic nutrition care plans and goals, including diet changes, oral supplements, enteral or parenteral nutrition, fluids, micronutrients, referrals, and discharge recommendations; pend appropriate orders in the EMR.
When appropriate, design and enter parenteral nutrition prescriptions, calculate their nutrient content, coordinate with the TPN pharmacist, and monitor according to policy and best-practice guidance.
Monitor patient progress, tolerance, compliance, anthropometric measures, laboratory data, and psychosocial issues; document follow-up and revise diagnoses, interventions, and goals as needed.
Evaluate patients’ and caregivers’ nutrition counseling needs and provide education using suitable methods and materials; use interpreters and refer to other dietitians when appropriate.
Document consultations, assessments, care plans, calorie counts, malnutrition assessments, follow-up notes, and counseling in the medical record according to policy.
Complete monthly productivity logs accurately and on time, and update CBORD or EMR patient files daily with intervention dates, care levels, follow-up dates, recommendations, and preferences.
Provide dietitian coverage as needed to support timely consult response and continuity of care, prioritizing work and communicating coverage issues.
Provide nutrition expertise to healthcare professionals through in-services, lectures, guidance, and instruction as requested or needed.
Instruct, precept, and evaluate dietetic students and interns, providing ongoing feedback and completing required evaluations on time.
Maintain professional knowledge and credentials through continuing education; participate in interdisciplinary meetings, rounds, performance improvement, staff training, and development or revision of nutrition-related policies and materials.
Act in accordance with Montefiore policies, standards of care, mission, goals, and expectations; perform other duties as assigned.