Registered Dietitian

Fresenius Medical Care•Albany, NY
•$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. Serves as a member of the interdisciplinary healthcare team and supports the Quality Enhancement Program (QEP), Quality Assessment and Performance Improvement (QAI), and other process-improvement activities intended to help patients achieve individualized goals set by their physicians. The Registered Dietitian assesses patients’ nutritional status and knowledge of diet and kidney disease, provides patient-specific education and counseling, calculates diet prescriptions, monitors nutrition therapy and related laboratory results, and documents care in accordance with company policies and applicable regulations. The role collaborates with patients, families, caregivers, physicians, facility staff, and interdisciplinary team members to develop and implement individualized plans of care and address nutrition-related needs.

Requirements

  • Registered Dietitian credential as specified by the Commission on Dietetic Registration.
  • Current state licensure, if applicable.
  • Minimum of 1 year of professional work experience in clinical nutrition as a Registered Dietitian.
  • Demonstrated leadership competencies and skills, including teaching, organization, 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 standard practice.
  • Complete progress notes for chronic dialysis patients and maintain accurate medical-record documentation according to company policies and applicable regulations.
  • Provide ongoing nutrition assessments and outcome-oriented counseling to help patients achieve and sustain effective nutritional status.
  • Identify patients who are malnourished or at risk of malnutrition and collaborate with the interdisciplinary team on appropriate interventions and resources.
  • 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 goal achievement, 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 company 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.
  • When appropriate, work with the Case Manager on patient education plans and identify candidates for physician referral for nutritional supplements under disease management agreements.
  • Review nutrition-related laboratory results, counsel patients or caregivers, formulate appropriate actions, recommend treatment changes, and communicate results and recommendations to the interdisciplinary team, physicians, facility staff, and other providers of patient care as appropriate.
  • Participate in relevant staff, quality improvement, and care plan meetings.
  • Consult the FMS Corporate Dietitian regarding nutrition concerns as needed.
  • Maintain and improve professional knowledge and skills, and maintain dietetic registration and continuing education hours as required by the Commission on Dietetic Registration and applicable state regulations.
  • Collaborate with the interdisciplinary team to ensure work areas are safe and clean.
  • Perform other nutrition management and related duties as assigned.
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