Registered Dietitian

Fresenius Medical Care•Honolulu, HI
•$74,000 - $124,000•Onsite

About The Position

The Registered Dietitian provides nutritional services to in-center and home patients, as applicable, to maximize nutritional status and improve clinical outcomes. As a member of the interdisciplinary healthcare team, the dietitian supports the Quality Enhancement Program (QEP), Quality Assessment and Performance Improvement (QAI) activities, and process improvement initiatives that help patients achieve individualized goals established by their physicians. The role assesses patients’ knowledge of diet and kidney disease, provides tailored nutrition education and counseling, completes nutritional and comprehensive assessments, calculates diet prescriptions, and contributes to individualized plans of care. The dietitian monitors nutritional status, laboratory results, treatment adherence, and outcomes; coordinates appropriate interventions with patients, caregivers, physicians, and interdisciplinary colleagues; and maintains complete, accurate medical records in accordance with company policies and applicable regulations. The position is based on Oahu and is not remote. The work environment is a healthcare facility with controlled air temperature and moderate noise, and may involve exposure to infectious or contagious diseases or materials. Day-to-day 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 specified 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 competencies including teaching ability, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building, and decision making.
  • Ability to perform responsibilities with minimal supervision.
  • Basic computer skills.
  • Must reside on Oahu.

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 tailored to their learning needs.
  • Educate patients, families, and caregivers about nutritional status, adequacy measures, fluid status, and nutrition-related laboratory parameters.
  • Complete nutritional assessments and participate in interdisciplinary comprehensive assessments.
  • Develop written, individualized plans of care with the interdisciplinary team in accordance with applicable guidelines.
  • Calculate diet prescriptions according to standards of practice.
  • Complete progress notes 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, review albumin and body weight at least monthly, and collaborate on appropriate interventions.
  • Monitor adherence and response to nutrition therapy, adjust therapy as needed, document barriers to goals, and implement care-plan actions.
  • 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, nutrition, psychosocial status, vascular access, modality, rehabilitation, and sodium/volume control.
  • Follow company algorithms and medical-record policies.
  • Report nutrition QAI results and participate in the interdisciplinary QAI program.
  • Coordinate Pre-ESRD education with the interdisciplinary team as appropriate.
  • Work with the Case Manager on patient education plans and identify candidates for physician referral for nutritional supplements when appropriate.
  • Review nutrition-related laboratory results, counsel patients or caregivers, recommend appropriate actions or treatment changes, and communicate results and recommendations to the care team and relevant providers.
  • Participate in staff, quality improvement, care-plan, and other applicable meetings.
  • Consult with the FMS Corporate Dietitian regarding nutrition concerns as needed.
  • Maintain and improve professional knowledge and skills, including dietetic registration and required continuing education.
  • Collaborate with the interdisciplinary team to ensure work areas are safe and clean.
  • Perform other assigned nutrition-management and related duties.
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