Registered Dietitian

Fresenius Medical Care•AZ055 BMA Estrella JV - Clinic, AZ

28d

About The Position

Provides nutritional services for 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 established by their physicians. Assesses patients’ knowledge of diet and kidney disease and provides education tailored to their learning needs. Conducts nutritional assessments, contributes to comprehensive assessments and individualized plans of care, calculates diet prescriptions, and provides ongoing nutrition counseling. Monitors nutritional status, laboratory results, weight, adherence, and response to nutrition therapy; coordinates appropriate interventions and communicates recommendations to patients, caregivers, physicians, facility staff, and other care providers. Maintains accurate medical records and progress notes in accordance with company policies and applicable regulations. Participates in QAI and staff and care-plan meetings, coordinates with interdisciplinary team members, and consults with the FMS Corporate Dietitian as needed. The role floats between Palm Valley Clinic and Estrella Clinic and requires travel between assigned facilities and other community locations. The work environment is a healthcare facility with air temperature control and moderate noise; exposure to infectious and contagious diseases or materials may occur. Work includes desk and computer tasks and interaction with patients, facility staff, and physicians. No supervisory responsibilities.

Requirements

Registered Dietitian credential through 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 organization, excellent communication, customer service, relationship development, results orientation, team building, and decision-making.
Ability to perform responsibilities with minimal supervision.
Basic computer skills.

Nice To Haves

Board Certified Specialist in Renal Nutrition certification is encouraged.
Previous renal experience 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.
Help develop written, individualized comprehensive plans of care with the interdisciplinary team.
Calculate diet prescriptions according to standard 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 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 on Urea Kinetic Modeling recommendations to support the physician’s Kt/V prescription.
Collaborate with the interdisciplinary team on 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 algorithm and medical record policies.
Report nutrition QAI results and participate in the interdisciplinary QAI program.
Coordinate with team members to provide Pre-ESRD education 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, formulate actions, recommend treatment changes, and communicate results and recommendations to relevant care 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, dietetic registration, and continuing education as required by the American Dietetic Association and applicable state licensure regulations.
Collaborate with the interdisciplinary team to ensure work areas are safe and clean.
Perform other assigned nutrition management and related duties.
Travel between assigned facilities and community locations; travel to regional, Business Unit, and Corporate meetings may be required.