Registered Dietitian

Fresenius Medical Care•Dededo, GU

13d

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, supporting 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. The Registered Dietitian assesses patients’ understanding of diet and kidney disease, provides patient-specific education and nutrition counseling, completes nutritional assessments, calculates diet prescriptions, and contributes to individualized plans of care. The role monitors nutritional status, laboratory results, albumin and body weight, adherence and response to nutrition therapy, and collaborates with the interdisciplinary team on appropriate interventions and recommendations. It also includes documentation, reporting on nutrition QAI results, coordination of patient education, and ongoing professional development. The work environment is characteristic of a healthcare facility, with air temperature control and moderate noise levels. The role may involve exposure to infectious and contagious diseases or materials. Daily work includes desk and personal 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.

Requirements

Registered Dietitian credential as per 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.
Maintain dietetic registration and continuing education hours as specified by the American Dietetic Association and applicable state licensure regulations.

Nice To Haves

Board Certified Specialist in Renal Nutrition 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 in accordance with company policies and applicable regulations.
Provide ongoing nutrition assessment and outcome-oriented counseling to help patients achieve and sustain effective nutritional status.
Identify patients who are malnourished or at risk for malnutrition and work with the interdisciplinary team to identify 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 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 with the interdisciplinary team on mineral metabolism, renal bone disease, anemia and iron status, nutritional and psychosocial status, vascular access, modality, rehabilitation status, and sodium/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 to coordinate 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 physicians, facility staff, and other providers of patient care.
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, dietetic registration, and required continuing education hours.
Collaborate with the interdisciplinary team to ensure work areas are safe and clean.
Perform other nutrition management and related duties as assigned.