Registered Dietitian

Fresenius Medical Care•Ewa Beach, HI
•$74,000 - $124,000

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. The Registered Dietitian is a member of the interdisciplinary healthcare team and supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. The role actively participates in process improvement activities that help patients achieve individualized, physician-determined goals. The position assesses patients’ knowledge of diet and kidney disease, provides individualized nutrition education and counseling, completes nutritional assessments, calculates diet prescriptions, and contributes to comprehensive plans of care. It monitors nutritional status and therapy outcomes, identifies patients at risk for malnutrition, reviews relevant laboratory results and patient measurements, recommends interventions, and collaborates with the interdisciplinary team, physicians, caregivers, and other care providers. The role maintains complete and accurate medical records, participates in QAI and other meetings, coordinates nutrition education and care as appropriate, and maintains dietetic registration and continuing education. Work takes place in a healthcare facility and includes desk and computer work, interaction with patients and care teams, and travel between assigned facilities and other locations in the community. The work environment may involve exposure to infectious and contagious diseases or materials.

Requirements

  • Registered Dietitian credential as specified by the Commission on Dietetic Registration.
  • Current state licensure, if applicable.
  • At least one 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 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 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 in accordance with applicable federal and state requirements.
  • Calculate diet prescriptions according to standard practice.
  • Complete progress notes for chronic dialysis patients and maintain complete, accurate medical-record documentation in accordance with FMCNA policies and applicable regulations.
  • Provide ongoing nutrition assessment and outcome-oriented counseling to help patients achieve and sustain effective nutritional status.
  • Identify malnourished patients and those at risk, collaborate with the interdisciplinary team on interventions and resources, and review each patient’s albumin level and body weight at least monthly.
  • Implement plans 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 care plans addressing 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 concerning mineral metabolism and renal bone disease, anemia and iron status, nutritional and psychosocial status, vascular access, modality, rehabilitation, and sodium and volume control.
  • Follow FMCNA 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.
  • Work with the Case Manager when appropriate to coordinate patient education and identify candidates for physician referral for nutritional supplements under disease management agreements.
  • Review nutrition-related laboratory results, counsel patients or caregivers, formulate actions, recommend treatment changes, and communicate results and recommendations to physicians, facility staff, and other care providers as appropriate.
  • Participate in staff, quality improvement, care plan, and other applicable meetings.
  • Consult 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 Commission on Dietetic Registration and applicable state regulations.
  • 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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