Registered Dietitian

Fresenius Medical Care•Glendale, WI

6d•Onsite

About The Position

Provides nutritional services to in-center and home patients at the facility to maximize nutritional status and improve clinical outcomes. The Registered Dietitian is a member of the interdisciplinary healthcare team and supports the Quality Enhancement Program (QEP), Quality Assessment and Performance Improvement (QAI) activities, and other process-improvement efforts. The position serves the Glendale and Appleton Avenue locations, Monday through Friday, 8:00 a.m. to 4:30 p.m., and requires travel between assigned facilities and other locations in the community. The Registered Dietitian assesses patients’ knowledge of diet and kidney disease, provides patient- and caregiver-specific education and counseling, conducts nutritional assessments, and contributes to individualized comprehensive care plans. The role includes monitoring nutrition-related laboratory results, albumin levels, body weight, treatment response, and adherence; recommending adjustments and interventions in collaboration with physicians and the interdisciplinary team; and maintaining complete, accurate medical-record documentation. The dietitian also participates in care-plan and staff meetings, QAI activities, and coordination of pre-ESRD education and other patient-care needs. The work environment is a healthcare facility with temperature control and moderate noise. The position involves desk and computer work and interaction with patients, facility staff, and physicians. Exposure to infectious or contagious diseases or materials may occur. The role has no supervisory responsibilities.

Requirements

Registered Dietitian credential as per 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 ability to teach, with strong organizational skills, communication, customer service, relationship development, results orientation, team building, and decision-making skills.
Ability to perform responsibilities with minimum supervision.
Basic computer skills.

Nice To Haves

Previous renal experience preferred.
Board Certified Specialist in Renal Nutrition encouraged.

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, fluid status, and nutrition-related laboratory parameters.
Complete nutritional assessments and participate in interdisciplinary comprehensive assessments.
Collaborate with the interdisciplinary team to develop and implement individualized written plans of care.
Calculate diet prescriptions according to standard practice and complete progress notes for chronic dialysis patients.
Maintain accurate medical-record documentation in accordance with company policies and applicable regulations.
Provide ongoing nutrition assessment and counseling to help patients achieve and sustain effective nutritional status.
Identify patients who are malnourished or at risk of malnutrition and collaborate with the team on appropriate interventions.
Review each patient’s albumin level and body weight at least monthly.
Monitor adherence and response to nutrition therapy, adjust therapy as needed, document barriers to goals, and address those barriers through the plan of care.
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, renal bone disease, anemia and iron status, nutritional and 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 and, when appropriate, work with the Case Manager on patient education and referrals 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 care providers.
Participate in staff, quality-improvement, care-plan, and other applicable meetings.
Consult with the corporate dietitian about nutrition concerns as needed.
Maintain professional knowledge and skills, 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.
Provide diet education, monthly and annual assessments and care planning, monthly lab review, patient documentation, physician rounding, and care for in-center and home patients.