Registered Dietician

Fresenius Medical Care•Ironton, OH

12d

About The Position

Provides nutritional services to 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 and supports the FMCNA Quality Enhancement Program (QEP), Quality Assessment and Performance Improvement (QAI) activities, and process improvement efforts to help patients achieve individualized goals established by their physicians. Assesses patients’ understanding of diet and kidney disease and provides education tailored to their learning needs. Conducts nutritional assessments, contributes to interdisciplinary comprehensive assessments and individualized plans of care, calculates diet prescriptions, and provides ongoing nutrition counseling. Monitors nutrition-related laboratory results, albumin, body weight, adherence, and response to nutrition therapy; adjusts therapy and coordinates appropriate interventions with patients, caregivers, physicians, and the interdisciplinary team. Maintains accurate medical records and required progress notes, participates in meetings and QAI activities, and maintains professional knowledge, dietetic registration, and continuing education. The position involves work in a health care facility, interaction with patients and care teams, and travel between assigned facilities and community locations. Regional, Business Unit, and Corporate meeting travel may also be required.

Requirements

Registered Dietitian credential as per the Commission on Dietetic Registration.
Current state licensure, if applicable.
Minimum of 1 year of professional work experience in clinical nutrition as a Registered Dietitian.
Demonstrated leadership competencies and skills, including teaching, organization, communication, customer service, relationship development, results orientation, team building, and decision making.
Ability to perform responsibilities with minimum supervision.
Basic computer skills.

Nice To Haves

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

Responsibilities

Assess patients’ knowledge of diet and kidney disease and provide education appropriate 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 according to established FMCNA guidelines and maintain complete, 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 of malnutrition and collaborate with the interdisciplinary team on interventions and resources.
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 unmet goals and address barriers to achieving them.
Collaborate with the interdisciplinary team on Urea Kinetic Modeling recommendations to support 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 FMCNA algorithms 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, when appropriate, 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 care providers as appropriate.
Participate in applicable staff, quality improvement, and care plan meetings.
Consult the FMS Corporate Dietitian regarding nutrition concerns as needed.
Maintain and improve knowledge and skills, dietetic registration, and continuing education as specified 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 nutrition management and related duties as assigned.