Registered Dietitian- Clinic

Fresenius Medical Care•Shreveport, LA

12d•Onsite

About The Position

Provides nutritional services to 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 Quality Enhancement Program (QEP), Quality Assessment and Performance Improvement (QAI), and other process improvement activities. Works with patients, families, caregivers, physicians, facility staff, and interdisciplinary team members to assess nutritional needs, provide education and counseling, develop and implement individualized plans of care, monitor outcomes, and recommend nutrition-related interventions. Maintains accurate medical records and complies with company policies and applicable federal and state requirements. The position is based in a healthcare facility and includes desk and computer work, interaction with patients and care teams, and travel between assigned facilities and locations in the community. Travel to regional, Business Unit, and Corporate meetings may also be required. The work environment has controlled air temperature and moderate noise levels, with possible 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 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 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 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 with the interdisciplinary team in developing written, individualized comprehensive plans of care in accordance with applicable 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 of malnutrition and collaborate with the interdisciplinary team on appropriate interventions and resources.
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 care-plan responses to 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 recommendations concerning mineral metabolism, renal bone disease, anemia and iron status, nutrition, 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 with team members to provide Pre-ESRD education as appropriate.
When appropriate, work with the Case Manager 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 appropriate actions, recommend treatment changes, and communicate results and recommendations to the interdisciplinary team, physicians, facility staff, and relevant care providers.
Participate in staff, quality improvement, care plan, and other applicable 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.
Collaborate with the interdisciplinary team to keep work areas safe and clean.
Perform other nutrition management and related duties as assigned.