Registered Dietitian

Fresenius Medical Care•Tualatin, OR

27d

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 the Quality Enhancement Program (QEP), Quality Assessment and Performance Improvement (QAI) activities, and process improvement efforts that help patients achieve individualized goals established by their physicians. Assesses patients’ knowledge of diet and kidney disease and provides education tailored to their learning needs. Completes nutritional assessments, participates in comprehensive assessments and care planning, calculates diet prescriptions, documents care, and provides ongoing nutrition counseling. Monitors nutritional status and treatment response, identifies patients at risk of malnutrition, and collaborates with the interdisciplinary team on appropriate interventions and recommendations. Reviews nutrition-related laboratory results, communicates findings and recommended treatment changes, and participates in staff, care plan, and quality meetings. The role requires travel between assigned facilities and community locations; travel to regional, Business Unit, and Corporate meetings may also be required. No supervision responsibilities are specified.

Requirements

Registered Dietitian credential as specified by the Commission on Dietetic Registration.
Current state licensure, where 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.
Collaborate with the interdisciplinary team to develop written, individualized 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 assessments 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 team on appropriate interventions, resources, or solutions.
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.
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/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.
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 appropriate actions, recommend treatment changes, and communicate results and recommendations to physicians, facility staff, and other care providers as appropriate.
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 continuing education hours as required 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 assigned nutrition-management and related duties.