Registered Dietitian

Fresenius Medical Care•Hauppauge, NY

7d•$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 organization’s Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities, including process improvement intended to help patients achieve individualized goals established by their physicians. The role assesses patients’ nutrition knowledge and status, educates patients and their families or caregivers, develops and monitors individualized nutrition plans, and collaborates with interdisciplinary team members on patient care. It also includes maintaining accurate medical records, reviewing nutrition-related laboratory results, participating in quality and care-planning meetings, and maintaining professional registration and continuing education. The position requires travel between assigned facilities and community locations; travel to regional, Business Unit, and Corporate meetings may also be required. There is no supervision responsibility.

Requirements

Registered Dietitian credential as per 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 ability to teach, strong organizational skills, excellent 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 certification is encouraged.
Previous renal experience is 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 with the interdisciplinary team in developing written, individualized plans of care in accordance with applicable federal and state guidelines.
Calculate diet prescriptions according to standards of 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 interventions, resources, or solutions.
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 unmet goals and relevant barriers, and implement plans to address 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 management and recommendations related to mineral metabolism and renal bone disease, anemia and iron status, nutrition, psychosocial status, vascular access, modality, rehabilitation, and sodium and 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 with physicians and facility staff as appropriate.
Communicate laboratory results and recommended treatment changes to providers caring for patients in nursing facilities, hospitals, and short- or long-term care facilities.
Participate in applicable staff, quality improvement, and care plan meetings.
Consult with the FMS Corporate Dietitian regarding nutrition concerns as needed.
Maintain and improve knowledge and skills for competent and innovative practice, and maintain dietetic registration and required continuing education.
Collaborate with the interdisciplinary team to ensure work areas are safe and clean.
Perform other nutrition management and related duties as assigned.