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Associate Dietitian

Fresenius Medical Care•Sioux City, IA

About The Position

The Associate Dietitian is a Registered Dietitian in training with less than one year of clinical experience. Under the direct supervision of a qualified renal dietitian, the role provides nutritional services to in-center and home patients at assigned facilities to gain the clinical experience required by CMS to become a qualified dietitian. The position does not complete patient assessments, develop plans of care, or take responsibility for QAPI program review. It supports the company’s Quality Enhancement Program and participates in process improvement activities to help patients achieve individualized, physician-determined goals. The Associate Dietitian provides nutrition education and counseling, reviews nutrition-related laboratory results, monitors patients’ response and adherence to nutrition therapy, and communicates relevant results and recommendations to patients, caregivers, physicians, facility staff, and the interdisciplinary team. The role collaborates with the team on patient nutrition and related care needs, participates in quality and plan-of-care meetings with a CMS-qualified dietitian, and maintains professional registration and continuing education requirements. The work environment is characteristic of a healthcare facility, with controlled air temperature and moderate noise. The employee may be exposed to infectious or contagious diseases and materials. Work includes desk and personal computer tasks and interaction with patients, facility staff, and physicians. Travel between assigned facilities and community locations may be required, as well as travel to training clinics and regional, Business Unit, or Corporate meetings.

Requirements

  • Bachelor’s degree in Nutrition or a directly related field.
  • Registered Dietitian credential as per the Commission on Dietetic Registration.
  • Current state licensure, if applicable.
  • Less than one year of clinical experience.
  • Ability to work under the direct supervision of a qualified renal dietitian.

Nice To Haves

  • Master’s degree preferred.

Responsibilities

  • Drive the company culture through its values and customer service standards, and provide outstanding service to internal and external customers.
  • Develop and maintain effective relationships through timely communication; take initiative to address, resolve, and follow up on customer service issues.
  • Calculate diet prescriptions according to standards of practice.
  • Evaluate patients’ knowledge of diet and kidney disease, and complete Nutrition History forms for use by a CMS-qualified dietitian in completing assessments.
  • Provide patient-specific nutrition education to patients, families, and caregivers, accounting for learning styles and preferences.
  • Review nutrition-related laboratory results; counsel patients or caregivers and formulate appropriate actions to support effective nutritional status.
  • Communicate laboratory results and recommended treatment changes to the interdisciplinary team, physicians, facility staff, and other patient-care providers as appropriate.
  • Monitor adherence and response to nutrition therapy and address issues affecting patients’ ability to achieve goals.
  • Review each patient’s albumin level and body weight at least monthly; identify patients who are malnourished or at risk and collaborate on interventions, resources, or solutions, involving patients and caregivers in improvement goals.
  • Identify appropriate candidates for referral to a physician for nutritional supplements under applicable disease management agreements.
  • Assist with fluid and volume management and provide fluid and sodium education as appropriate.
  • Collaborate with the interdisciplinary team on mineral metabolism and renal bone disease, anemia and iron status, nutritional and psychosocial status, vascular access, modality, rehabilitation status, and sodium and volume control.
  • Participate in Quality Assessment and Performance Improvement and Plan of Care meetings with a CMS-qualified dietitian, and attend other pertinent staff meetings as applicable.
  • Help ensure work areas are safe and clean in collaboration with the interdisciplinary team.
  • Collaborate on pharmacy-related responsibilities, including setup, enrollment, and management.
  • Participate in lobby days and educate patients about emergency preparedness as it relates to food and nutrition.
  • Conduct staff in-services as needed or requested.
  • Follow FMCNA algorithms and medical record policies.
  • Maintain and improve knowledge and skills; maintain dietetic registration and continuing education hours as specified by the American Dietetic Association and applicable state licensure regulations.
  • Escalate issues to a supervisor for resolution as necessary; assist with assigned projects and perform other related duties as assigned.

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