Registered Dietitian
Company: Fresenius Medical Care
Location: Evansville
Posted on: April 25, 2024
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Job Description:
PURPOSE AND SCOPE: Provides nutritional services for the
facility's in-center and home patients as applicable in order to
maximize the patient's nutritional status and improve clinical
outcomes. Functions as a member of the interdisciplinary healthcare
team, supporting the FMCNA commitment to the Quality Enhancement
Program (QEP) and Quality Assessment and Performance Improvement
(QAI) activities. Actively participates in process improvement
activities that enhance the likelihood that patients will achieve
their individualized patient-specific goals as determined by the
patient's physician. PRINCIPAL DUTIES AND RESPONSIBILITIES:
Assesses patient's knowledge of diet and kidney disease and
provides education appropriate to patient's learning needs
regarding the relationship of diet and kidney disease and the
impact on the treatment process. Provides patient specific detailed
education to patient/family/caregiver regarding nutritional status,
adequacy measures and results, fluid status, and all nutrition
related lab parameters pertaining to their disease process.
Completes nutritional assessment and participates in the
interdisciplinary comprehensive assessments. Participates with the
interdisciplinary team in the development of a written,
individualized comprehensive plan of care that specifies the
services necessary to address the patient's needs, in accordance
with established Federal and, where applicable, state licensure
guidelines. Calculates diet prescription according to standard of
practice. Completes progress notes on all chronic dialysis patients
according to established FMCNA guidelines. Maintains complete and
accurate documentation of all appropriate information in medical
record according to established FMCNA policies and Federal and
state regulations. Provides patient with ongoing nutrition
assessment and outcome-oriented nutrition counseling necessary to
assist patient in achieving and sustaining an effective nutritional
status. Identifies malnourished patients as well as patients at
risk for malnutrition and works collaboratively with
interdisciplinary team to identify appropriate interventions,
resources or solutions. Reviews each patient's albumin level and
body weight at least monthly. Implements plan of care with
involvement of patient/family/caregiver. Monitors adherence and
response to nutrition therapy, adjusts therapy as needed to achieve
and sustain an effective nutritional status, documents why the
patient was unable to achieve the goals and implements the plan of
care to address issues impacting the patient's ability to achieve
the goals. Collaborates with the interdisciplinary team on Urea
Kinetic Modeling recommendations to achieve the physician's
prescription of Kt/V. Collaborates with the interdisciplinary team
on management and recommendations for mineral metabolism and renal
bone disease, anemia and iron status, nutritional status,
psychosocial status, vascular access, modality, rehabilitation
status and sodium/volume control. Adheres to FMCNA algorithm and
medical record policies. Reports on nutrition QAI results and
participates in the interdisciplinary QAI program. Collaborates and
coordinates with team members in provision of Pre-ESRD education as
appropriate. When appropriate, works with Case Manager to
coordinate plan of care for patient education and identifies
candidates to refer to physician for nutritional supplements, as
per disease management agreements. Reviews nutrition related lab
results: Counsels patient and/or caregiver and formulates
appropriate action. Recommends treatment changes to the
interdisciplinary team as appropriate. Communicates with physician
and/or facility staff regarding lab results as appropriate.
Communicates lab results and recommended treatment changes to
providers of patient care in nursing facilities (i.e., hospitals,
short term and long-term care facilities). Participates in
pertinent staff meetings (i.e., general staff, quality
improvement), Care plan meetings, and others as applicable.
Consults with FMS Corporate Dietitian regarding nutrition concerns
as needed. Maintains and improves knowledge and skills for a
competent and innovative practice. Maintains dietetic registration
and continuing education hours as specified by American Dietetic
Association and state licensure regulations where applicable.
Collaborates with interdisciplinary team, ensuring that all work
areas are safe and clean. Other nutrition management duties as
assigned. Performs other related duties as assigned. PHYSICAL
DEMANDS AND WORKING CONDITIONS : The physical demands and work
environment characteristics described here are representative of
those an employee encounters while performing the essential
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
functions. The work environment is characteristic of a health care
facility with air temperature control and moderate noise levels.
May be exposed to infectious and contagious diseases/materials. Day
to day work includes desk and personal computer work and
interaction with patients, facility staff and physicians. The
position requires travel between assigned facilities and various
locations within the community. Travel to regional, Business Unit
and Corporate meetings may be required. SUPERVISION: None EDUCATION
AND REQUIRED CREDENTIALS : Registered Dietitian as per Commission
on Dietetic Registration Board Certified Specialist in Renal
Nutrition encouraged. Current state licensure if applicable.
EXPERIENCE AND SKILLS : Minimum of 1-year professional work
experience in clinical nutrition as a Registered Dietitian.
Previous renal experience preferred. Demonstrated leadership
competencies and skills for the position, including ability to
teach, strong organizational skills, excellent communication,
customer service, relationship development, results orientation,
team building and decision making. Able to perform responsibilities
with minimum supervision. Basic computer skills required. EO/AA
Employer: Minorities/Females/Veterans/Disability/Sexual
Orientation/Gender Identity Fresenius Medical Care North America
maintains a drug-free workplace in accordance with applicable
federal and state laws.
Keywords: Fresenius Medical Care, Evansville , Registered Dietitian, Healthcare , Evansville, Indiana
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