Registered Dietitians at Fresenius Medical Care build trusting relationships with patients and their families. That trust paves the way for dietary education and planning that directly affects patients’ quality of life. Responsibilities include completing patient assessments, creating patient-specific nutritional plans, and providing ongoing nutritional support. All this is done in a multi-disciplinary environment where information from both patients and co-workers contribute to success. Qualified candidates are excellent listeners with a current RD license and prior clinical dietitian experience.
Job DescriptionBig Spring, Texas Job ID R0021451
PURPOSE AND SCOPE:
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. 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.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
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.
- 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.
- 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.
- Registered Dietitian as per Commission on Dietetic Registration
- Board Certified Specialist in Renal Nutrition encouraged.
- Current state licensure if applicable.
EXPERIENCE AND REQUIRED 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.
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
- Good Listener
We are partnering with them for their care, and we have to work with them to make sure that
Lori K., Registered Dietitian
they get the best care possible.
We've got your back.
We fully believe that dedication and passion should be recognized and rewarded. That's why we offer a competitive compensation and benefits package to all of our employees. Our benefits provide the flexibility, choice and support you need to be at your best as you play a vital part in helping patients live longer, better and healthier lives.
- Healthcare FSA
- Dependent Care FSA
Tuition Assistance and CEU reimbursements ($500/year for full‑time; $350/year for part‑time)
Paid Time Off
Paid Time Off
Flexibility in using PTO for vacation, holiday and personal time.
- Employee Pride
- Valued Team Members
- Motivation for Excellence
- Respect & Dignity
- Openness & Trust
- Adoption Assistance
- Wireless, Automobile and Computer Discounts
- Discount Fitness Program
401(K) Retirement Saving
401(K) Retirement Saving
Competitive vesting schedules and a company match of 50 cents for each dollar you save up to the first 6% of your salary (3% additional) after one year of employment.
We are so glad you are interested in a career with FMCNA! What happens next?
Application & Assessment
First you will need to complete your online application. Some roles may also require an online assessment to be completed.
Then a recruiter will review the applications submitted and select those most aligned with the role to move forward. If selected, The recruiter will contact you to schedule the next step.
Next, you will participate in phone/video interview(s) with our recruiter & leadership team.
The recruiter will provide feedback to you on your interview(s) and update you on any hiring decisions.
Next, the recruiter will extend a formal offer if you are selected for the position.
Lastly, you will accept your offer and complete pre-employment checks and paperwork.
Learn more about working at Fresenius Medical Care at an upcoming hiring event near you.
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