Description Provide your personal attention and kindness, professional
insight, and a generosity of spirit. Offer expertise and encouragement.
Enhance each patient’s future—as well as your own. Connect with your goals and
change lives with Fresenius Medical Care North America. Here, we make
connections that empower patients, their families, and our team members. As
the global leader in dialysis healthcare, we form bonds that enable the best
possible outcomes and professional satisfaction. While our extensive
organization continues to grow, so do opportunities for our professionals to
learn, grow, and advance. Why Join the Fresenius Team? Passion. Dedication.
Knowledge. Motivation. Experience. These are the impressive qualities you’ll
find in the Fresenius Leadership Team. Our strength in the North American
market and extensive global network provide our employees with the best of
both worlds—the friendliness of a local organization and the stability of a
worldwide organization—for diverse experiences and challenging career
opportunities. When you join the Fresenius Medical Care team, you’ll be
welcomed into a company that is built on the philosophy that our employees are
our most important asset. Our career advantages include the following:
Fresenius Medical Care is the nation’s largest provider of renal care, meeting
the needs of more than 135,000 patients at 1,800 clinics throughout the
country. Our well-established, trusted organization fosters a spirit of
camaraderie, emphasizing friendly collaboration, professional support, and
career development. Superior training, UltraCare ® quality control, and
certification procedures ensure your potential to succeed and advance as a
professional. Competitive compensation and exceptional benefits. Outstanding
tuition reimbursement program. Recognized among Fortune’s World’s Most
Admired Companies” in 2011. National Safety Award from CNA insurance companies
for 11 consecutive years. Opportunities to give back by participating in
philanthropy and community outreach programs. Registered Dietitian-Renal Care
Embrace this opportunity to help patients live better lives and accomplish
important professional objectives. As part of an interdisciplinary team within
our Medical Services division, the professional we select will provide
patients with counseling and nutritional assessments, and calculate
prescription diets. This individual will assess patient knowledge of diet and
kidney disease, and offer patient-specific, detailed information about
nutritional status, adequacy measures and results, fluid status, and
nutrition-related lab parameters. 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. DUTIES / ACTIVITIES : CUSTOMER SERVICE: Responsible for driving the
FMS culture through values and customer service standards. Accountable for
outstanding customer service to all external and internal customers. Develops
and maintains effective relationships through effective and timely
communication. Takes initiative and action to respond, resolve and follow up
regarding customer service issues with all customers in a timely manner.
PRINCIPAL RESPONSIBILITIES AND DUTIES: 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.
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. EDUCATION: 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.