Registered Dietitian jobs at Ciena Healthcare

Are you passionate about food and nutrition and ensuring seniors have delicious, healthy meals? As a Registered Dietitian (RD) at Ovid Healthcare Center, you have the opportunity to provide clinical assessments for guests, plan diets to meet nutritional needs, and oversee the operations of the culinary department. Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: Competitive pay, Life Insurance, 401K with matching funds, Health insurance, AFLAC. Employee discounts Tuition Reimbursement SPOTLIGHT, our virtual community and rewards and recognitions program, exclusively for Ciena staff members In addition, we will help you advance your career with tuition reimbursement, discounts and other support. You will join an experienced, hard-working team that values communication and strong teamwork abilities. Responsibilities Oversees the purchase of food and supplies within budget and maintains a supply to adequately cover each meal. Provides technical guidance and administrative direction over diet planning, menu formulation, preparation and service of regular and therapeutic diets. Assures meals are nutritious, palatable, and crafted in a timely and consistent manner while adhering to menus and diet orders. Interviews guests and family members, as necessary, to obtain diet history. Provides timely and accurate completion of dietary portion of the clinical record. Participates in regularly scheduled conferences, including department head meetings and interdisciplinary care plan meetings. Qualifications Must be registered by the Commission on Dietetic Registration. Serve Safe certification One (1) to two (2) years management/supervisory experience preferred. Bachelor's Degree in Dietetics About Ciena Healthcare Ciena Healthcare is Michigan's largest provider of skilled nursing and rehabilitation care services. xevrcyc We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you! IND123

Are you passionate about food and nutrition and ensuring seniors have delicious, healthy meals? As a Registered Dietitian (RD) at Ovid Healthcare Center, you have the opportunity to provide clinical assessments for guests, plan diets to meet nutritional needs, and oversee the operations of the culinary department. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: Competitive pay, Life Insurance, 401K with matching funds, Health insurance, AFLAC. Employee discounts Tuition Reimbursement SPOTLIGHT, our virtual community and rewards and recognitions program, exclusively for Ciena staff members In addition, we will help you advance your career with tuition reimbursement, discounts and other support. You will join an experienced, hard-working team that values communication and strong teamwork abilities. Responsibilities Oversees the purchase of food and supplies within budget and maintains a supply to adequately cover each meal. Provides technical guidance and administrative direction over diet planning, menu formulation, preparation and service of regular and therapeutic diets. Assures meals are nutritious, palatable, and crafted in a timely and consistent manner while adhering to menus and diet orders. Interviews guests and family members, as necessary, to obtain diet history. Provides timely and accurate completion of dietary portion of the clinical record. Participates in regularly scheduled conferences, including department head meetings and interdisciplinary care plan meetings. Qualifications Must be registered by the Commission on Dietetic Registration. Serve Safe certification One (1) to two (2) years management/supervisory experience preferred. Bachelor's Degree in Dietetics About Ciena Healthcare Ciena Healthcare is Michigans largest provider of skilled nursing and rehabilitation care services. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you! IND123 By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employers data processor SonicJobs. See Ciena Healthcare Management Privacy Policy at privacy_policy/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions RequiredPreferredJob Industries Other

Are you passionate about food and nutrition and ensuring seniors have delicious, healthy meals? As a Registered Dietitian (RD) at Regency Heights Nursing and Rehab Center, you have the opportunity to provide clinical assessments for guests, plan diets to meet nutritional needs, and oversee the operations of the culinary department. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: Competitive pay, Life Insurance, 401K with matching funds, Health insurance, AFLAC. Employee discounts Tuition Reimbursement SPOTLIGHT, our virtual community and rewards and recognitions program, exclusively for Ciena staff members In addition, we will help you advance your career with tuition reimbursement, discounts and other support. You will join an experienced, hard-working team that values communication and strong teamwork abilities. Responsibilities Oversees the purchase of food and supplies within budget and maintains a supply to adequately cover each meal. Provides technical guidance and administrative direction over diet planning, menu formulation, preparation and service of regular and therapeutic diets. Assures meals are nutritious, palatable, and crafted in a timely and consistent manner while adhering to menus and diet orders. Interviews guests and family members, as necessary, to obtain diet history. Provides timely and accurate completion of dietary portion of the clinical record. Participates in regularly scheduled conferences, including department head meetings and interdisciplinary care plan meetings. Qualifications Must be registered by the Commission on Dietetic Registration. Serve Safe certification One (1) to two (2) years management/supervisory experience preferred. Bachelor's Degree in Dietetics About Ciena Healthcare Ciena Healthcare is Michigans largest provider of skilled nursing and rehabilitation care services. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you! IND123 By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employers data processor SonicJobs. See Ciena Healthcare Management Privacy Policy at privacy_policy/ and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions RequiredPreferredJob Industries Other

**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. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Summary: Responsible for the assessment and planning of the nutritional care of the residents in accordance with applicable federal, state, and local standards, guidelines and regulations, policies and procedures, and in coordination with the Food Service Director/Manager to ensure that qualify food service and nutritional care is provided to the residents. Essential Functions: Maintains clinical nutrition documentation for residents in accordance with Nursing Center policy and procedure, as well as state and federal regulations. Ensures that all assessments and progress notes documented in the medical records are accurate, informative, and descriptive of the services provided and of the resident's response to the plan of care. Ensures all documentation is completed within the required timeframes and in accordance with Nursing Center policy and procedure, as well as state and federal regulations. Participates with the interdisciplinary team in developing, implementing, and evaluating plans of care; attends meetings/conferences to discuss the clinical care of the resident; and communicates resident concerns and response to interventions to interdisciplinary team members and direct care staff. Interviews residents, family members, legal representatives, significant others, and staff to obtain and update information needed to develop individualized plan of care, protect and promote residents' rights, and accommodate individual needs and preferences. Involves the resident/family in planning objectives and goals for the resident. Ensures a dietary kardex or similar record of diet orders and food preferences is utilized in the Food Service Director. Coordinates with the Food Service Director/Manager the review and customization of the regular and therapeutic menus to meet the food preferences of the residents in accordance with established policies, procedures, Diet Manual guidelines, standard of practice, and regulations. Coordinates with the Food Service Director/Manager to ensure that all diets ordered by the physician are planned on the therapeutic menu. Routinely obtains feedback and suggestions from residents via resident council, meal rounds, and/or interviews with residents, family, and staff to improve the menu. Provides feedback and suggestions to improve the menu to the Menu Development Coordinator at the corporate office. Monitors food temperatures and quality at point of service in the various dining locations via test trays per company procedures and standards. Monitors the distribution of nourishments, supplements, and meals to residents and takes corrective action when necessary. Assists the Food Service Director/Manager with processing diet orders and changes and ensuring that an accurate tray card is available for each resident receiving meals. Ensures that new residents are visited upon admission to obtain a Diet History and food preferences, on the company approved form. Conducts meal rounds, test trays, and interviews staff and residents to ensure that residents are receiving foods in the amount, type, consistency, and frequency required to maintain or improve nutritional status, results of findings reported to Nutrition services department and administration. Routinely inspects the food service area(s) and practices for compliance with company policies, procedures, standards, and applicable federal, state, and local regulations. Completes evaluations and develops action plans with the Food Service Director/Manager and the Administrator for items that need improvement results of findings reported to Nutrition services department and administration. Participates in the Nursing Center's "Performance Improvement Program." Serves on various committees as required by company standards, regulations, and/or appointment by the Administrator. Participates in the long-term care survey process. Instructs staff in matters of conduct and disclosure. Maintains a presence at the Nursing Center as directed by the Administrator while surveyors are on-site and directs the timely collection of information required by the survey team. Undertakes corrective action while survey is in progress, if appropriate. Works with the Food Service Director/Manager and other Nursing Center departments to develop survey plan of correction, as needed. Maintains good communications and working relationships with all departments in the Nursing Center. Routinely communicates issues, concerns, and opportunities for improvement to the Administrator. Conducts an entrance and exit conference with the Administrator or designee at each visit if employee is assigned to multiple Nursing Centers. Reports all hazardous conditions/equipment to the Administrator immediately. Assists the Food Service Director/Manager with purchasing decisions for food, supplies, equipment, etc. within approved budgets. Assists the Food Service Director/Manager with training Nutrition Services employees. Provides in-service training to Nursing Center staff on topics related to Nutrition and Foodservice. Fulfills job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards and codes of ethics. Provides feedback and suggestions to improve company policies, procedures, tools, and reference materials to the corporate office. Uses independent judgment and discretion on behalf of the organization in the performance of these duties. Works cooperatively as a team member with co-workers in all departments of the Nursing Center. Performs job duties safely as specified in the physical, sensory, and mental requirements. Assists the Food Service Director/Manager in foodservice operations as needed to ensure that residents receive adequate nutrition. Stays abreast of federal regulations for long-term care, dietetic registration/licensure, and food safety, as well as state-specific regulations for the state he/she works and incorporates into his/her work as needed. Monitors industry trends, new products, current research, and new programs in medical nutrition therapy and foodservice and incorporates into his/her work as needed. Performs other duties as assigned. Requirements Qualifications: Education: Bachelor's degree in Dietetics, Nutrition, or related field Licenses/Certification: Registered Dietitian with the Commission on Dietetic Registration of the American Dietetic Association License or certification as mandated by the state in which employed ServSafe Food Safety Certification preferred Experience: Experience in long-term care environment and geriatric nutrition preferred

**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. **Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**

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. EOE, disability/veterans

Provides diabetes self management education and training of patients referred to the Diabetes during Pregnancy Program. Applies evidenced based nutrition practice guidelines for providing quality medical nutrition therapy services to high risk patients in the Women's Health Services and the Center for Maternal Fetal Medicine. Follows the standards set forth by the Michigan Department of Community Health, the American Diabetes Association, and the Academy of Nutrition and Dietetics. Participates in quality management and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to Hurley's Patient and Family Centered Care philosophy. SUPERVISION RECEIVED: Receives clinical direction from the Program Director for Maternal/Fetal Medicine and the Medical Director of the Hurley Diabetes Center. Works under the general direction of the Director for Women's Health Services and the Nurse Manager for Maternal Fetal Medicine. SUPERVISION EXERCISED: Serves as a nutrition and diabetes resource to nursing personnel, resident staff and other health care professionals throughout the medical center and surrounding communities. Serves as a preceptor for dietetic interns. RESPONSIBILITIES AND DUTIES: 1. Utilizes the nutrition care process: assessment, diagnosis, intervention/education, monitoring and evaluation in the implementation of medical nutrition therapy, nutrition education and treatment recommendations for high risk patients in the OB/Gyn clinic, Maternal Fetal Medicine and Antepartum units. 2. Develops and provides individualized nutrition education based on the patient's nutrition prescription. Documents instruction given, and evaluates learner outcomes. 3. Implements and counsels patients and their families regarding diabetes self management education; documents instruction given and evaluates learner outcomes while incorporating patients diabetes self management skills. Promotes understanding, acceptance and compliance with procedures and activities necessary to meet diabetes management goals. 4. Coordinates with and advises medical staff to assure that patient education and care is incorporated into the patient's plan of care. 5. Evaluates diagnostic tests, biochemical data, diabetes device and equipment use, and patient's food and blood glucose records. 6. Recommends the initiation of pharmacotherapy. Recommends adjustments to pharmacotherapy, based on integration of nutrition, laboratory tests, blood glucose data, physical therapy and progression of pregnancy/disease. 7. Provides instruction on diabetes medications, including insulin and approved oral medications for diabetic pregnant women. 8. Performs diabetes blood glucose management and recommends medication adjustments in the outpatient clinics. 9. Confers with physicians, resident staff and other members of the health care team to recommend appropriate nutrition treatment. 10. Demonstrates effective judgment and ability to understand and adjust teaching methods to the unique cultural and educational level of each patient that is served. 11. Provides postpartum follow-up education for patients with diabetes. Coordinates discharge planning with other medical center staff. 12. Uses evidenced-based medicine and best practices to provide quality diabetes education and management; and quality nutrition care. 13. Acts as a nutrition resource in the OB/Gyn clinic, Maternal Fetal Medicine and on the Antepartum units. 14. Collaborates with employees in Nutrition Services and Patient Tray services as necessary in the coordination of inpatient nutrition care and education. 15. Maintains current knowledge and skills in diabetes self management and education. 16. Maintains current knowledge and skills in the nutrition care process: assessment, diagnosis, intervention/education, monitoring and evaluation. 17. Assists in data collection for research in diabetes during pregnancy. 18. Assists with annual curriculum review and formal diabetes program evaluation. 19. Adheres to department and hospital standards of practice including Federal, State, and the Joint Commission regulations. 20. Performs other related duties as required/assigned. Utilizes new improvements and/or technologies that relate to job assignments. MINIMUM ENTRANCE REQUIREMENTS: Baccalaureate degree in related health care field with courses in nutrition and dietetics Working knowledge of evidenced based-practice Ability to communicate effectively, both orally and in writing. Ability to establish and maintain effective working relationships with patients, physicians, medical center personnel, governing agencies and the general public. NECESSARY SPECIAL REQUIREMENTS: Registered dietitian, (credentialed with the Commission on Dietetic Registration for the Academy of Nutrition and Dietetics); 2 or more years experience as a Registered Dietitian, including experience in obstetrics/gynecology, reproductive women's health, patient education and diabetes management preferred. Certified or Certified-eligible by the National Certification Board for Diabetes Educators, as a Diabetes Educator, (CDE). Employees who are certified-eligible must become certified within three (3) years from date of appointment to the classification.

We are seeking a highly motivated and compassionate Registered Dietitian (RD) to join our dedicated team. The RD will play a vital role in providing comprehensive and individualized nutritional care to patients with chronic kidney disease undergoing dialysis treatment. GENERAL SUMMARY: Responsible for all aspects of nutritional needs of dialysis patients. Works closely with the interdisciplinary team members in order to care for the dialysis patient. Develops a close working relationship with other dietitians in order to facilitate information flow and educational efforts. * Interviews patients (and others as relevant) for initial and update assessments. * Assesses patient's initial and ongoing nutritional status. * Calculates, prescribes and instructs others regarding diet for patients. * Provides nutritional education to patient, caregivers and unit staff. * Coordinates diet with other health care facilities and is involved in continuing communication with hospitals, extended care facilities, home health care agencies, senior centers and "Meals on Wheels" staff. * Monitors adherence to diet. * May make recommendations regarding phosphorus binder initiation, type and dosage changes, renal vitamins, stool softeners, oral iron products, cinacalcet and oral vitamin D analogs and calcium supplements. * Reviews monthly labs with patient. * Makes recommendations regarding nutritional issues, (e.g. alternate feeding route, tube feedings supplemental feedings) and monitors status. * Provides crisis intervention, (e.g. response to panic values, hyperkalemia). * Monitors medication as it relates to drug-nutrient interaction. This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above. EDUCATION AND EXPERIENCE: * Bachelor of Science in Nutrition. * Completion of an approved dietetic internship. * ADA Registered * Minimum of 1-year professional experience as RD in clinical nutrition. Additional Information * Organization: Community Care Services * Department: Troy Incenter Dialysis * Shift: Day Job * Union Code: Not Applicable

Job Description The Registered Dietitian (RDN) is responsible for assessing the nutrition status and implementing appropriate interventions to ensure the needs of the participant are met. Reviews nutritional needs prior to enrollment into the program. Responsible for completing initial, semi-annual, and annual assessments. Participant comprehensive assessments may include evaluation of: Diet recall Current diet Meal patterns Assistance with meal preparation and grocery shopping Anthropometric analysis Weight monitoring Appetite changes Difficulty chewing and/or swallowing Food allergies and preferences Monitoring for food insecurity Cultural and religious preferences Past medical history Evaluation of laboratory indicators Need for nutritional supplements and/or frozen meals Education follow up Reviews and determines appropriate therapeutic diets. Works and collaborates with participants and caregivers, as well as members of the Interdisciplinary Team in developing the participant's plan of care. Evaluates participant's motivation for changes towards positive outcomes. Implements individualized interventions and adjusts goals of care as needed. Supervises the participants in the Day Health Center to ensure that meals served are in compliance with the RDNs diet recommendations. Communicates changes in dietary needs to Interdisciplinary Team. Collaborates with Day Health Center Staff and other members of the Interdisciplinary Team in identifying participants with difficulty chewing and/or swallowing and refers to the appropriate team member for evaluation as needed. Counsels and educates participants and their caregivers to enhance the health and overall well-being of the participant. Organizes and maintains updated frozen meal and nutritional supplement lists. Approves and revises all cycle menus. Coordinates care with outside healthcare professionals. Maintains frequent contact and follow up with participants identified at high nutritional risk. Identifies clinical characteristics of malnutrition. Calculates nutritional needs and coordinates care with Home Infusion Company for participants receiving enteral nutritional support. Understands, complies with and promotes the Participant Bill of Rights and work to achieve high levels of participant satisfaction. Knowledge, Skills, Abilities: A professional level of knowledge such as that required though the completion of a Bachelor's Degree in Nutrition. Completion of dietetic internship or equivalent practicum, plus registration as a Dietitian by the Commission on Dietetic Registration. Must have (1) year of experience with aging adults. Participates in annual, mandatory, in-service training and screening, including but limited to: infection control, TB testing, safety training, and BLS training. Requires a professional level of analytical skills in order to analyze and solve problems and develop viable plans of interventions. The ability to establish and maintain interpersonal and interdepartmental relationships. The ability to apply principles of adult learning in planning and implementing educational activities; one-to-one teaching participants and family members at the center or at home, staff education formally or informally in settings such as in-services and group activities with higher functioning participants. Participates in and/or facilitates quality improvement projects resulting from data analysis. Ensures compliance to departmental and external standards in the provision of quality focused care by attendance at professional meetings/committees and review or national standards of practice. Participation in various committees as assigned. Must meet a standardized set of competencies after working independently. Must be medically cleared for communicable diseases and have all immunizations up-to-date after engaging in direct participant contact. Working Conditions: Working conditions are variable with exposure to communicable disease, due to patient environment. Driving is required within PACE of Southeast catchment area, with possible exposure to extreme temperatures, including heat and cold. Frequent walking, bending, lifting of forty (40) pounds or more may be needed in the performance of duties.

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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Job Description The Registered Dietitian (RDN) is responsible for assessing the nutrition status and implementing appropriate interventions to ensure the needs of the participant are met. Reviews nutritional needs prior to enrollment into the program. Responsible for completing initial, semi-annual, and annual assessments. Participant comprehensive assessments may include evaluation of: Diet recall Current diet Meal patterns Assistance with meal preparation and grocery shopping Anthropometric analysis Weight monitoring Appetite changes Difficulty chewing and/or swallowing Food allergies and preferences Monitoring for food insecurity Cultural and religious preferences Past medical history Evaluation of laboratory indicators Need for nutritional supplements and/or frozen meals Education follow up Reviews and determines appropriate therapeutic diets. Works and collaborates with participants and caregivers, as well as members of the Interdisciplinary Team in developing the participant's plan of care. Evaluates participant's motivation for changes towards positive outcomes. Implements individualized interventions and adjusts goals of care as needed. Supervises the participants in the Day Health Center to ensure that meals served are in compliance with the RDNs diet recommendations. Communicates changes in dietary needs to Interdisciplinary Team. Collaborates with Day Health Center Staff and other members of the Interdisciplinary Team in identifying participants with difficulty chewing and/or swallowing and refers to the appropriate team member for evaluation as needed. Counsels and educates participants and their caregivers to enhance the health and overall well-being of the participant. Organizes and maintains updated frozen meal and nutritional supplement lists. Approves and revises all cycle menus. Coordinates care with outside healthcare professionals. Maintains frequent contact and follow up with participants identified at high nutritional risk. Identifies clinical characteristics of malnutrition. Calculates nutritional needs and coordinates care with Home Infusion Company for participants receiving enteral nutritional support. Understands, complies with and promotes the Participant Bill of Rights and work to achieve high levels of participant satisfaction. Knowledge, Skills, Abilities: A professional level of knowledge such as that required though the completion of a Bachelor's Degree in Nutrition. Completion of dietetic internship or equivalent practicum, plus registration as a Dietitian by the Commission on Dietetic Registration. Must have (1) year of experience with aging adults. Participates in annual, mandatory, in-service training and screening, including but limited to: infection control, TB testing, safety training, and BLS training. Requires a professional level of analytical skills in order to analyze and solve problems and develop viable plans of interventions. The ability to establish and maintain interpersonal and interdepartmental relationships. The ability to apply principles of adult learning in planning and implementing educational activities; one-to-one teaching participants and family members at the center or at home, staff education formally or informally in settings such as in-services and group activities with higher functioning participants. Participates in and/or facilitates quality improvement projects resulting from data analysis. Ensures compliance to departmental and external standards in the provision of quality focused care by attendance at professional meetings/committees and review or national standards of practice. Participation in various committees as assigned. Must meet a standardized set of competencies after working independently. Must be medically cleared for communicable diseases and have all immunizations up-to-date after engaging in direct participant contact. Working Conditions: Working conditions are variable with exposure to communicable disease, due to patient environment. Driving is required within PACE of Southeast catchment area, with possible exposure to extreme temperatures, including heat and cold. Frequent walking, bending, lifting of forty (40) pounds or more may be needed in the performance of duties.

The Registered Dietitian (RDN) is responsible for assessing the nutrition status and implementing appropriate interventions to ensure the needs of the participant are met. Reviews nutritional needs prior to enrollment into the program. Responsible for completing initial, semi-annual, and annual assessments. Participant comprehensive assessments may include evaluation of: Diet recall Current diet Meal patterns Assistance with meal preparation and grocery shopping Anthropometric analysis Weight monitoring Appetite changes Difficulty chewing and/or swallowing Food allergies and preferences Monitoring for food insecurity Cultural and religious preferences Past medical history Evaluation of laboratory indicators Need for nutritional supplements and/or frozen meals Education follow up Reviews and determines appropriate therapeutic diets. Works and collaborates with participants and caregivers, as well as members of the Interdisciplinary Team in developing the participant's plan of care. Evaluates participant's motivation for changes towards positive outcomes. Implements individualized interventions and adjusts goals of care as needed. Supervises the participants in the Day Health Center to ensure that meals served are in compliance with the RDNs diet recommendations. Communicates changes in dietary needs to Interdisciplinary Team. Collaborates with Day Health Center Staff and other members of the Interdisciplinary Team in identifying participants with difficulty chewing and/or swallowing and refers to the appropriate team member for evaluation as needed. Counsels and educates participants and their caregivers to enhance the health and overall well-being of the participant. Organizes and maintains updated frozen meal and nutritional supplement lists. Approves and revises all cycle menus. Coordinates care with outside healthcare professionals. Maintains frequent contact and follow up with participants identified at high nutritional risk. Identifies clinical characteristics of malnutrition. Calculates nutritional needs and coordinates care with Home Infusion Company for participants receiving enteral nutritional support. Understands, complies with and promotes the Participant Bill of Rights and work to achieve high levels of participant satisfaction. Knowledge, Skills, Abilities: A professional level of knowledge such as that required though the completion of a Bachelor's Degree in Nutrition. Completion of dietetic internship or equivalent practicum, plus registration as a Dietitian by the Commission on Dietetic Registration. Must have (1) year of experience with aging adults. Participates in annual, mandatory, in-service training and screening, including but limited to: infection control, TB testing, safety training, and BLS training. Requires a professional level of analytical skills in order to analyze and solve problems and develop viable plans of interventions. The ability to establish and maintain interpersonal and interdepartmental relationships. The ability to apply principles of adult learning in planning and implementing educational activities; one-to-one teaching participants and family members at the center or at home, staff education formally or informally in settings such as in-services and group activities with higher functioning participants. Participates in and/or facilitates quality improvement projects resulting from data analysis. Ensures compliance to departmental and external standards in the provision of quality focused care by attendance at professional meetings/committees and review or national standards of practice. Participation in various committees as assigned. Must meet a standardized set of competencies before working independently. Must be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact. Working Conditions: Working conditions are variable with exposure to communicable disease, due to patient environment. Driving is required within PACE of Southeast catchment area, with possible exposure to extreme temperatures, including heat and cold. Frequent walking, bending, lifting of forty (40) pounds or more may be needed in the performance of duties.

The Registered Dietitian (RDN) is responsible for assessing the nutrition status and implementing appropriate interventions to ensure the needs of the participant are met. Reviews nutritional needs prior to enrollment into the program. Responsible for completing initial, semi-annual, and annual assessments. Participant comprehensive assessments may include evaluation of: Diet recall Current diet Meal patterns Assistance with meal preparation and grocery shopping Anthropometric analysis Weight monitoring Appetite changes Difficulty chewing and/or swallowing Food allergies and preferences Monitoring for food insecurity Cultural and religious preferences Past medical history Evaluation of laboratory indicators Need for nutritional supplements and/or frozen meals Education follow up Reviews and determines appropriate therapeutic diets. Works and collaborates with participants and caregivers, as well as members of the Interdisciplinary Team in developing the participant's plan of care. Evaluates participant's motivation for changes towards positive outcomes. Implements individualized interventions and adjusts goals of care as needed. Supervises the participants in the Day Health Center to ensure that meals served are in compliance with the RDNs diet recommendations. Communicates changes in dietary needs to Interdisciplinary Team. Collaborates with Day Health Center Staff and other members of the Interdisciplinary Team in identifying participants with difficulty chewing and/or swallowing and refers to the appropriate team member for evaluation as needed. Counsels and educates participants and their caregivers to enhance the health and overall well-being of the participant. Organizes and maintains updated frozen meal and nutritional supplement lists. Approves and revises all cycle menus. Coordinates care with outside healthcare professionals. Maintains frequent contact and follow up with participants identified at high nutritional risk. Identifies clinical characteristics of malnutrition. Calculates nutritional needs and coordinates care with Home Infusion Company for participants receiving enteral nutritional support. Understands, complies with and promotes the Participant Bill of Rights and work to achieve high levels of participant satisfaction. Knowledge, Skills, Abilities: A professional level of knowledge such as that required though the completion of a Bachelor's Degree in Nutrition. Completion of dietetic internship or equivalent practicum, plus registration as a Dietitian by the Commission on Dietetic Registration. Must have (1) year of experience with aging adults. Participates in annual, mandatory, in-service training and screening, including but limited to: infection control, TB testing, safety training, and BLS training. Requires a professional level of analytical skills in order to analyze and solve problems and develop viable plans of interventions. The ability to establish and maintain interpersonal and interdepartmental relationships. The ability to apply principles of adult learning in planning and implementing educational activities; one-to-one teaching participants and family members at the center or at home, staff education formally or informally in settings such as in-services and group activities with higher functioning participants. Participates in and/or facilitates quality improvement projects resulting from data analysis. Ensures compliance to departmental and external standards in the provision of quality focused care by attendance at professional meetings/committees and review or national standards of practice. Participation in various committees as assigned. Must meet a standardized set of competencies before working independently. Must be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact. Working Conditions: Working conditions are variable with exposure to communicable disease, due to patient environment. Driving is required within PACE of Southeast catchment area, with possible exposure to extreme temperatures, including heat and cold. Frequent walking, bending, lifting of forty (40) pounds or more may be needed in the performance of duties.

Critical Illness Recovery Hospital Registered Dietitian - Per Diem Select Specialty Hospital Macomb is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives - and Registered Dietitians play a central role in providing compassionate, excellent care every step of the way. Why Join Us: Start Strong: Extensive and thorough Registered Dietitian orientation program to ensure a smooth transition into our setting. Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities. Your Impact Matters: Join a team of over 44,000 nationwide committed to providing exceptional care. Responsibilities Provide quality nutritional care to patients such as the development, implementation and monitoring of Medical Nutrition Therapies. work collaboratively with the medical staff, patients, families and food service department to ensure the patients' nutrition care plans are implemented and departmental standards are maintained. Perform nutritional assessments and re-assessments, identifying goals, recommending nutrition interventions, monitoring and evaluating patient progress. Develop and monitor enteral and/or parenteral nutrition support regimens. Work closely with the Speech Therapy Department to assist with the progression of textured modified diets to ensure patient safety and optimize oral intake. Clarify admission orders to ensure nutrition support, diet and oral supplement orders are consistent with the facility's established nutrition support formulary and diet manual. Consider religious, cultural and ethnic factors in development of nutrition care plans. Review yearly updates and approves therapeutic diet manual annually. Educates clinical and food service staff on location of the Nutrition Care Manual. Maintains hard copy of simplified diet manual for downtime. Keeps current with nutritional practices and theories. Maintains current professional registration requirements (i.e., Professional Portfolio, self-development and continuing education). Demonstrates interest in continuing education, academics or specialized certification to further enhance professional skills. Evaluate potential food/drug interactions, and/or herb/supplement interactions. Attend interdisciplinary team meetings and communicating progress and special needs. Participate in developing, planning and standardizing menus. Perform meal rounds to ensure patients' meal trays are consistent with the prescribed diet and meet standards as to quality, quantity, temperature and appearance. Qualifications Minimum Qualifications Bachelors degree with major studies in Food and Nutrition related field. Current state licensure/certification, if required by state. Current registration by the Commission on Dietetics Registration. One (1) year of work experience in a facility setting with clinical responsibilities or equivalent.

NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. **Dietitian** **Full Time position** **OUR MISSION AND PERFORMANCE EXPECTATIONS** The MENTOR Network is a mission-based organization dedicated to providing high quality services to those we serve. Therefore, to deliver on our mission, The Network expects every employee to perform his or her job first and foremost in accordance with the Company's mission. **SUMMARY** Provides nutrition assessment and counseling in Medical Nutrition Therapy for adult and pediatric patients. **ESSENTIAL JOB FUNCTIONS** To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below: + Consults with physician and other health care personnel to determine nutritional needs and diet restrictions of patients. + Develops and implements a treatment plan in accordance with Network and dietary field guidelines. + Provides individual and group counseling on the control of diabetes, cholesterol, hypertension, obesity and other diagnoses. + Suggests appropriate behavior modification methods for control and alternation of eating habits. + Formulates menus for therapeutic diets based on medical and physical condition of patients, and integrates patient's menus with basic institutional menus. + Instructs clients and their families in nutritional principles, dietary plans, food selection, and preparation. + Serves as a resource and educator for health care providers and staff. + Develops policies for food service or nutritional programs to assist in health promotion and disease control. + Monitors food service operations to ensure conformance to nutritional, safety, sanitation and quality standards. + Performs other related duties and activities as required. **Minimum Knowledge and Skills required by the Job** The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job: **Education and Experience:** + Master's degree in Nutrition preferred + Three years' experience in a medical environment and/or administering nutritional services. **Certificates, Licenses, and Registrations:** + State licensure required **Physical Requirements:** + **Medium work** _._ Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. **AMERICANS WITH DISABILITIES ACT STATEMENT** External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodation to be determined on a case by case basis via the interactive process. Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. _As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._

Job Requirements The Registered Dietitian provides nutritional support to in-center and home dialysis patients and families to optimize nutrition and improve outcomes. Ensures patient privacy, dignity, and safety, and demonstrates knowledge of dialysis care and the skills necessary to manage dialysis patients' nutritional needs. Work Experience * Registered by the Academy of Nutrition and Dietetics on the Commission of Dietetics Registry. * Current state licensure (if required by the state). * Meets all applicable state/licensing requirements. * Minimum of 1-year professional work experience in clinical nutrition as a registered dietitian (after becoming a registered dietitian). * If state regulations permit, the 1 year of experience requirement may be waived if work is supervised by a qualified dietitian until 1 year of clinical experience has been obtained. Dietitians without 1 year of experience would not be qualified to complete patient assessments, develop plans of care, or take responsibility for the QAPI program. * ESRD nutrition experience preferred. * Maintains registration and continuing education as required by the Academy of Nutrition and Dietetics. * Academy of Nutrition and Dietetics membership preferred. * Ability to read and interpret safety, operating, and procedure documents. * Effective communication skills with clients and staff. * Benefits At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more at IRC Benefits and Perks About Innovative Renal Care We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. Our Values: I CARE Integrity & Innovation - Earn trust by keeping promises and embracing new solutions. Compassion - Treat patients, families, and colleagues with respect and empathy. Accountability - Take ownership and recognize the contributions of others. Results-Driven - Strive for excellence and exceed expectations. Everyone Counts - Foster diversity, equity, teamwork, and collaboration. Why Join IRC? * Career Growth - Be part of a values-driven team making a meaningful impact. * Competitive Compensation - Salaries continually benchmarked against market and trends. * Enhanced PTO - Your most recent dialysis experience counts toward PTO accrual. * Team Culture - Thrive in a supportive environment that values innovation, accountability, and compassion. Salary Range: $25 - $40 / hour depending on experience and qualifications #LI-KW1 Innovative Renal Care is an equal opportunity and a drug free workplace. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status. All applicants will be subject to a drug screening and background check upon acceptance of an offer. * IRC will only contact you from *************************** or team members with an @innovativerenal.com email address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email.