Outpatient Clinical Dietitian

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New Haven, CT
Nov 12, 2018

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. EEO/AA/Disability/Veteran
Summary:
Manages the nutrition care of patients throughout the lifecycle in an inpatient or outpatient setting, ensuring that optimal nutrition is provided to patients based on medical, cultural, and age-specific needs. Evaluates patients for nutritional risk and recommends and facilitates the implementation of age appropriate nutrition care plans and behavioral changes to promote sound dietary choices in health and disease.
Responsibilities:
  • 1. Provides age and culturally appropriate medical nutrition therapy to assigned patients using evidence-based practice guidelines and the Nutrition Care Process.
  • 1.1 Conducts nutrition assessments that accurately reflect the patient''s nutritional risk factors (which include age) in relation to their medical and/or psychiatric condition and treatment, adhering to section standards of practice, as evidenced by PI monitors. Designs age appropriate modified diets in accordance with written physician diet orders and adapts them to best fulfill individual needs and conform to the client''s educational level. Makes recommendations to patients/families and the healthcare team regarding medical nutrition therapy to ensure optimal nutritional management, as evidenced by PI monitors, documented patient/consumer feedback and as observed by supervisor.
  • 1.2 Follows through on recommendations made by implementing age appropriate nutrition care plans as demonstrated by documentation in the medical record, interdisciplinary plan of care (IPOC), inpatient dietitian''s notebook or ambulatory nutrition history forms and through timely follow-up documentation according to section standards of practice, as evidenced by PI monitors.
  • 1.3 Makes recommendations for referrals to other health care providers/services or follow-up after discharge as appropriate. Documents educational activities, and/or referral recommendations in the medical record and on patient discharge forms according to inpatient section standards or as evidenced by documented communication with the referring physician in outpatient setting.
  • 1.4 Develops/revises nutritional care guidelines and/or patient educational materials as assigned and reviews with supervisor by established deadlines. Demonstrates written communication skills that are clear, concise, grammatically correct and appropriate for the target audience as evidenced by written reports, memos, meeting minutes, and professional/consumer writing.
  • 1.5 Provides patient nutrition care and education in a manner that demonstrates fiscal responsibility and sensitivity to hospital/department cost containment initiatives as evidenced by developing realistic nutritional care plans, appropriately managing and/or justifying nonstandard or special food and formulary requests, justifying counseling/educational services delivered and through the judicial use of forms, supplies and time, as monitored by management.
  • 1.6 Participates on pertinent patient care rounds, task forces and committees (i.e., patient satisfaction, clinical PI teams, or community/consumer focus groups) as requested or assigned. Provides oral and/or written feedback to supervisor as directed.
  • 1.7 Evaluates patients'' nutritional needs and risk of malnutrition past initial screening consult by primary caregiver, within 24 hours. Achieves 95% compliance based on section standards of practice, as evidenced by performance improvement (PI) monitors. (inpatient only)
  • 1.8 Prioritizes patient care to assure that all patients, who have or are at high risk for malnutrition, are nutritionally assessed and that age appropriate recommendations and care plans are documented in the medical record and IPOC according to section standards of practice, as evidenced by PI monitors. (inpatient only)
  • 1.9 Responds to all subsequent physician/nursing consults within 24 hours, with age appropriate recommendations documented in the medical record and IPOC, as evidenced by PI monitors. (inpatient only)
  • 1.10 Uses current educational techniques to instruct individuals and groups on optimal nutritional strategies to promote health and aid in the treatment of disease, as evidenced by documented consumer feedback and as observed by supervisor
  • 1.11 Demonstrates knowledge of insurance and billing for medical nutrition therapy through appropriate coding and following federal (i.e., CMS, HIPAA), state and YNHH guidelines in completing all required patient forms. (outpatient only)
  • 1.12 Verifies the appropriateness of all diet orders upon initial nutrition assessment and monitors dietetic technician responsibilities to ensure that clinical operations, including age-appropriate menu corrections and patient satisfaction, are conducted according to standards of practice and by established deadlines. Clarifies diet orders with the health care team, as needed. (inpatient only)
  • 2. Demonstrates effective organizational skills and uses understanding of YNHH performance standards to ensure the smooth and timely delivery of clinical nutrition and counseling services on assigned patient care units or in ambulatory settings.
  • 2.1 Maintains all clinical documentation, including notebooks, medical records, IPOC, clinic shadow files, productivity, financial data and formula records as appropriate to assigned setting, in an accurate and up-to-date manner that conforms to HIPAA and section standards of practice, as evidenced by department PI and productivity monitors
  • 2.2 Submits all assigned written reports and record keeping forms by establishing deadlines without being reminded more than twice annually, as observed by management
  • 2.3 Reviews/revises section policies and procedures pertinent to areas of responsibility annually, and reviews recommendations/revisions with supervisor
  • 2.4 Participates, as a peer reviewer, in all assigned section clinical PI monitors, as assigned or requested. Follows reviewer guidelines by accurately completing monitor surveys and submitting them by established deadlines
  • 2.5 Monitors patient food quality and conformance to departmental and medical nutrition therapy standards by accurately conducting tray assessments with food service management staff, as assigned on the monthly tray assessment schedule. Makes recommendations for, or writes/revises patient menus as assigned (inpatient only).
  • 2.6 Attends section and departmental staff meetings and inservices. Reviews meeting minutes and follows through on section/departmental directives, as evidenced by PI monitors and as observed by management
  • 2.7 Prepares for any and all regulatory agency visits. Results will be zero defects. Annually completes pertinent Healthstream inservices.
  • 3. Participates in professional development activities to maintain and advance knowledge base.
  • 3.1 Maintains registration with the Commission on Dietetic Registration and other credentialing bodies, as appropriate. Maintains state certification as a dietitian-nutritionist, as required.
  • 3.2 Participates in section/hospital sponsored continuing education activities and identifies pertinent age specific or population specific nutrition issues related to area of interest or specialty as evidenced by documented continuing education (i.e., CDR Professional Development Portfolio and/or CE Credits) and participation in journal club.
  • 3.3 Possesses a knowledge of departmental policies and procedures and keeps current with major procedural changes; demonstrates knowledge of job priorities; can be used as a resource in area of nutritional expertise, as observed by management.
  • 4. Conducts dietetic intern education through assigned rotation.
  • 4.1 Directly supervises day to day internship operations. Identifies obstacles to individual learning; discusses solutions with supervisor and implements revised teaching strategies.
  • 4.2 Develops/revises behavioral objectives, including age and/or population specific goals for intern assignments and formal evaluations following the American Dietetic Association/Commission for Accreditation of Dietetic Education Competency Statements as the foundation for learning experiences. Reviews educational objectives and formal evaluation tools annually with supervisor
  • 4.3 Provides informal intern feedback throughout their rotation by reviewing initial drafts of assignments, reviewing and co-signing chart notes, and providing guidance and direction in carrying out planned experiences, as evidenced by PI monitors, intern feedback and management observation.
  • 4.4 Provides timely formal feedback by conducting intern evaluations within two weeks after completion of the rotation, adhering to faculty evaluation guidelines, as monitored by supervisor
  • 4.5 Conducts formal and informal intern evaluations in a fair and objective manner as evidenced by written documentation, intern feedback, and management observation.
  • 4.6 Conducts formal dietetic intern classes, complete with written lesson plans/outlines as assigned by supervisor. Class content will be monitored by management for teaching strategies employed and appropriateness of information taught in terms of delivery time, relevance to clinical practice and intern feedback.
    Other information:

    EDUCATION:

    B.S. degree from an accredited college or university with successful completion of an accredited/approved American Dietetic Association didactic program in dietetics required. Successful completion of a post-baccalaureate certificate program in dietetics/dietetic internship required.

    EXPERIENCE:

    Minimum of one (1) year practical experience in clinical dietetics required. Clinical practice in an acute care and/or outpatient care facility preferred, depending upon position opening.

    LICENSURE:

    Must be registered with the Commission on Dietetic Registration or registration-eligible with registration within 6 months of hire. CT state dietitian-nutritionist certification or certification eligible with certification within 6 months of hire.

    SPECIAL_SKILLS:

    Must have working knowledge of evidenced-based principles of medical nutrition therapy. Must provide competent nutrition assessment, follow-up, and education to individuals, groups, and members of the healthcare team using sound scientific knowledge, section standards of practice, and the Nutrition Care Process. Must be able to gather, review, and synthesize complex medical information to plan scientifically sound, realistic, and fiscally responsible patient care. Must have knowledge of theories and principles of food preparation, menu planning, and nutrient analysis to enable education of patients, families, groups, and other members of the healthcare team. Excellent oral and written communications skills required. Must work well independently to prioritize patient care, and work well as part of the healthcare team. Must demonstrate ability to competently teach and mentor dietetic interns in the practice of medical nutrition therapy. Must be able to use computer software systems including but not limited to word processing, spreadsheet, presentation, and nutrient analysis programs, as well as varied electronic medical records systems.
    ACCOUNTABILITY:

    Must provide medical nutrition therapy and nutrition education to individuals and groups, other health care professionals, and dietetic interns, as assigned. Without exception, as evidenced by performance improvement audits and regulatory agency site visits, must practice within established departmental and regulatory agencies (TJC, CMS, CT DPH) standards and participate in performance/quality improvement processes within the hospital and department. Must demonstrate key behaviors pertinent to the hospital?s goals, including customer service orientation, professionalism, resource management, results orientation, teamwork and cooperation.
    COMPLEXITY:

    Independently assesses, recommends, and implements medical nutrition therapies. Provides nutrition education to patients and healthcare professionals. Integrates medical, socioeconomic, cultural, age-specific, and psychological factors in completing nutrition care plans. Demonstrates ability to gather data, synthesize information and determine a course of action using sound clinical judgment, evidence-based knowledge, practicality, and fiscal responsibility.
    PHYSICAL_DEMAND:

    Must be able to sit and stand for significant lengths of time in completion of work tasks. Must be able to walk significant distances to provide coverage on geographically diverse hospital inpatient units or clinics.

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    Job Info

    Job: 501

    Department: Food Nutritional Svc Clin Diet
    Category: Service & Trades
    Status: Full Time
    Shift: DAYS
    Hours: 40.00