Registered Dietitian Nutrition
Registered Dietitian NutritionApply NowSummaryBasic Function: Oversee nutritional care for adult neurology patients in ambulatory care clinic settings. Manage complex nutritional problems primarily related to amyotrophic lateral sclerosis (ALS) and drug resistant epilepsy (DRE). Orchestrate dietary interventions, including enteral nutrition and the use of ketogenic and modified Atkin's diet therapy for DRE, provide nutrition education and participate in comprehensive care management to optimize nutritional status, improve quality of life and promote safe, positive health outcomes.Recommend and calculate specialized nutrition regimens, including monitoring and implementing specialized nutrition support as needed. Monitor lab values and adjust the nutritional regimen to achieve positive outcomes. Coordinate care on behalf of the patient to improve nutritional status and enhance self-care management. Identify, diagnose, and address malnutrition. Demonstrate flexibility in job role to meet patient, department, Registered Dietitian Nutritionist (RDN) team, and organizational needs.Hybrid position with the majority of the hours spent seeing patients in clinic, in person, supplemented by virtual remote work as needed, based on patient care needs.Organizational relationships
Reporting structure:
Ambulatory Care RDN Supervisor for professional oversight
Ambulatory Care Nutrition Manager
Liaison relationship with the Adult Neurology ACU Administrative Manager and Medical Director
Liaison relationship with interdisciplinary health care team for patient care populations of responsibility
Peer relationships with Registered Dietitian Nutritionists in work group.
Preceptor to Dietetic Interns and students, as able
Mission StatementMichigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.ResponsibilitiesPRIMARY DUTIES AND RESPONSIBILITIESPatient Care
Perform on site, in person care at the U-M Health Taubman Center supplemented by virtual visits in keeping with departmental and institutional guidelines when working remotely.
Conduct an ongoing comprehensive nutrition assessment for Adult Neurology patients with ALS and DRE identified to be seen as per clinic standards.
Organize patient health and disease information to identify nutrition-related problems.
Diagnosis malnutrition after identifying the problem and clarifying the cause of the problem.
Develop and implement an individualized plan for nutrition intervention.
Analyze food diaries, meal recipes and specialized formula recipes for vital nutrients.
Ground interventions through review of quality research and/or use of medical nutrition therapy evidenced-based practice. Incorporate evidence-based standards when interpreting patient related data.
Monitor and evaluate need for continuation and discontinuation of specialized nutrition support and make appropriate recommendations accordingly.
Chart malnutrition diagnosis (if appropriate), individualized nutrition treatment plan, follow-up documentation of patient outcomes and revisions to plan in the electronic medical record. This communication is performed in a timely manner that is consistent with unit policy and procedures.
Obtain prior authorizations for nutritional supplements and support regimens as needed. Communicate with DME companies.
Recognize the varied needs of age-specific populations, as well as cultural, religious, and ethnic concerns.
Address patient's specific needs in the nutrition care plan and honor any advanced directives.
Measure effectiveness of nutrition interventions in reaching desired outcomes.
Reassess the nutrition care process and implement changes as indicated.
Provide short, frequent follow up care, most often through virtual visits, in keeping with best practices.
Communicate regularly with the medical team using both verbal and written communication.
Communicate regularly and effectively with the inpatient registered dietitian nutritionists to provide continuity of care whenever patients transition between settings.
Abide by UMHS policy for the proper use of patients' protected health information.
Abide by UMHS policy for the proper use of infection control precautions in patient care areas.
Business Functions
Provide nutrition service to the Adult Neurology specialty clinics at Michigan Medicine for identified patient populations.
Implement charge capture by RDN for RDN services and facilitate scheduling patients as needed.
Provide quality service based on customer expectations and needs.
Incorporate Michigan Medicine core values of care, integrity, inclusion, teamwork, and innovation into all work efforts.
Exemplify and model equitable behavior that encourages belonging and respect in an inclusive, diverse work environment.
Maintain institutional and departmental productivity standards and practice effective time management.
Participate in developing nutrition-related policies, procedures, guidelines, protocols, and forms, particularly those associated with nutritional care in the adult ambulatory care setting.
Assist in achieving compliance with state and federal regulatory and accrediting agencies.
Participate in interdisciplinary meetings, task forces, and projects as appropriate.
Contribute to quality improvement efforts including collection of outcome data to help improve practice in the ambulatory care unit.
Participate in research studies and communicate findings through reports, abstracts, presentations, and publication as appropriate.
KNOWLEDGE AND SKILLS REQUIREMENTS
Able to work with a team to accomplish organizational goals.
Coordinate nutrition patient care services with the other Adult Specialty dietitians.
Cross cover other Adult Specialty dietitians for urgent patient are needs during vacations, illnesses, etc.
Act as the point person to keep the rest of the team informed of the latest dietary trends in disease management.
Communicate in a clear, concise, and diplomatic manner both verbally and in writing.
Implement critical thinking to solve problems.
Use technology such as word processing, spreadsheets, e-mail, and telecommuting platforms.
Demonstrate flexibility in job role to meet patient, department, and organizational needs.
PHYSICAL REQUIREMENTSThis position may require extensive daily walking/standing in the ambulatory care clinic environment to complete nutrition assessments.DisclaimerThis is not intended to be an exhaustive list of all responsibilities and duties required of persons in this job role.Required QualificationsMinimum Education
Meeting the requirements and completing a didactic program in dietetics and a supervised practice program approved by the Commission on Accreditation for Dietetics Education (CADE) of the Academy of Nutrition and Dietetics.
Preferred Education
Master's Degree in Nutrition related field (required to take the RDN certification exam as of 2024).
Documented experience working with the medically complex adult specialty populations will be counted in lieu of an advanced degree.
Minimum Certification
Registered Dietitian with active registration by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics.
Candidate may also be RDN eligible as long as RDN status is achieved within 6 months of hire.
Preferred Certification
Certified Nutrition Support Clinician (CNSC)
Work ScheduleWork part-time, 24 hours/week; weekdays.Background ScreeningMichigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.Application DeadlineJob openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.U-M EEO/AA StatementThe University of Michigan is an equal opportunity/affirmative action employer.Job DetailJob Opening ID245911Working TitleRegistered Dietitian NutritionJob TitleRegistered Dietitian NutritionWork LocationMichigan Medicine - Ann ArborAnn Arbor, MIFull/Part TimePart-TimeRegular/TemporaryRegularFLSA StatusExemptOrganizational GroupUm HospitalDepartmentMM UMMG Registered DietitiansPosting Begin/End Date3/04/2024 - 3/18/2024Career InterestPatient Care ServicesApply Now