Dietitian I

2 months ago

San Mateo, United States County of San Mateo, CA Full time
Salary: $43.41 - $54.26 Hourly

Location : County of San Mateo, CA

Job Type: Extra Help

Job Number: POSTING ONLY (S024D)

Department: San Mateo Medical Center

Opening Date: 07/11/2024

Description

San Mateo County Health is currently seeking a Dietitian I - Extra Help for San Mateo Medical Center's (SMMC) Main Campus in San Mateo and outlying clinics across the County.

This is an Extra Help, Part-Time (0.5 FTE) position, and will be primarily for the coverage of shifts in the absence of regularly scheduled dietitians and during high volume periods. The work hours and days may vary based on operational needs. The work locations will include SMMC Main Campus and other County clinics.

In the outpatient setting, the incumbents will work collaboratively with a team of caregivers (including physicians, nurses, and other dietitians) to provide excellent care to both adult and pediatric patients. Nutrition-related counseling can be expected to occur in the individual and group setting.

In the inpatient setting, the incumbents will work collaboratively with a team of dietitians to provide excellent patient care to both acute and skilled nursing patients; assess nutrition status; and develop and act on care plans.

Dietitians will be responsible for the planning of special/therapeutic diets for patients, conferring with medical staff about patients' nutrition needs, and documenting in the medical record. The dietitians also monitor patient acceptance of diet; educate patients on appropriate diets; and initiate and complete appropriate Quality Assurance reports that are both clinical and operational in nature.

The ideal candidate will have a minimum of one year of recent experience working with patients with multiple diseases and diagnoses including diabetes is preferred but not required; a Certified Diabetes Educator (CDE) preferred but not required; have experience in an ethnically diverse client population; Spanish Speaking is preferred, but not required. Additionally, desirable qualifications include knowledge of and experience in Title 22 Long-term Care facilities, as well as involvement in Centers for Medicare & Medicaid Services (CMS) and Joint Committee on Accreditation of Healthcare Organizations surveys.

Dietitian I is the journey level, fully experienced level in the series, providing a full range of nutrition needs assessment, nutrition education, and dietetic consultation services to individuals and/or communities. Incumbents at this level develop nutrition standards and protocols, perform community advocacy. Incumbents at this level may advance to Dietitian II after one year of satisfactory performance of clinical dietitian work utilizing MNT.

NOTE: This is an extra-help, at-will assignment, paid on an hourly basis. Extra-help hours are dependent on the business needs of the department and therefore work hours may vary from week to week. Extra help employees shall not exceed 1,040 hours of work per fiscal year. Some extra help positions are eligible for benefits under the Affordable Care Act. Extra help employees are not guaranteed permanent status at the end of the assignment.
Examples Of Duties

Duties for all options may include, but are not limited to, the following:
  • Perform nutritional assessments using anthropometric, biochemical, clinical and dietary data.
  • Provide counseling regarding diet changes, diet history, and nutritional care plans.
  • Utilize dietary guidelines to develop and/or modify menus and recipes and ensure quality standards.
  • Speak to community groups on nutrition.
  • Participate in the acquisition and/or development of nutrition education materials.
  • Participate in development of nutrition standards and protocols.
  • Provide technical consultation and training to County staff and staff of community agencies.
  • Serve on committees as assigned.
  • May supervise health support staff.
  • Identify nutritional risk and diet priority.
  • Develop nutritional care plan for all clients and counsel clients utilizing plan.
  • Develop special care plans for high-risk clients.
  • Appropriately refer clients to available support resources such as health services, emergency food, substance abuse programs, Children's Protective Services, family planning; document referrals made.
  • Complete documentation of nutritional risk and interventions on program forms.
  • Participate in development and implementation of annual nutrition education plan.
  • Participate in planning and implementation of training program for paraprofessional staff.
  • Conduct computerized nutrient analyses of recipes/menus for restaurants, caterers, etc.
  • Meet the requirements of the standards set forth in Section H of the Title III Nutrition Program regulations, California State Department of Aging.
  • Select, train, evaluate, and discipline drivers for the Senior Nutrition Program.
  • Revise and review senior menu with chef and kitchen employees monthly; plan special events calendar each year with accompanying appropriate menus.
  • Provide nutrition education to senior congregate sites quarterly with individualized topics that fulfill participants' requirements.
  • On a quarterly basis provide in-service training to site volunteers and food handlers; driver training for Meals on Wheels drivers; serve as resource for and meet with other provider dietitians; and site manager training meetings to orient, train and keep site managers apprised of current events in the program.
  • Provides multiple personal consultations per year to Meals on Wheels program participants.
  • Attends nutritional commissions, committees, coalitions, and other related meetings.
  • Provides technical assistance on nutrition issues and reviews nutrition program proposals and contracts.
  • Perform related duties as assigned.
Qualifications

Licensure/Certification:
  • Must be a Registered Dietitian or eligible for registration as a Dietitian through the Commission of Dietetic Registration (CDR) of the Academy of Nutrition and Dietetics. Full registration must be achieved within 3 months following date of employment. Registered Dietitians are required to maintain certification through continuing education requirements of CDR.
  • Possession of a valid California driver license or equivalent is required.
Knowledge of:
  • Special diet recipes and preparation methods.
  • Menu planning for individuals and groups.
  • Food safety, hospital kitchen sanitation practices, procedures and equipment.
  • Food composition and how various factors (e.g., food processing) can alter its composition.
  • Current principles of medical nutrition therapy in health and disease.
  • State and Federal laws and regulations affecting dietetic and food service practices.
  • Nutritional needs throughout the life cycle (neonatal, infancy, pediatrics, adults and geriatrics) and general influences of socioeconomic, cultural and psychological factors on food and nutritional behavior.
  • Principles, methods and techniques of education and counseling.
  • Common office software, including word processing, spreadsheets, power point, electronic medical record databases, diet software systems.
  • Nutrition education interventions appropriate to diverse individuals and groups.
  • Community nutrition resources.
  • Food patterns, practices and beliefs of diverse cultural-ethnic groups.
  • Dietary guidelines for health promotion and disease prevention.
  • Methods of planning nutritional, appetizing and economical meals for large groups.
  • Principles and practices of supervision and training.
  • Nutrition education and counseling.
  • Ability to develop, implement and maintain program improvements.
Additional knowledge requirements for Dietitian II:
  • Principles, methods and techniques of nutritional assessment and care planning, including nutrient composition of foods, pathologies of disease and impact on biochemical laboratory values and anthropometrics measurements, drug-nutrient interactions and the effect of MNT.
  • Concepts of research and methodology, including design, statistical methods of collecting and analyzing data.
  • Special diets requirements of the different types of patients in a general hospital.
  • Required to have up to date knowledge on MNT, IDDSI Guidelines (dysphagia guidelines) to assist patients with safe practices in the inpatient and outpatient setting.
  • Continuous Quality Improvement Processes.
  • Joint Commission on Accreditation of Healthcare organizations (JCAHO) standards affecting dietetic and food services practices.
Skill/Ability to:
  • Demonstrate understanding of multiple system organ failure, necrotizing enterocolitis, critical illness in the morbidly obese, diabetes, failure to thrive, malnutrition and other disease states.
  • Provide food production oversight in the absence of the supervisor or manager.
  • Interpret and apply evidenced-based scientific research outcomes in provision of nutrition care.
  • Consult with other professional staff regarding the relationship between nutrition and specific medical/ physical conditions and medications.
  • Assess nutritional risk and plan special diets as needed.
  • Design, use and evaluate nutrition education methods and materials.
  • Instruct employees and others concerning dietary matters.
  • Prepare and maintain clear and concise records and reports and operate computer systems and databases.
  • Communicate effectively, both orally and in writing, with individuals of diverse, cultural, ethnic, and educational backgrounds.
  • Maintain effective relationship with employees and patients.
  • Supervise, instruct, train and provide leadership to others.
  • Plan and present nutrition training and classes.
Education and Experience:Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

Education: Possession of a bachelor's degree from an accredited college or university with a major in food science, nutrition, dietetics or a closely related field and completion of a Dietetic Internship in a program accredited by the Academy of Nutrition and Dietetics.

Experience:
Dietitian I: One year of experience in community-based nutrition work.
Dietitian II: One year of inpatient or outpatient clinical experience utilizing Medical Nutrition Therapy in acute and chronic disease states.

Application/Examination

If you are interested in being considered for this extra-help position, the following materials must be electronically submitted in a Word or PDF format.

- Cover letter
- Resume
- Responses to the following questions:

1) This position requires the incumbent be a Registered Dietitian or eligible for registration as a dietitian through the Commission of Dietetic Registration of the American Dietetic Association. Indicate how you meet this requirement.
2) Possession of a valid driver license is required for employment. Indicate if you possess a valid driver license.
3) Indicate if you are a Certified Diabetes Educator, Certified Nutrition Support Clinician or neither.
4) Describe your involvement in a CMS, COBRA or JCAHO survey. Indicate your role and responsibility in the process.
5) Describe your experience working as a Dietitian in (a) inpatient, (b) outpatient, and (c) other settings.
6) Describe your supervision experience. Include number and types of staff you supervised and what differences, if any, you would foresee in managing administrative versus technical staff.
7) Fluency in Spanish is preferred, but not required. Please indicate if you are fluent in Spanish.

Please include the words "Dietitian I - Extra Help (Open)" in the subject line of email submission. Please submit the required materials electronically via email to:

Merrin Thompson, Clinical Services Manager - Nutrition

mthompson@smcgov.org

Application materials will be reviewed as they are received, and well-qualified candidates will be contacted for an interview.

Apply immediately. Application materials will be accepted until positions are filled. This posting is open on a continuous basis and selection may be made at any time within the process.

NOTE: Application materials are only accepted via e-mail. Materials sent via regular mail and/or fax will not be accepted.

San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically and linguistically diverse communities. The County of San Mateo is committed to advancing equity in order to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer committed to fostering diversity, equity and inclusion at all levels.

Analyst: Debbie Kong (07112024) (Dietitian - S024)

Please visit for a complete listing of all benefits for this classification.

Benefits are offered to eligible employees of the County of San Mateo. All benefits are subject to change.

As an additional benefit, the County offers extensive training and development programs designed to improve skills and enhance career opportunities. Most programs are offered on County time at no cost to you.

County employees are also covered by the federal Social Security system and earn benefits for retirement based on salary and time worked.

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