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Renal Nutrition Specialist

2 months ago

Baltimore, Maryland, United States LifeBridge Health Full time
Job Summary

This position provides services and education to dialysis patients and authorized caregivers in a clinical setting to support and maximize the patient's nutritional well-being within a chronic-care facility for end-stage renal disease patients in accordance with LifeBridge Health policies, procedures, and guidelines, OSHA, CMS, federal, state, and local regulations.

Key Responsibilities
  • Assess nutritional status to determine appropriate nutrition intervention and recommendations.
  • Perform initial assessments within 30 days or 13 treatments, whichever is later, or admission or transfer to the facility.
  • Perform re-assessments within 3 months of initial assessments.
  • Perform re-assessments annually for stable patients.
  • Perform re-assessments monthly for unstable patients.
  • Participate in Interdisciplinary Care Plans based on assessments or re-assessments with 15 days after completion of assessments, annually for stable patients, and monthly for unstable patients.
  • Review medical and diet history, consult with patients and multidisciplinary teams, document appropriate information and nutrition progress in medical records at least monthly.
  • Develop individualized Medical Nutrition Therapy, including meal plans, for each patient.
  • Provide nutrition education and counseling based on individualized patient needs, including nutrient requirements, knowledge, and abilities, medical, economic, and social situations.
  • Select or develop educational materials and methods appropriate for individual patients.
  • Monitor nutritional status, laboratory values, dialysis adequacy, adherence to diets, and response to nutrition-related medications and therapy to determine appropriate nutrition intervention and recommendations.
  • Revise and update nutritional recommendations and nutritional care plans as needed.
  • Review monthly lab results with each patient and/or caregiver and provide patients with printed patient nutrition reports.
  • Function as a Mineral and Bone Disorder Specialist.
  • Participate in anemia management.
  • Participate in rounds, patient care conferences, and continuous quality improvement teams (QAPI, facility team meetings, and in-services).
  • Manage hospitalization tracking.
  • Administer quality patient care in a considerate and respectful manner.
  • Evaluate outcomes and identify factors that may contribute to undesirable results and document appropriately.
  • Document nutrition progress at least monthly.
  • Document according to Federal, State, and LifeBridge Health Baltimore Health System requirements.
  • Establish effective relationships with medical teams, nursing, and other patient care team members.
  • Establish effective relationships with patients and caregivers.
  • Contact and collaborate with extended care facility staff, family members, or other appropriate medical personnel to facilitate adequate and appropriate nutritional care.
  • Effectively communicate pertinent nutrition issues with medical teams.
  • Present nutrition-related in-services for clinical teams quarterly.