1. Medical nutrition assessment of the nutrition status and nutritional needs of all clients as required by state and federal regulations and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards as applicable. Assessments will be completed in accordance with the standards set forth by Nutritious Lifestyles, Inc., the prevailing standards of care and will be based on the DTR’s knowledge of medical nutrition therapy and individualized discretion and judgment under the guidance, direction and monitoring of the Clinical Supervisor or Mentor.
2. Identification of clients with nutritional risk factors and development of an individualized plan of care for each client to address identified risk factors based on the prevailing standards of care and the DTR’s knowledge of medical nutrition therapy under the guidance, direction and monitoring of the Clinical Supervisor or Mentor.
3. Recommendations for interventions will be made in accordance with the protocols for specific conditions or disease states as set forth by Nutritious Lifestyles and facility policy using the DTR’s individual discretion and judgment under the guidance, direction and monitoring of the Clinical Supervisor or Mentor.
4. Assessment of the status of all high risk clients, including clients with skin breakdown, on tube feeding or parenteral nutrition and clients with significant weight loss, a minimum of monthly as needed. The DTR will use individualized knowledge and judgment to determine if clients are proceeding toward the goals of the individualized plan of care and make revisions as the DTR deems necessary under the guidance, direction and monitoring of the Clinical Supervisor or Mentor.
5. Documentation on each client in accordance with the documentation standards set forth by Nutritious Lifestyles, Inc.
6. Maintenance of a “Daily Tracking List” of all clients seen each day and a “Nutritional Risk Tracking List” for all high risk clients.
7. Periodic Quality Assurance surveys using the standards set forth by Nutritious Lifestyles, Inc., including monthly sanitation inspections. Provision of guidance and corrective action based on the DTR’s specialized knowledge and individualized judgment under the guidance, direction and monitoring of the Clinical Supervisor or Mentor is required.
8. Provision of other services contracted for by each facility, which includes, but is not limited to, assisting with completion of MDS’s, RAPS and care plans, in- services, chart audits, training of dietary managers in charting and documentation, and physician consults.
9. Completion of a comprehensive monthly report of services provided in accordance with Nutritious Lifestyles’ policy, and monthly exit interview with each facility as requested by the facility.
10. Submission of monthly reports to Nutritious Lifestyles’ office no later than the fifth of the following month.
11. Submission of a monthly schedule by the due date as provided by Nutritious Lifestyles’ office personnel.
12. Communication with office in the event of changes or problems in a facility. Notification of office thirty days in advance of planned time off, immediate notification of office when emergencies arise.
13. Coverage for other DTRs within one-hour radius for vacations and emergencies.
14. Development and maintenance of positive working relationships with each facility using the facility communication guidelines set forth by Nutritious Lifestyles, Inc. Maintenance of communications with facilities via e-mail or telephone, assessment of high risk clients during non-working hours as needed.
15. Maintenance of credentials as required by the Commission on Dietetic Registration for registration as a DTR.
16. Other duties as required.
1. Completion of a dietetic technician program by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) of the Academy of Nutrition and Dietetics, that includes 450 hours of supervised practice experience in various community programs, health-care and foodservice facilities and has completed at least a two year associate's degree at a U.S. regionally accredited college or university or completed coursework in an ACEND-accredited didactic program or coordinated program in dietetics and has completed at least a bachelor's degree at a U.S. regionally accredited college or university.
2. After completing the degree and dietetics coursework, passage of a national examination administered by the Commission on Dietetic Registration (CDR)
3. Completion of continuing professional educational requirements to maintain registration.
4. One year of experience in food service management or clinical dietetics is preferred
Knowledge, Skills and Abilities:
1. Advanced knowledge of medical nutrition therapy, geriatric nutrition, chemistry, metabolism and biology and ability to use knowledge to provide medical nutrition therapy, including nutrition assessments, care planning, monitoring and revision of plans.
2. Advanced knowledge in food service and sanitation fundamentals.
3. Ability to exercise intellectual discretion and judgment.
4. Ability to use advanced knowledge to analyze, interpret and make deductions in
5. Excellent oral and written communication skills.
6. Ability to work independently and make independent decisions and judgments.
7. Excellent customer service skills and problem-solving skills.