In accordance with the mission and goals established by the hospital and department management, provides nutritional care for ambulatory clinic patients, contracted services and outpatients of all ages. Assist with responsibilities in areas of projects, performance improvement, competency checks, peer review, development of policies and procedures and other nutrition related activities.
Essential Job Functions
Completes nutrition screening, assessment and reassessment of patients Collects patient health assessment data on admission and in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient. Documents the initial assessment on appropriate medical records within the established time frames. Reviews medical records, collects relevant information, identify conditions that effect nutritional status, interpret lab data, and food-drug interactions. Conducts patient interview and obtains diet history and assesses nutritional adequacy. Utilizes appropriate tools to evaluate nutritional status and progress. Involves the patient/family and other healthcare providers when appropriate. Complies with completeness, accuracy and timeliness of documentation. Determines plan for reassessment based on protocol process or patients’ needs/status. Conducts follow-up for patient satisfaction. Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, fosters self-care and improves outcomes. Evaluates, creates and revises education material related to disease management and current diabetes topics. Develops and conducts education programs for staff and community. Participates in the interdisciplinary education to assess the patient's readiness to learn, identify the patient's educational barriers and tailor the educational processes to meet the needs of the patient/family. Ensures the process includes education about safely and effectively using diabetes medications, available resources, how to obtain further care, and information about their responsibilities in their care. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences. Documents all aspects of diabetes care including assessment, plan of care, response to intervention, progress, and education provided to patient, utilizing acceptable format, standards and guidelines established by the system and according to the regulatory agencies guidelines and requirements. Produces documentation that is accurate, concise, timely and legible and which reflects an interdisciplinary plan of care. Takes action to proactively identify and resolve patient needs. Clinical Performance Utilizes time efficiently. Adheres to scheduling and productivity standards. Assists with the development of policies, procedures and tools when appropriate to improve process and patient care. Assist with department performance improvement plan and interventions. Prepares reports and presents findings to staff, department, etc. Professional Development Maintains registration and licensure status. Demonstrates awareness of our strengths and limitation. Seeks guidance as necessary to address limitations and modifies behavior as needed. Participates in education experiences within practice setting. Maintains department records of continuing education. Program Development and Marketing Participates in program development designed to market and expand department services. Assess revenue generation of all programs. Participate in the marketing of programs. Post charges in a timely manner for outpatient services rendered. Develops and Maintains Collaborative Relationships Attends appropriate operation meeting. Works collaboratively with other team members. Participates on interdisciplinary committees. Involves all appropriate departments in the development of policy/procedures or changes. Compliance to Regulatory Agencies Assists on preparation for surveys/inspections. Responds appropriately in emergency situations. Assists in maintaining a safe and clean environment for patients, visitors and staff. Assists in maintaining manuals of meeting notes, communications, policies and procedures and performance improvement initiatives. Adheres to the infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. Other duties as assigned.Specialty Functions
Provides Outpatient Nutrition Counseling Includes the patient in determining their health goals to incorporate proper nutrition into their lifestyle. Establishes short- and long-range goals with the patient that assists them in adapting to and complying with recommended nutrition practices. Identifies and uses the most appropriate/effective counseling method for the patient. Incorporates principles of proper nutrition, weight control and exercise in provided education. Accurately documents all counseling interactions. Provides feedback to referring physician. Obtains physician referrals as required. Participates as an interdisciplinary member in Well Being Center activities. Actively participates in the development and implementation of health education and wellness programs. Works collaboratively with other team members in program presentation to employees, employers and the community. Participates in Well Being and Excela Heath marketing activities. Provides Health Coaching Provides health coaching to individuals utilizing the Wellness Mapping 360 model. Accurately documents all coaching interactions Measures and documents outcomes at end of coaching relationship. Provides Biometric Screenings Provides biometric screening including weight/BMI, blood pressure, waist circumference and finger stick lab testing. Accurately enters all data into the MyBioCheck application according to the Biometric Screening Policy/Procedure. Reviews results with participant and provides brief counseling.Required Qualifications
Bachelor’s degree in Nutrition, Food and Nutrition or closely related field. Completion of an American Dietetic Association approved program leading to registration. Six (6) to twelve (12) months of experience in an acute health care facility. Demonstrate a thorough knowledge of modified diets and enteral/parenteral feedings; professional nutrition planning and instructional skills and knowledge of diabetes care and management. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Ability to use Microsoft Word, Outlook, and Power Point.Preferred Qualifications
Experience working in a diabetes education program. Proven work experience in the area of Sports Nutrition.License, Certification & Clearances
Current License to practice in the State of Pennsylvania or within 6 months of hire. Current registration with the American Dietetic Association or within 6 months of hire. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal
Supervisory Responsibilities
Position Type/Expected Hours of Work
Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Excela Health locations.LEAN
Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values.AAP/EEO
Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.Work Environment
Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines
When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
Physical Condition
Essential
Marginal
Constantly
Frequently
Occasionally
Rarely
Never
Extreme Heat
x
Extreme Cold
x
Heights
x
Confined Spaces
x
Extreme Noise(>85dB)
x
Mechanical Hazards
x
Use of Vibrating Tools
x
Operates Vehicle (company)
x
Operates Heavy Equipment
x
Use of Lifting/Transfer Devices
x
Rotates All Shifts
x
8 Hours Shifts
x
x
10-12 Hours Shifts
x
x
On-Call
x
Overtime(+8/hrs/shift; 40/hrs/wk)
x
x
Travel Between Sites
x
x
Direct Patient Care
x
x
Respirator Protective Equipment
x
Eye Protection
x
Head Protection (hard hat)
x
Hearing Protection
x
Hand Protection
x
x
Feet, Toe Protection
x
Body Protection
x
Latex Exposure
x
x
Solvent Exposure
x
Paint (direct use) Exposure
x
Dust (sanding) Exposure
x
Ethylene Oxide Exposure
x
Cytotoxic (Chemo) Exposure
x
Blood/Body Fluid Exposure
x
x
Chemicals (direct use) Exposure
x
x
Mist Exposure
x
Wax Stripper (direct use)
x
Non-Ionizing Radiation Exposure
x
Ionizing Radiation Exposure
x
Laser Exposure
x
Physical Demands
When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Essential – Absolute Necessity.
Marginal – Minimal Necessity.
Constantly – 5.5 to 8 hours or more or 200 reps/shift.
Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.
Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.
Rarely – Less than 0.25 hours or less than 2 reps/shift.
Physical Condition
Essential
Marginal
Constantly
Frequently
Occasionally
Rarely
Never
Bending (Stooping)
x
x
Sitting
x
x
Walking
x
x
Climbing Stairs
x
x
Climbing Ladders
x
Standing
x
x
Kneeling
x
Squatting (Crouching)
x
x
Twisting/Turning
x
Keyboard/Computer Operation
x
x
Gross Grasp
x
Fine Finger Manipulation
x
x
Hand/Arm Coordination
x
x
Pushing/Pulling(lbs. of force)
x
Carry
x
x
Transfer/Push/Pull Patients
x
Seeing Near w/Acuity
x
x
Feeling (Sensation)
x
Color Vision
x
Hearing Clearly
x
x
Pulling/Pushing Objects Overhead
x
Reaching Above Shoulder Level
x
x
Reaching Forward
x
x
Lifting Floor to Knuckle
###
>10#
Lifting Seat Pan to Knuckle
###
>10#
Lifting Knuckle to Shoulder
###
>10#
Lifting Shoulder to Overhead
###
>10#
When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.