Job Description

Location: St. Elizabeth's Medical Center
Posted Date: 5/16/2023

About Steward Health Care
Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country’s largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.
Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah.
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Position Function:

§ Under the direction of the Clinical Nutrition Manager and as a member of the interdisciplinary dialysis team, assesses patient’s knowledge of diet and kidney disease and provides education appropriate to patient’s learning needs regarding the relationship of diet and kidney disease and the impact on the treatment process.

§ Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process.

§ Assist patients in obtaining dietary supplements as appropriate. Works collaboratively with social worker to Refer patients for assistance with nutrition resources such as financial assistance, community resources or in-home assistance

§ Completes nutritional assessment and participates in the interdisciplinary comprehensive assessments. Must perform initial assessments and reassessments in accordance with regulations.

§ Participates with the interdisciplinary team in the development of a written, individualized comprehensive plan of care that specifies the services necessary to address the patient’s needs, in accordance with established Federal and, where applicable, state licensure guidelines.

§ Calculates diet prescription according to standard of practice.

§ Completes progress notes on all chronic dialysis patients according to established guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to established policies, Federal and state regulations.

§ Provides patient with ongoing nutrition assessment and outcome-oriented nutrition counseling necessary to assist patient in achieving and sustaining an effective nutritional status.

§ Identifies malnourished patients as well as patients at risk for malnutrition and works collaboratively with interdisciplinary team to identify appropriate interventions, resources or solutions. Reviews each patient’s albumin level and body weight at least monthly. Implements plan of care with involvement of patient/family/caregiver.

§ Monitors adherence and response to nutrition therapy, adjusts therapy as needed to achieve and sustain an effective nutritional status, documents why the patient was unable to achieve the goals and implements the plan of care to address issues impacting the patient’s ability to achieve the goals.

§ Collaborates with the interdisciplinary team on recommendations to achieve the physician’s prescription of Kt/V.

§ Collaborates with the interdisciplinary team on management and recommendations for mineral metabolism and renal bone disease, anemia and iron status, nutritional status, psychosocial status, vascular access, modality, rehabilitation status and sodium/volume control.

§ Helps to maintain a productive quality assurance program and participate in the center’s quality assurance activities. Reports on nutrition QAI results and participates in the interdisciplinary QAPI program.

§ Collaborates and coordinates with team members in provision of Pre-ESRD education as appropriate.

§ When appropriate, works with Case Manager to coordinate plan of care for patient education and identifies candidates to refer to physician for nutritional supplements, as per disease management agreements.

§ Reviews nutrition related lab results:

o Counsels patient and/or caregiver and formulates appropriate action.

o Recommends treatment changes to the interdisciplinary team as appropriate.

o Communicates with physician and/or facility staff regarding lab results as appropriate.

o Communicates lab results and recommended treatment changes to providers of patient care in nursing facilities (i.e. hospitals, short term and long term care facilities).

§ Participates in pertinent staff meetings (i.e. general staff, quality improvement), Care plan meetings, and others as applicable.

§ Maintains and improves knowledge and skills for a competent and innovative practice.

§ Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable.

§ Collaborates with interdisciplinary team, ensuring that all work areas are safe and clean.

Other nutrition management duties as assigned.


§ Accountable for maintaining the confidentiality and security of all hospital-related, medical staff-related and patient-related data and information.

§ Accountable to hospital policies and procedures as applicable.

§ Accountable to all departmental policies and procedures, including those relating to Infection Control.

§ Accountable to report all nutrition/food service issues to the appropriate manager/supervisor.


§ Bachelors degree in Nutrition (mandatory)

§ Masters degree in Nutrition (preferred)

§ Minimum of 1 year professional work experience in clinical nutrition as a Registered Dietitian.

§ Previous renal experience preferred.

§ Demonstrated leadership competencies and skills for the position, including ability to teach, strong organizational skills, excellent communication, customer service, relationship development, results orientation, team building and decision making.

§ Able to perform responsibilities with minimum supervision.

§ Computer skills required.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

Application Instructions

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