Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.
Cardiac rehabilitation (CR) is a comprehensive program designed to help patients recover and adopt a healthier lifestyle following a cardiac event such myocardial infarction, coronary bypass surgery, valve repair/replacement, heart failure admission, or transplant. Dieticians play a crucial role in identifying poor dietary patterns that contribute to further progression of cardiac disease and provide recommendations for risk factor modification.
Under the general supervision of the Medical Director and Practice Manager of Cardiac Rehabilitation and within the established Steward Medical Group (SMG) policies and procedures and all applicable laws, the Dietician performs the following functions to include but not limited to:
To include but not limited to:
- Pritikin-specific individual outpatient nutrition counseling sessions, approximately 30 minutes per session, working with patients who have poor dietary patterns for risk factor reduction. Patient’s deemed appropriate for referral to CR dietician will been seen once for consultation and once for follow up towards the end of CR program.
- Developing, implementing, coordinating, and updating cardiac nutrition education programs to optimize outcomes which include but not limited to hyperlipidemia, hypertension, diabetes, obesity, malnutrition in elderly based on current guidelines and evidence-based literature.
- Development and delivery of monthly educational workshops for CR patients in group setting in additional to individual outpatient assessments.
- Conduct cooking demonstrations and educate patients on how to prepare their own healthy meals.
- Evaluating and assessing nutritional labs and prescribing food and nutrients, as needed, under the direction of MDs.
- Referral to Endocrinology and/or Bariatric Medicine as deemed fitting after assessment of individual patients.
- Maintaining timely follow-up correspondence with patients via email and/or telephone, as needed.
- Documenting all nutrition visits and nutrition interventions using electronic medical record (Athena) and maintains paperwork consistent with department and regulatory agency requirements.
- Providing appropriate documentation to referring healthcare providers as needed.
- Participating in periodic staff meetings and journal article review for staff education and development.
- Correspondence with SEMC billing department to ensure optimal reimbursement for nutritional services rendered if not provided under scope of CR.
- Reviews literature, professional journals, and attends conferences and programs to update skills and continuously improve and maintain professional competence.
- Precepting dietetic interns in outpatient setting.
- Maintains Registered Dietitian certification and state licensure.
- Maintaining active registration status with Massachusetts Dietetic Association.
- Maintaining continuing education credits (CEUs) in accordance with ADA Commission on Dietetic Registration (CDR) and Commonwealth of Massachusetts licensing bureau to maintain active registration/license status.
- Demonstrates respect and regard for the dignity of all patients, family, visitors and fellow employees to ensure a professional, responsible and courteous environment
- Commits to recognize and respect cultural diversity for all patients, family, visitors and fellow employees
- Monitors the continuity of operational systems, procedures and service standards
- Provides superior customer service to all patients, family and visitors
- Performs duties in a cost-effective manner and with a high level of service
- Evaluates new products and equipment for use within the department
- Promotes leadership, teamwork and professionalism within the organization by action and example
- Develops interdisciplinary relationships that foster effective planning, teamwork, mutual respect, collaboration and integration of services with other departments and physicians for coordinated provision of services and support of patient care
- Participates in department quality improvement programs
- Communicates effectively with the team through regular conversation, emails and/or telephone
- Reports problems, issues and patient/physician concerns to the Medical Director and/or Practice Manager
- Reports any unusual occurrences related to patients, staff, equipment or other departmental related questions/concerns directly to the Medical Director and/or Practice Manager
- Reports serious incidents and/or breaches in quality of care of regulatory compliance to the Medical Director and/or Practice Manager
- Reports immediately to the Medical Director and/or Practice Manager any deviation from normal operations
- Accountable for maintaining the confidentiality and security of all hospital related, medical staff related and patient related data and protected health information (PHI). Accesses only the minimum necessary PHI for performance of job duties. Follows HIPPA privacy guidelines without deviation when handling PHI
- Accountable for providing a safe working environment for all hospital staff
- Education: Bachelor’s in nutrition required. Master’s in Nutrition preferred. Completion of an American Dietetic Association program preferred
- Experience: Minimum of 1-2 years working as a registered dietician. Experience with cardiac rehab patients preferred.
- Licensure: MA Registered Dietician required
- Extensive knowledge of the Pritikin ICR program and motivate patient towards a plant-based diet
- Ability to analyze laboratory results to guide and prioritize dietary changes to help patient reach heart healthy goals
- Coaching and motivational interviewing techniques
- Ability to conduct presentations and teach in group settings
- Sufficient computer skills to perform duties (Microsoft Office, Excel and Outlook)
- Well-versed in medical terminology
- Critical thinking and the ability to effectively manage emergent situations
- Ability to work independently and take initiative in completing tasks
- Demonstrates superior customer service skills
- Ability to prioritize and manage a variety of tasks
- Excellent communication, organizational and interpersonal skills
- Experience with electronic medical records. Athena preferred