23 days old

Clinical Dietitian - CC-20107455-Nutrition-Alfred I duPont Hospital

Nemours
Wilmington, DE 19801
  • Job Code
    3032
  • Jobs Rated
    50th
Position Title: Clinical Dietitian

(To be reviewed by HR)

Effective Date: November 17, 2021

Salary Grade: _________

(To be assigned by HR)

Prepared By: Robin Nuse Tome, RD, CSP, LDN, CLC

Department / Unit: Clinical Nutrition

Location / Region: Nemours, AIDHC/Delaware Valley

Exempt

Non-Exempt

Job Class: _________

Job Code: _________

7/40 Work Week

8/80 Work Week

Full-Time

Part-Time

Other: _________

(If Other, please specify (e.g. casual)

(The normal overtime schedule is 7/40; for 8/80 schedules an additional form must be completed, please contact your HR Business Partner)

Approvals:

Robin Nuse Tome

Outpatient Clinical Nutrition Manager

Manager Name

Robert J. Mullen

Manager Title

Senior Director of Pharmacy & Clinical Nutrition

Administrator Name

Administrator Title

I. Primary Function - Briefly describe why this job exists (No more than 1-2 paragraphs).

This position provides clinical nutrition consultation in coordination with Physicians and other members of the multidisciplinary care team.

II. Essential Functions - These responsibilities are of utmost importance and the d epartment cannot function without them. No more than 8 to 10.

1. Nutrition Operations - Ensures Delivery of Quality Clinical Nutrition Services

  • Functions as a nutrition consultant, completing nutrition consults and referrals from Nemours and community providers
  • Conducts nutrition assessment and intervention for Inpatients and Outpatients, as required by the specific position. For inpatients, this includes those patients identified at high nutrition risk; completes re-screens for patients who are identified at moderate or low nutrition risk upon admission
  • Develops and implements nutritional care plans based on diet history, labs, medications, supplements, medical history, medical care plan, and expected growth and development appropriate for the patient's age, sex, cultural /ethnic background and disease specific requirements
  • Performs nutrition counseling for pediatric patients/caretakers regarding disease specific diets and /or formulas. This requires knowledge of composition of infant, pediatric, and adult formulas, along with ability to calculate specialized formula recipes and meal plans
  • Documents nutritional assessments and recommendations via EPIC medical record documentation system
  • Actively participates in team rounds, as necessary
  • Provides recommendations for and prescribes enteral feeding and parenteral nutrition orders, as necessary
  • Demonstrates clinical proficiency in direct clinical nutrition patient consultation/care and is responsible for the completion of 100% of clinical competencies (to include basic competencies and enteral/parenteral prescribing competencies, as deemed necessary by manager)
  • Continually updates teaching materials recommended for nutritional therapies pertaining to specific diseases
  • Serves as nutrition resource to medical team, hospital staff and community
  • Interacts and coordinates nutritional care of patients with physicians and other health care providers (nurses, social workers, therapists, hospital/community dietitians, homecare companies, pharmacies, and school personnel)
  • Fulfills on-call responsibilities on a rotating schedule with other dietitian staff

2. Professional Development

  • Attends appropriate continuing education to maintain professional credentials and expand knowledge and skills
  • Participates as expert speaker/author on pediatric nutrition topics, as appropriate
  • Fulfills continuing education requirements to maintain registration through the Academy of Nutrition And Dietetics (AND) as a Registered Dietitian (RD), State Licensure, and additional specialty certification (CNSC, CSP, etc.), as applicable
  • Complies with Requirements of the RD Clinical Nutrition Ladder, as applicable

3. Research and Evidence-Based Practice - Ensures Nutrition Care is Consistent With Evidence-Based Standards & Practice

  • Stays up to date with emerging research and practice guidelines
  • Develops or participates in research projects with other disciplines

III. Non-Essential Functions - List all other functions that are required to perform the job. These are not the same as essential functions of the job. No more than 5-7.

  • Complies with HIPPA, The Joint Commission, CMS and OSHA/Safety Regulations
  • Adheres to the Nemours Standards of Behavior
  • Assures completion of all annual department, hospital and organizational requirements
  • Participates in creating a culture where all Associates focus efforts on discovering and meeting patient & family expectations in a manner that provides satisfaction for the family, and enhances superior clinical & service outcomes.
  • Participates in professional, civic, and service organizations
  • Any other duties as assigned

IV. Performance Skills - List the skills that are required to perform the essential functions of the job. No more than 5-7

  • Comprehensive knowledge and application of medical nutrition therapy in pediatric patients
  • Ability to communicate effectively verbally and in writing to patients and families, public, staff, and physicians
  • Ability to work independently, organize tasks, prioritize, and manage time and resources efficiently
  • Works as part of the multidisciplinary team, accepting & giving feedback appropriately
  • Volunteers to give oral presentations to physicians, residents, therapy services, nursing etc.
  • Builds and fosters professional relationships. Makes work environment comfortable for colleagues
  • Stays current on technological aspects of position. Proficient with nutrient analysis software, Microsoft Word, Excel, and Power Point
  • Uses listening skills (non-verbal communications, rephrasing, etc.); effectively presents solutions / suggestions

V. Knowledge, Formal Education, and Training

Indicate the minimum amount of formal education, training, and acquired knowledge that is required for the job. Include training and/or education provided through colleges, universities, trade or vocational schools, military service, or formal on-the-job training programs. Be sure to consider the educational/training/knowledge level required by the job - not the level that the incumbent may have.

Basic (0 to 3 months beyond high school)

Limited (3 months to 1 year beyond high school)

Specialized (1 year of training beyond high school)

Associate (2 years of training beyond high school; e.g., Associate's degree)

Baccalaureate (up to 3-4 years of formal training/education beyond high school; e.g. Bachelor's Degree)

Advanced (5 to 6 years of formal training/education beyond high school; e.g., Master's Degree)

Post Graduate (6+ years of formal training/education beyond high school; e.g., Ph.D., M.D., J.D.)

Please list any specifics here: Must have completed a minimum of a bachelor's degree at a U.S. regionally accredited university or college and course work accredited or approved by the Commission on Accreditation for Dietetics Education (CADE) of the Academy of Nutrition and Dietetics (AND).

Must have completed continuing professional educational requirements to maintain registration and licensure.

Master's Degree in Nutrition related field preferred.

VI. Job Related Experience and On-The-Job Training

Indicate the level that best describes how long it would typically take an individual to learn and perform the duties and responsibilities of this job. The amount of time required includes both prior work experience and the amount of "on-the-job" training time to learn the specific job responsibilities within this organization.

Less than 3 months

More than 3 months and up to 6 months

More than 6 months and up to 1 year

More than 1 year and up to 3 years

More than 3 years and up to 5 years

More than 5 years

Please list any specifics here: Hospital experience preferred; at least 2 years pediatric experience preferred.

VII. License and Certification

Check this box if this section is not applicable for this job description.

List required licensures and/or certification here & provide specifics:

-Must obtain RD certificate within 90 days of hire by passing the national examination administered by the Commission on Dietetic Registration (CDR) of the Academy of Nutrition and Dietetics (AND).

-Obtain Licensed Dietitian/Nutritionist status through the Delaware Department of State: Division of Professional Regulation within 6 months of hire.

-Additional state Licensure in Pennsylvania, Maryland, or New Jersey may be required, based on the position.

-Additional specialty certification preferred (CDE, CNSC and or CSP)

VIII. Complexity

Describe the complexity of the job tasks. Consider the nature of the job tasks & outcomes, existence of policy or protocol, analytical ability required, opportunity for independent judgment, diversification of tasks, extent of multi- tasking, requirement to prioritize, etc.

Routine - Work consists of a few repetitive tasks. Little to no independent judgment is required.

Multi-tasked - Requires selection and application of several clearly prescribed policies/procedures. Limited opportunity for independent judgment.

Substantial - Substantially complex and diversified. May require data interpretation as well as application of most effective options. May require analytical skills. The management of multiple priorities is frequently required.

Multi-faceted - Work is broad in scope, non-standardized, requiring independent judgment and action as a routine. Multiple priorities are the norm. Responsible for addressing complex problems/challenges. Policy, procedure, and precedent frequently created at this level.

Highly Analytic or Specialized - Work is broad and far-reaching in its effects. Policy, procedure, and precedent are routinely created and approved at this level. Independent judgment is the routine nature of this job.

IX. External Contacts

Check the extent to which the normal duties of the job require dealing with individuals outside of the organization, including the public, patient families, insurance companies, vendors, consultants, etc. Regular external contact is defined as contact that is required by the job and occurs on a regular basis.

Patient contact only - infrequent or incidental other external contacts.

Regular external contacts for the purposes of providing and/or receiving routine information.

Regular external contact to research and resolve moderately complex complaints, questions, or problems

Regular external contact to research and resolve complex service or quality issues. Regular external contact to influence others, obtain approval, and/or cultivate relationships.

Regular external contact to influence others, obtain approval, or cultivate relationships with individuals or groups of major importance to the organization. Individual has primary responsibility for relationship.

X. Impact of Decisions/Errors

Consider the importance and scope of decisions made as part of the normal job responsibilities of this position. Check only those consequences that are likely to occur , not the remote possibilities.

No impact on patients, finances, and organization. Errors are easily detected.

Minimal impact - minor inconvenience and/or discomfort. Financial impact usually less than $100.

Limited impact - some consequence, discomfort, or minor injury. Treatment delays, extended stays, or comparable adverse effects are likely. Financial impact would be less than $1,000.

Significant impact - Inadequate care or service would result in an extreme inconvenience or administrative problem or a moderate injury impacting recovery time. Financial impact would be less than $10,000.

Serious impact - Inadequate care could result in serious injury or death. Decisions made at this level can affect the entire organization. Financial impact could be in thousands of dollars.

XI. Persuasion, Direction and/or Motivation of Others

Consider the extent to which the job requires the ability to persuade, direct, or motivate others to take the desired action. Do not include patient contact.

Infrequent contact with others

1 to 10% of time (1/2 hour up to 4 hours/week)

11 to 20% of time (more than 4 hours and up to 8 hours/week)

21 to 40% of time (more than 8 hours and up to 16 hours/week)

Over 40% of time (more than 16 hours/week)

XII. Planning

Consider the amount of time typically spent over the course of one week planning for future events (more than 1 week away). Do not include planning own work or scheduling patients or appointments.

Less than 10% (less than 4 hours/week)

Less than 25% (less than 10 hours, more than 4 hours/week)

Over 25% (more than 10 hours/week)

XIII. Computer Knowledge and Skills

Check the box that indicates which computer skills/knowledge are required for this position and indicate what level of usage is required:

Word Processing

Basic

Standard

Advanced

Databases

Basic

Standard

Advanced

Desktop Publishing

Basic

Standard

Advanced

Spreadsheets

Basic

Standard

Advanced

Statistical Packages

Basic

Standard

Advanced

Patient Registration

Basic

Standard

Advanced

Other (Specify)

Basic

Standard

Advanced

Please list any specifics here: EPIC/EMR, Microsoft Office, Internet, Intranet, Outlook

XIV. Dealing with Confidential Material (Non-Patient)

Check only those boxes that apply:

Yes

Job does not have access to or use confidential information.

Yes

Job has access to and routinely uses confidential information such as pay rates, data, or financial arrangements with customers/stakeholders.

Yes

Job has access to and uses confidential materials such as contracts, marketing strategies, and/or legal matters affecting the entire organization, etc.

Yes

Job has access to and uses confidential materials, the disclosure of which could have significant ramifications for the organization as a whole. Information is restricted to members of senior management.

XV. Supervision and Direction of Others

Check the appropriate box indicating whether or not this individual has supervision responsibilities. If yes, please explain the type of responsibility (i.e., lead worker, manager) and number of people supervised.

Yes

Lead Worker. Serves as resource for other employees.

Yes

First Level Supervisor. Functions as a representative of management for a unit or sub-unit. May conduct or contribute to performance appraisals, assign employees, schedule time off, or determine work to be done. May not budget, hire, terminate, or discipline, but can make recommendations in these areas.

Yes

Supervisor, Level II. Functions as a management representative for a work unit or sub-unit. Performs all duties listed above for Supervisor 1 and has budget responsibility and authority to hire, terminate, discipline, promote, and transfer. May make recommendations for changes in departmental policies/procedures.

Yes

Supervisor, Level III. Functions as a management representative for two or more recognized units or subunits of the organization. Performs all duties listed above for Supervisor II. May supervise subordinate supervisors and is held accountable for performance of unit(s) supervised.

XVI. Number of Employees Supervised

Identify the number of employees supervised. Include all employees who are directly and indirectly supervised. If multiple incumbents supervise different numbers of people, use the average in the position.

None

1-3

4-10

11-20

21-30

30+

XVII. Physical Abilities or Environment

Briefly indicate any physical demands, exposures or environmental conditions this incumbent may be exposed to . If none, write NONE.

  • Physical Effort

  • N=

    Never

    F=

    Frequently (generally 34%-66% of time)

    O=

    Occasionally (generally 1%-33% of time)

    C=

    Constantly (generally more than 66% of time)

    C

    Sitting

    C

    Typing/Keyboarding

    Lifting & Carrying:

    F

    Standing

    C

    Reading

    O

    1-5 lbs

    F

    Walking

    C

    Viewing computer screen

    O

    6-10 lbs

    N

    Running

    C

    Reaching horizontally

    O

    11-20 lbs

    O

    Climbing stairs or ladders

    O

    Reaching down

    N

    21-30 lbs

    O

    Twisting back or trunk

    Uses Hands and Arms to:

    N

    31-50 lbs

    O

    Bending, stooping

    N

    Apply torque

    N

    50+ lbs

    O

    Kneeling, crouching

    N

    Push

    Fine Motor Skills using:

    N

    Crawling

    N

    Pull

    C

    Hands, arms

    O

    Reaching overhead

    N

    Press

    N

    Legs, feet

    Physical Demands:

    • General vision
    • Ability to speak clearly
    • Ability to walk great distances regularly
    • Must be able to work in a varied environment

    Examples include: Carrying and lifting not more than 20 lbs., crouching, standing, sitting, kneeling, squatting, walking, and/eye coordination and bending, climbing stairs.

  • Working Conditions

  • N=

    Never

    F=

    Frequently (generally 34%-66% of time)

    O=

    Occasionally (generally 1%-33% of time)

    C=

    Constantly (generally more than 66% of time)

    Work Environment:

    N

    Wet/humid

    F

    Direct & Indirect Patient Contact

    N

    Outdoors

    N

    Dry

    Chemical Hazards:

    N

    Confined space

    N

    Noisy

    N

    Toxic chemicals

    N

    Heights

    N

    Unusual lighting

    N

    Irritant chemicals

    N

    Underground

    N

    Near power supplies

    N

    Dusts or powders

    N

    High or low Pressure

    N

    Sources of radiation

    N

    Sprays, mists, vapors

    N

    Cold or hot

    N

    Vibrating equipment

    N

    Fumes

    N

    Wide range of temps

    N

    Moving machine parts

    N

    Bloodborne pathogens

    C. HIPAA Level : THE FOLLOWING SECTION MUST BE COMPLETED

    Nemours HIPAA Guidance --- Applying the Minimum Necessary Rule

    Level 1

    Shall have no access to PHI.

    Level 2

    Shall have read-only access to demographic, scheduling, and diagnosis information.

    Level 3

    Shall have read and write access to demographic, scheduling, and diagnosis information.

    Level 4

    Shall have read-only access to demographic, scheduling, diagnosis, and encounter information.

    Level 5

    Shall have read and write access to demographic, scheduling, diagnosis, and encounter information.

    Providers, including, but not limited to MDs, DOs, ARNAs, PAs, psychologists, and psychiatrists, shall have access to PHI as defined in the policy (above).

    Nurses and allied health professionals shall have full access to the records for patients who are under the care of the provider for which they are working, while they are on duty, or relevant to their work assignment.


  • XVIII. Organizational Relationships

    Briefly indicate this individual's organizational relationships. Use job title only in these fields, no individual names . If none, write NONE .
    Title of position this job reports to:
    Manager, Clinical Nutrition

    Other positions this job collaborates/coordinates with:

    Other Registered Dietitians, Physicians, Nurse Practitioners, Physician Assistants, Social Workers, Pharmacists, Medical Assistants, Patient Service Specialists, Therapists, Food Services Management & Staff





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    Clinical Dietitian - CC-20107455-Nutrition-Alfred I duPont Hospital

    Nemours
    Wilmington, DE 19801

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