SUMMARY: The Registered Dietitian (RD) is responsible for nutrition counseling for any patient identified as having nutritional risk factors, with a strong emphasis on patients with obesity and diabetes. The RD also serves as the Diabetes Care and Education Specialist and manages a panel of patients within a multi-disciplinary, team-based approach to care.
1. Individual counseling sessions
- Performs initial assessments and follow-ups using the Nutrition form in Centricity, the center Electronic Medical Record (EMR).
- Provides a nutrition plan that sets goals that are individualized and attainable for the patient and are accompanied by educational handouts and/or tools.
- Provides patients with a copy of their goals so they can be working towards them.
- Demonstrates appropriate knowledge of specialty areas.
- Demonstrates appropriate clinical judgment in recommending treatments in consultation with the primary care provider.
- Assesses psychological needs of patients; makes referrals to counseling and psychiatry as appropriate.
- Assesses social needs of patients and refers to social services as appropriate.
- Assesses spiritual needs of patients; provides spiritual care, including sharing Christian faith, as appropriate.
- Practices cost-effective medicine with regard to tests and recommended treatments.
2. Group sessions
- Conducts group educational sessions on specific topics with patients and other organizations and/or instructors. Uses existing or creates new lesson plans and take-home handouts.
- Effectively communicates with and educates patients.
- Effectively explains to group participants his/her role as a dietitian.
3. Diabetes Care and Education
- Collaborates with primary care clinicians to provide additional education and support for patients with diabetes as part of “Diabetes Day” sessions
- Provides education on home monitoring or glucose using finger-stick and continuous glucose monitoring devices
- Provides instruction on insulin and GLP-1 injections
- Coordinates monthly group medical visits
- Follows patients titrating insulin and provides instruction for titration based on set protocol
- Population management and data tracking
- Monitors productivity and diabetes key measures to supervisors and others as assigned.
- Collaborates with the Medical department and others to integrate the use of Community Health Workers in diabetic patient care.
4. Community health promotion
- Promotes nutrition and healthy living at a health fair, community health promoter class, cooking demonstration, or community event. Prepares materials for these sessions.
5. Prenatal and breastfeeding nutrition education
- Coordinates with Esperanza’s obstetrics team to provide basic breastfeeding education and mother/child nutrition counseling for prenatal and post-partum patients.
6. Communication and continuing education
- Communicates with employees re: patient care, programs and procedures, as appropriate.
- Seeks supervision and input from physician supervisors, when needed.
- Responds quickly to urgent/emergent needs.
- Communicates appropriately with outside health professionals.
- Suggests improvements, and works to help implement practice improvements.
- Continues to learn informally and through formal educational channels.
- Other duties as assigned by supervisor.
KNOWLEDGE, SKILLS, AND COMPETENCIES
- Bachelor’s degree in Food and Nutrition or Dietetics from an accredited college or university. The approved practice experience or internship must also have been completed as required by the Academy of Nutrition and Dietetics (AND).
- Registered through the Commission on Dietetic Registration (CDR) at the time of hire or within 6 months of hire and receive state licensure of Licensed Dietitian-Nutritionist (LDN) once registration is established.
- Bilingual Spanish/English.
- Ability to remain calm under pressure.
- Good oral communication skills; ability to take initiative in communication, being clear and direct, in order to effectively communicate with other staff.
- Intermediate computer and Microsoft Office skills.
- Demonstrated ability to handle many details and multiple priorities. Must show ability to organize, process, and verify details.
- Must have a solid record of handling confidential information, as well as demonstrating trustworthiness and honesty in all transactions.
- Ability to integrate Christian faith with work.
- Requires the ability to use computer, read fine print, and use electronic records.
- Requires the ability to carry or move up to 40 pounds and move with occasional stretching, reaching, stooping or kneeling.
About Esperanza Health Center
The residents of Esperanza’s North Philadelphia community face many significant barriers to obtaining even the most basic health care services:
- Of the more than 287,000 residents of our community, two-thirds live in households with incomes at or below 200% of the poverty level.
- Nearly one in five people in our community do not have health insurance.
- Almost all of our community is designated as a Federal Medically Underserved Area.
- All of North Philadelphia is a Dental Health Care Professional Shortage area.
- Language and transportation barriers prevent many from obtaining basic health care services.
Since our founding in 1989, Esperanza has been committed to providing access to affordable, high-quality bilingual health care and wellness services, as we pursue health together with our patients and our community.
- Our three health center sites in North Philadelphia (Fifth Street, Hunting Park and Kensington) are conveniently located for easy access.
- In 2018, we provided integrated, bilingual primary healthcare services for over 14,000 patients of all ages through over 64,500 patient visits. Services include primary medical care for adults and children, dental care, prenatal care, behavioral health services, on-site medication dispensaries, social services assistance and many others.
- Our many Community Health and Wellness programs are open to all residents. They include group exercise classes, cooking classes, our “Young at Heart” Seniors’ program, our bilingual Community Health Promoter program and many others. These programs are either free or at an affordable cost.
- Esperanza has a staff of over 210 employees, including 30 primary care providers. We are a place of employment for people who are committed to advancing our mission, including many residents of our community, in a variety of positions.
- For students in the health professions, we provide training opportunities through clinical rotations and preceptorships and our medical student mentoring program.
Esperanza Health Center is recognized as a Federally Qualified Health Center (FQHC) by the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care.
- In addition, Esperanza Health Center has received recognition as a Patient Centered Medical Home, Level 3 (all sites) by the National Committee for Quality Assurance (NCQA).