ABOUT THIS OPPORTUNITY
** SIGN-ON BONUS: $8,000
* Salary Range: $57k to $85k
POSITION SUMMARY
This position is to provide registered dietitian case management, care coordination, medical nutrition therapy, and diabetes self-management education, utilizing Sweet Success and Beautiful Beginnings curricula, to pregnant women who have either pre-existing diabetes or gestational diabetes. Additional responsibilities include providing prenatal medical nutrition therapy to all pregnant women to improve outcomes for women and infants. This position will also provide interventions and referrals to high-risk post-partum women and their infants with the goal of preventing diabetes and obesity. The goal of this position is to provide quality health care, limit fragmented care, enhance the patient’s self-care and quality of life, and improve both short-term and long-term maternal and child outcomes. The incumbent will also provide diabetes self-management education and medical nutrition therapy to patients in the Healthy Living Center and women’s and pediatric clinics. The incumbent will provide inpatient medical nutrition therapy to patients with and without diabetes on a rotating weekend/holiday on-call schedule. This position is grant-funded.
ESSENTIAL FUNCTIONS
- Case manages patients with diabetes in pregnancy by tracking new diagnoses, scheduling initial and follow-up appointments, completing and documenting telephone and mail contacts, and coordinating post-partum follow-up appointments and intervention referrals. Needs to be flexible to meet the patient at non-scheduled visits and track utilization of other health care services as appropriate. Ensures patients receive recommended services and follow-up to improve both short-term and long-term outcomes.
- Collects data on diabetes in pregnancy outcomes using Excel spreadsheet and TCHRCC Diabetes in Pregnancy registry for the Navajo Area Indian Health Service Sweet Success program. Reports data a minimum of annually.
- Tracks and reports productivity using patient contacts and outcomes on a daily, weekly, and monthly basis.
- Attends and participates in periodic Sweet Success meetings. Travel may be required.
- Performs individual patient needs assessment to evaluate intervention priorities. Assesses patient needs, self-management abilities, psychosocial concerns, learning factors, mental and emotional health status, access to health care resources, and glycemic control. Provides appropriate level and frequency of care for patients and their families as identified in the individual assessment.
- In collaboration with the patient, family, and health care team, identifies realistic and appropriate interventions and goals based on needs assessment. Supports the patient in completing the intervention and meeting goals.
- Applies the ADA and IHS Diabetes Standards of Care.
- Provides medical nutrition therapy and diabetes self-management education to pregnant women with diabetes, either pre-existing or gestational, using the “Sweet Success” and “Beautiful Beginnings” curricula in both individual and group settings. This education will necessarily include, but not be limited to, management of self-monitoring of blood glucose (SMBG), medications, exercise, and nutrition.
- Applies theoretical approaches such as motivational interviewing, stages of change theory, and empowerment theory to facilitate behavior change. Effectively communicates with patients and families in a culturally sensitive manner.
- Provides medical nutrition therapy and weight management support to high-risk pediatric patients and their families.
- Provides medical nutrition therapy to women’s clinic patients, with an emphasis on early prenatal nutrition therapy.
- Monitors self–monitoring blood glucose (SMBG) data, Continuous Glucose Monitoring (CGM) devices and medication therapy in combination with the nutrition and exercise plan to maintain glycemic control. If adjustments or initiation of medications are indicated, consults with the patient’s obstetrician or nurse-midwife to formulate treatment plan.
- Serves as a clinical expert and resource on diabetes in pregnancy to Women’s Clinic and HLC staff. Initiates and develops in-service training to staff to keep staff updated on issues pertaining to diabetes in pregnancy.
- Provides inpatient medical nutrition therapy to patients with and without diabetes on a rotating weekend/holiday on-call schedule.
- Assists with Performance Improvement initiatives for continuous quality improvement and improved maternal and child outcomes.
- Prepares patient education materials as needed, seeking approval for use of new or updated materials through the Patient Education Materials Committee.
- Employs the American Association of Diabetes Educators AADE7 Self-Care Behaviors framework.
- Maintains confidentiality regarding administrative and patient related care.
- Maintains current licensure and job competencies, and knowledge of evidence-based guidelines through active participation in continuing education, independent study, in-services, seminars, and dialogue with colleagues.
- Ensure Proper PPE is used at all times while on duty. Face surgical mask is to be worn in all hospital areas. Proper handwashing is required. If water is not available use hand sanitizer. Social distancing will be practiced by department.
- Proper PPE is used inside assigned Clinics or Units. NIOSH- approved N95 Masks filtering face piece respirator or higher, if available, this includes eye or face shields, gloves, and isolation gowns.
- Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. Complete provided training.
- Completes all electronic health record entries accurately and timely pertinent to patient care role.
- Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives.
- Performs other duties as assigned.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical:
Must be able to site at a desk for long periods of time, write legibly and use a computer terminal. Must be able to hear and talk over the telephone and in person with others.
Mental:
Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to assess data such as lab values and weights.
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