At Houston Methodist, the Clinical Dietitian PRN position is responsible for functioning as an entry-level clinician for the requirements established by the Academy of Nutrition and Dietetics (AND). This position is responsible for implementing nutritional care according to the Academy of Nutrition and Dietetics Nutrition Care Process (NCP) which includes, but not limited to, medical nutrition therapy, nutrition education, monitoring and reassessment of nutrition care plans, recommending consultation of adjunctive services (social services, speech pathology, immediate referral to RN re: pain assessment, etc.) as indicated, and termination of nutrition interventions as clinically indicated. The Clinical Dietitian position functions as part of the interprofessional team to ensure quality and cost-effective interventions to ensure optimal patient safety, customer service, and optimum patient outcomes. This position works closely with the interprofessional healthcare team to provide inpatient/outpatient care that is integrated and compatible with the patient-focused goals and objectives. PEOPLE ESSENTIAL FUNCTIONSFunctions as a collaborative interprofessional team member by participating in care coordination rounds. Seeks guidance from others and collaborates with all members of the interprofessional care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care. Communicates regular updates to management, nursing, physicians, and other staff as needed to care for patients.Conducts self in a manner that is congruent with cultural diversity, equity and inclusion principles. Contributes towards improvement of department scores for employee engagement, i.e. peer-to-peer accountability.SERVICE ESSENTIAL FUNCTIONSImplements nutritional care according to the Academy of Nutrition and Dietetics Nutrition Care Process (NCP) which includes, but not limited to, medical nutrition therapy, nutrition education, monitoring and reassessment of nutrition care plans, recommending consultation of adjunctive services (social services, speech pathology, immediate referral to RN re: pain assessment, etc.) as indicated, and termination of nutrition interventions as clinically indicated.Performs Nutrition Focused Physical Assessment (NFPA) as indicated, based on NFPA findings, identifying patients with malnutrition, degree of malnutrition and whether present on admission or hospital acquired. Collaborates with health care team to document correct degree of malnutrition in electronic medical record (EMR) to ensure adequate intervention for positive outcomesEnsures correct degree of malnutrition and whether malnutrition is present on admission or hospital acquired is documented in the EMR for hospital financial indicators.Contributes towards improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.QUALITY/SAFETY ESSENTIAL FUNCTIONSEnsures continuity of care by completing quality monitors. Identifies and documents evaluation of outcomes by completing test trays of various diets to ensure quality, consistency and accuracy of meals provided.Provides care to patients and coordinates care with the interprofessional team. Manages usual patient assignments and other departmental demands, completes patient care responsibilities in a timely manner with accurate documentation. Uses evidence-based practice to support care and communicate directly with interprofessional team to ensure patient nutrition needs are met.Identifies opportunities for corrective action and process improvement. Identifies areas of practice improvements with research-based evidence to achieve patient safety outcomes, supported by accurate documentation. Contributes to meeting department and hospital targets for quality and safety.FINANCE ESSENTIAL FUNCTIONSPositively impacts quality and cost outcomes by assuring optimal medical nutrition therapy to minimize potential complications related to alterations of nutrition status. Adjusts nutrition care plan to provide the most appropriate and cost-effective therapy. Ensures correct degree of malnutrition and whether malnutrition is present on admission or hospital acquired is documented in the EMR for hospital financial indicators.Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively, minimzing incidental overtime and prioritize daily tasks, assisting coworkers as needed. Meets labor productivity standards by effectively managing established patient load assignments.GROWTH/INNOVATION ESSENTIAL FUNCTIONSMaintains professional development competencies by reviewing research for application to practice. Maintains semi-annual professional portfolio for professional growth.Conducts interdepartmental training & mentorship to include: a minimum of one diet knowledge training session for nutrition assistants annually, mentorship of student volunteers and/or food service employees as applicable.Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONGraduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.Completion of dietetic internship accredited by the Academy of Nutrition and DieteticsWORK EXPERIENCECompletion of supervised practice hours (per Commission on dietetic Registration (CDR) requirements) and/or within a dietetic internship accredited by the Academy of Nutrition and Dietetics LICENSES AND CERTIFICATIONS - REQUIREDRD - Registered Dietician (CDR) ANDLD - License Dietitian, State Licensure within 60 days LICENSES AND CERTIFICATIONS - PREFERREDBLS - Basic Life Support (AHA) KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesWorking knowledge of local City Food Ordinance guidelines and Health department standardsAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesPossesses comprehensive computer knowledge including Microsoft productsExhibits strong interpersonal, teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workersSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional YesOther (department approved) YesON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* NoTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.Houston Methodist is an Equal Opportunity Employer.Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.

At Houston Methodist, the Manager Clinical Education position is responsible for collaboratively working with the Center for Nursing Research to support the advancement of nursing knowledge and practice. This position leads innovative solutions to complex patient problems through research, translation of evidence to the bedside and dissemination of HM-generated nursing knowledge to both nursing and general healthcare communities. The Manager Clinical Education position serves to implement quality evidence into nursing education and practice. Through this lens, this position develops and provides education of high quality, innovative, and timely programs for professional and nonprofessional staff. The Manager Clinical Education position closely monitors quality metrics to adjust areas of focus and the need for just-in-time education and interventions. This position is responsible for educational program content that must align with the priorities of HM and targeted to fostering progressive changes in clinical and healthcare practice. The Manager Clinical Education position ensures that the accreditation requirements relative to be a provider of continuing education are maintained and evaluates the status of existing educational programs to determine need for changes. This position ensures that periodic needs assessment of education programs and professional development of staff members is conducted. Serving as a role model and expert consultant to mentor nursing staff, students and other healthcare personnel in professionalism, the Manager Clinical Education position conducts scholarly projects and quality data collection and outcomes.The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations. PEOPLE ESSENTIAL FUNCTIONSPerforms management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.Provides fair and consistent leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.Facilitates and promotes effective team dynamics and teambuilding strategies within and between departments; participates and/or leads and facilitates department process improvements as needed.Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators: action readiness score, tier level.Promotes, supports, and facilitates individuals engaging in research activities to advance research in practice: evidence-based practice, the conduct of research, research utilization, and dissemination of research results.Collaborates and develops innovative programs to educate, mentor, and enhance the knowledge of nursing staff.SERVICE ESSENTIAL FUNCTIONSPlans and organizes day-to-day department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.Leads the development and execution of hospital Education Plan providing high quality, innovative, and timely educational programs in various formats and methods of delivery. Plans, implements, and evaluates programs for staff in-services. Planning incorporates adult learning theory methodologies. Implementation includes but is not limited to these topics: P&P revisions, new techniques or technologies brought into the facility, customer service, orientation and competency and skills development and assessments, preceptor development and oversight. Evaluation includes trending achievement of goals and analysis of rationale for any variances noted.QUALITY/SAFETY ESSENTIAL FUNCTIONSEnsures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines, including infection control principles. Monitors and confirms staff maintain their required credentials that demonstrate competency per accrediting agency or department guidelines as applicable.Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, reporting near misses and/or adverse events immediately and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, inservices, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).Participates in performance improvement activities; quality improvement and patient safety activities; assists in maintaining compliance with DNV accreditation and other internal and external regulatory standards including the code of conduct. Assures that accreditation requirements relative to be a provider of continuing education are maintained.Ensures that periodic needs assessments of continuing education and professional development of staff members are conducted. Re-evaluates the status of existing educational programs to determine needs for changes and/or need for development of new offerings.Monitors nurse sensitive indicators and other quality metrics and revises educational offerings accordingly. Reviews, analyzes and recommends changes/enhancements to programs, processes, and policies to increase efficiency and effectiveness of clinical practices.FINANCE ESSENTIAL FUNCTIONSAssists in the development of department budget and ensures that the department operates in a cost effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department/patient care needs that reflect understanding of the importance of cost-effectiveness.Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.Seeks research funding through grant applications, assists departments and individual health care professionals to apply and obtain such funding for research projects and activities.GROWTH/INNOVATION ESSENTIAL FUNCTIONSIdentifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed shared governance activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.Proactively evaluates processes; recommends and implements action plan(s) for change; follows through to ensure effective, sustainable change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals.Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the individual development plan (IDP) on an on-going basis. Conducts conversations with staff on their development and IDP.Ensures that educational program content aligns with the priorities of the organization and is targeted to fostering progressive changes in clinical and healthcare practice and improvement of performance and outcomes.Fosters the development of an environment conducive to the conduct of inquiry, research and practice. Plans, implements and evaluates programs that advance a culture of excellence using a variety of communication strategies to disseminate initiatives. Utilizes technology to improve data capture and analysis and improved employee workflow.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONBachelor's degree and Master's degree, one from an accredited School of NursingWORK EXPERIENCEFive years of experience direct involvement in instructional/program design, one year in a leadership role in healthcare, preferably in an education setting; for internal incumbents, four years of experience in relevant field with HM performance that demonstrates leadership abilities LICENSES AND CERTIFICATIONS - REQUIREDRN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days ORRN-Temp - Registered Nurse - Temporary State Licensure within 60 days ANDBLS - Basic Life Support (AHA) ANDMagnet - ANCC Recognized Certification -- in an applicable specialty area LICENSES AND CERTIFICATIONS - PREFERREDACLS - Advanced Cardiac Life Support (AHA) KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the messageDemonstrates the ability to interact with others in a way that gives them confidence in one's intentions and those of the organizationAbility to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations and individuals involvedDemonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skillsAbility to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequencesAbility to work effectively in a fast paced environmentDemonstrates flexibility and adaptability in the workplaceDemonstrates problem solving skills to include investigation, identification of cause(s) and development of corrective actionSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs NoBusiness professional YesOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* YesTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area YesCompany Profile:Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.Houston Methodist is an Equal Opportunity Employer.Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.

At Houston Methodist, the Senior Clinical Dietitian position is responsible for functioning as an experienced clinician at the requirements established by the Academy of Nutrition and Dietetics (AND). In addition to fulfilling the duties of clinical dietitian, primary responsibilities for this position include application of the Nutrition Care Process (NCP) including the completion of the nutrition assessment, determination of the nutrition diagnosis, developing and implementing nutrition intervention(s) and monitoring and evaluating of the patient's progress. The Senior Clinical Dietitian position serves as a preceptor for dietetic interns and mentors entry level clinicians, students, interns and other departmental employees, working closely with the interprofessional healthcare team to provide inpatient/outpatient care that is integrated and compatible with the patient-focused goals and objectives. This position participates in department and quality improvement projects for inpatient or outpatient departments. PEOPLE ESSENTIAL FUNCTIONSConsults individually with clients regarding nutritional concerns. Recommends nutrition plans to clients based on physical results, goals and concerns. Corresponds with other health care professionals regarding client's nutrition care plan as necessary.Acts as a resource person for all nutrition inquiries and provide counseling while upholding Houston Methodist and industry standards of ethics. Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.Conducts self in a manner that is congruent with cultural diversity, equity and inclusion principles. Helps drive improvement of department scores for employee engagement, i.e. peer-to-peer accountability.SERVICE ESSENTIAL FUNCTIONSAssesses the nutrition status of clients and/or patients. Implements nutritional care according to the Academy of Nutrition and Dietetics Nutrition Care Process (NCP). Develops and instructs nutrition education classes in conjunction with dietitian team. Consistently evaluates the patient's comprehension and adapts teaching methods accordingly. Utilizes evidence-based knowledge applied to the patient's condition and recommends change in the plan of care.Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.Initiates improvements towards department score for patient satisfaction, through peer-to-peer accountability to service standards.QUALITY/SAFETY ESSENTIAL FUNCTIONSSelf-initiates cross-coverage assistance to ensure continuity of care. Identifies and documents evaluation of outcomes. Collaborates with health care team to document correct degree of malnutrition in EMR to ensure adequate intervention for positive outcomes.Provides care to increasingly complex patients coordinates care with the interprofessional team. Utilizes sound clinical judgement, using an evidence-based analytical approach to ensure patient nutrition needs are met.Ensures continuity of care by completing quality monitors. Identifies areas of practice improvements with research-based evidence to achieve patient safety outcomes, supported by accurate documentation. Completes quality indicators for meeting department and hospital targets on the clinical nutrition dashboard.FINANCE ESSENTIAL FUNCTIONSCompletes activity/productivity & other reports on timely basis. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.Contributes towards meeting department financial targets through adjusting nutrition care plan to provide the most appropriate and cost-effective therapy, optimizing efficiency and other areas according to department specifications.GROWTH/INNOVATION ESSENTIAL FUNCTIONSActively participates and is the nutrition representative on at least one department committee, task force and work group. Participates in a minimum of one continuous quality improvement/process improvement project.Serves as a mentor and trainer with the department. Conducts interdepartmental and interprofessional training & mentorship to include: a minimum of one diet knowledge training session for nutrition assistants annually, mentorship of student volunteers as applicable and subspecialty training on nutrition care for dietitians and other healthcare professionals.Serves as a preceptor for dietetic interns who are a part of an ACEND accredited dietetic internship program. Preceptor responsibilities to include mentoring and training interns to utilize the nutrition care process appropriately, hands on training for Nutrition Focused Physical Assessments, cosigning nutrition care notes in the EMR and evaluation of an intern's performance based on ACEND competencies.Seeks opportunities to identify self-development needs and takes appropriate action. Maintains professional development competencies by reviewing research for application to practice. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONGraduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section. WORK EXPERIENCEThree years clinical nutrition experience as a Registered Dietitian LICENSES AND CERTIFICATIONS - REQUIREDRD - Registered Dietician (CDR) -- by the Academy of Nutrition and Dietetics ANDLD - License Dietitian, State Licensure within 60 days LICENSES AND CERTIFICATIONS - PREFERREDBLS - Basic Life Support (AHA) KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesStrong knowledge of local City Food Ordinance guidelines and Health department standardsFunction independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesPossesses comprehensive computer knowledge including Microsoft productsExhibits strong interpersonal, teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workersSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional YesOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* NoTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.Houston Methodist is an Equal Opportunity Employer.Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.

At Houston Methodist, the Senior Clinical Dietitian position is responsible for functioning as an experienced clinician at the requirements established by the Academy of Nutrition and Dietetics (AND). In addition to fulfilling the duties of clinical dietitian, primary responsibilities for this position include application of the Nutrition Care Process (NCP) including the completion of the nutrition assessment, determination of the nutrition diagnosis, developing and implementing nutrition intervention(s) and monitoring and evaluating of the patient's progress. The Senior Clinical Dietitian position serves as a preceptor for dietetic interns and mentors entry level clinicians, students, interns and other departmental employees, working closely with the interprofessional healthcare team to provide inpatient/outpatient care that is integrated and compatible with the patient-focused goals and objectives. This position participates in department and quality improvement projects for inpatient or outpatient departments. PEOPLE ESSENTIAL FUNCTIONSConsults individually with clients regarding nutritional concerns. Recommends nutrition plans to clients based on physical results, goals and concerns. Corresponds with other health care professionals regarding client's nutrition care plan as necessary.Acts as a resource person for all nutrition inquiries and provide counseling while upholding Houston Methodist and industry standards of ethics. Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.Conducts self in a manner that is congruent with cultural diversity, equity and inclusion principles. Helps drive improvement of department scores for employee engagement, i.e. peer-to-peer accountability.SERVICE ESSENTIAL FUNCTIONSAssesses the nutrition status of clients and/or patients. Implements nutritional care according to the Academy of Nutrition and Dietetics Nutrition Care Process (NCP). Develops and instructs nutrition education classes in conjunction with dietitian team. Consistently evaluates the patient's comprehension and adapts teaching methods accordingly. Utilizes evidence-based knowledge applied to the patient's condition and recommends change in the plan of care.Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.Initiates improvements towards department score for patient satisfaction, through peer-to-peer accountability to service standards.QUALITY/SAFETY ESSENTIAL FUNCTIONSSelf-initiates cross-coverage assistance to ensure continuity of care. Identifies and documents evaluation of outcomes. Collaborates with health care team to document correct degree of malnutrition in EMR to ensure adequate intervention for positive outcomes.Provides care to increasingly complex patients coordinates care with the interprofessional team. Utilizes sound clinical judgement, using an evidence-based analytical approach to ensure patient nutrition needs are met.Ensures continuity of care by completing quality monitors. Identifies areas of practice improvements with research-based evidence to achieve patient safety outcomes, supported by accurate documentation. Completes quality indicators for meeting department and hospital targets on the clinical nutrition dashboard.FINANCE ESSENTIAL FUNCTIONSCompletes activity/productivity & other reports on timely basis. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.Contributes towards meeting department financial targets through adjusting nutrition care plan to provide the most appropriate and cost-effective therapy, optimizing efficiency and other areas according to department specifications.GROWTH/INNOVATION ESSENTIAL FUNCTIONSActively participates and is the nutrition representative on at least one department committee, task force and work group. Participates in a minimum of one continuous quality improvement/process improvement project.Serves as a mentor and trainer with the department. Conducts interdepartmental and interprofessional training & mentorship to include: a minimum of one diet knowledge training session for nutrition assistants annually, mentorship of student volunteers as applicable and subspecialty training on nutrition care for dietitians and other healthcare professionals.Serves as a preceptor for dietetic interns who are a part of an ACEND accredited dietetic internship program. Preceptor responsibilities to include mentoring and training interns to utilize the nutrition care process appropriately, hands on training for Nutrition Focused Physical Assessments, cosigning nutrition care notes in the EMR and evaluation of an intern's performance based on ACEND competencies.Seeks opportunities to identify self-development needs and takes appropriate action. Maintains professional development competencies by reviewing research for application to practice. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONGraduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section. WORK EXPERIENCEThree years clinical nutrition experience as a Registered Dietitian LICENSES AND CERTIFICATIONS - REQUIREDRD - Registered Dietician (CDR) -- by the Academy of Nutrition and Dietetics ANDLD - License Dietitian, State Licensure within 60 days LICENSES AND CERTIFICATIONS - PREFERREDBLS - Basic Life Support (AHA) KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesStrong knowledge of local City Food Ordinance guidelines and Health department standardsFunction independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesPossesses comprehensive computer knowledge including Microsoft productsExhibits strong interpersonal, teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workersSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional YesOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* NoTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.Houston Methodist is an Equal Opportunity Employer.Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.

At Houston Methodist, the Physician Advisor is responsible for teaching, consulting, and advising the case management department, clinical documentation specialists, medical staff and the hospital on matters regarding medical necessity; compliance rules and regulations; collaboration and relationships with payers; physician practice patterns; documentation and over- and under-utilization of resources. The Physician is a key member and leader of the hospital's utilization review/management committee, which is charged with regulatory goals of ensuring high levels of healthcare quality and acceptable levels of cost. The Physician Advisor will conduct clinical reviews on cases referred by case management and/or other healthcare professionals in accordance with hospital objectives related to quality care of patients. PEOPLE ESSENTIAL FUNCTIONSInteract with medical staff members to discuss needs of patients and alternative levels of care. Provide consultation to case management staff regarding complex clinical issues and advises on next steps. Provide feedback to attending and consulting physicians regarding level of care, length of stay, and quality issues.Chair the utilization review/management committee, actively participates in defining operational strategic objectives for the Utilization Management Program and serve as the liaison to other medical staff committees that interface with the utilization review/management committee. Assist with the evaluation of the hospital's Utilization Management Program, including annual review and revision of the hospital's UR plan.Contacts physicians to resolve delays and achieve positive outcomes and ensures physician accountability for efficient patient care management. Communicates to medical staff leaders (e.g., department chairs, medical directors and other attending physicians as necessary) relevant findings of physician's performance when patterns of clinical outcomes demonstrate undesirable variation.SERVICE ESSENTIAL FUNCTIONSCreate strategies to enhance hospital and post-acute interdisciplinary efforts for maximizing patients/family outcomes. Serve as an advocate for case management services and clinical documentation. Collaborate with medical staff in the development and measurement of performance standards involving patient care and utilizations of resources to achieve optimal outcomes.Round on the patient care units, and throughout the hospital, to identify opportunities, to impact resource utilization and manage length of stay (e.g., outliers, medical management practices, problematic patient/family dynamics).Provides support and assists Clinical Documentation Specialists and Coders on an ongoing basis by addressing specific documentation issues encountered by CDSs/Coders, including noncompliant physicians. Determines the focus of presentations of clinical examples regarding documentation opportunities and specifics based on quarterly trends and presents this information in department meetings.QUALITY/SAFETY ESSENTIAL FUNCTIONSAct as consultant and resource to attending/responsible physicians regarding their decisions relative to appropriateness of hospitalization, continued stay and use of resources in length of stay management. Use InterQual criteria and document patient care reviews, decisions, and other pertinent information per hospital/case management and clinical documentation policies policy.Review issues identified by case management department to ensure appropriate follow-up, recommends improvement initiatives as needed and makes referrals to appropriate department chairs as necessary.Determine if standards of quality care, as defined by the hospital's Medical Executive Committee are met.Seek additional clinical information from the attending and consulting physicians as required to make effective level of care determinations, and in doing so, recommends and requests additional, or more complete, medical record documentation to support such determinations.FINANCE ESSENTIAL FUNCTIONSReview medical records identified by case managers, or as requested by other members of the healthcare team, in order to assist with the identification and management of denials. Make suggestions related to resource utilization and service management.Actively participate in the hospital's claim denial process, including, but not limited to, responding to denials from payers on a concurrent basis; authoring denial letters as needed on retrospective denials; and determining to what extent denied cases will be appealed. Review cases that indicate need for issuance of a hospital notice of non-coverage.GROWTH/INNOVATION ESSENTIAL FUNCTIONSMaintain knowledge of current state, federal, and CMS regulations, DNV requirements, and guidelines on case management, utilization review, and clinical documentation.Provide ongoing education to physicians and other providers on the link between ICD-10 and clinical terminology to improve understanding of severity of illness, risk of mortality and DRG assignments of their individual patient records, as these relate to individual physician/provider scorecards and collective (e.g. division, department, entity specific) quality profiling and reimbursement. Education may include department or division meetings, individual provider meetings, articles in entity-specific newsletters and other communication vehicles as identified/developed.Provides education to physicians and other clinicians related to regulatory requirements, appropriate utilization of alternate levels of care and community resources. Works with physicians to facilitate referrals across the continuum of care. Facilitates, mentors, educates other physicians regarding payor requirements and lnterQual Criteria and CMS guidelines for medical necessity.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATIONGraduate of accredited medical schoolWORK EXPERIENCEFive years recent experience in clinical practice. LICENSES AND CERTIFICATIONS - REQUIREDMD - Physician - State Licensure -- Unrestricted medical license in the State of Texas ANDActive practitioner KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesAbility to foster positive medical staff relations and work effectively with all healthcare disciplines.Demonstrates understanding and knowledge of utilization management, clinical documentation, and state and federal healthcare regulations.SUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional YesOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* NoTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.Houston Methodist is an Equal Opportunity Employer.Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.