Denton, TX US
Area of Interest:
Texas Health Denton
Full Time 40 Hours, Monday-Friday 8-4:30 pm
Required Minimum Education:
Degree of BS required and one of the following advanced practice certifications, if practicing
within the certification:
CDE (National Certification Board of Diabetes Educators (NCBDE):
CNSD (National Board of Nutritional Support Certification);
CSP (Certified Specialists in
Commission on Dietetic Registration;
CSR (Certified Specialist in Renal
Nutrition) Commission on Dietetic Registration; CEDS (Certified Eating Disorder Counselor);
Other certifications must be approved by THR Food and Nutrition Council
OR Masters Degree in Nutrition, Food Service or Related Field.
Required Minimum Experience:
3 years as a Registered Dietitian;
2 years as Certified Diabetes Educator preferred
Registered with CDR-Licensed in State of Texas (TSBED),
BLS upon hire and must be maintained.
Certified Diabetes Educator (CDE) by the NCBDE (National Certification Board for Diabetes Educators),
or achievement of CDE within 6 months of meeting the experiential requirements for application for certification.
If non-CDE, must meet annual continuing education requirements by the American Diabetes Association for meeting National Standards for Diabetes Self-Management Education and Support.
- Demonstrates advanced knowledge and clinical diabetes expertise serving as a clinical expert and resource for others.
- Provides consultations, demonstrations or instructions related to staff development for improved patient education. Provides consultation to professional colleagues, patients, and families regarding effective self-management skills, treatment plans, etc.
- Promotes/facilitates the advancement of diabetes information for staff. Identifies learning opportunities specific to the individual or the group needs of patients or staff; plans and provides formal and informal education to meet those needs; utilizes appropriate educational resources that are culturally sensitive and meets the learning needs of patients/families. Education programs
reflect current, evidence-based information and pertinent research findings as indicated.
- Actively participates in interdisciplinary patient care conferences contributing to the treatment plans of patients as indicated.
- May participate in multi-disciplinary teams as assigned based on Wagner's Model for standard screening and treatment protocols.
- May be tasked by leader to partner in developing relationships with local physicians and healthcare agencies to facilitate patient access to services and resources needed to support clinical care for management of chronic conditions, etc.
- Documents services rendered within the medical record reflecting thorough and timely record keeping same day as service provided.
Quality and Outcome Management:
- Monitors patient evaluation and treatment plans for compliance to national guidelines and best practices; shares results through the Performance Improvement Committee and interdisciplinary team rounds as indicated.
- Participates in creating and maintaining databases for tracking patients enrolled in self-management programs; identifies, monitors and documents key outcome and compliance data for diabetic patients following discharge from the Emergency Department in concert with other colleagues.
- In some locations may support the five year Delivery System Reform Incentive Program (DSRIP) Plan and provides reporting/feedback based on the progress of the development and implementation of initiatives outlined within the
Plan. Those initiatives consist of working with the underserved in management of chronic diabetes.
- Provides feedback to community providers as needed.
Uses advanced interviewing and assessment techniques to obtain patient biophysical, psychosocial and self-care education and discharge needs of those diabetic patients identified at risk and/or underserved using the Emergency
Department for chronic management of their diabetes. In doing so, works closely with Emergency Department
Navigator and Transitions Team members.
- Integrates appropriate assessment of the patient's readiness to learn, barriers to learning (illiteracy, language, need for communication aids in the geriatric population, etc.), preferred learning methods, cultural influences, age
appropriateness, etc. into the individualized plan for the patient. Educate and assist diabetes patients through appropriate evaluation and teaching methods.
- Identifies specific, individualized diabetes self-management goals; plans and implements education and behavioral interventions directed toward helping the individual achieve the identified goals; develops teaching plans reflecting acceptable standards, monitors for compliance and attainment of goals intervening as needed, and, maintains accurate documentation records related to all education encounters.
- Identify methods for developing new tools to enhance instruction methods both in the Emergency department
and in the community.
- Utilizes effective interpersonal and communication skills to achieve desirable outcomes and responses.
Develops relationships with varied community agencies, healthcare resources and physician providers to support
the varied needs of the identified diabetic patient population.
- Is actively engaged in community events affiliated with THR as needed to facilitate visibility and health
promotion related to the management of diabetes.
Collaborates with all customer groups (patients, department/hospital staff, physicians and other customer groups), to meet and exceed needs/expectations.
- Creates and maintains a collaborative work environment (patient, physicians and key stakeholders).
- Actively engages customer groups on a regular basis to promote effective customer relationships and communication with prompt resolution of issues and concerns.
Participates in hospital-wide projects/committees/workshops to enhance care delivery and the overall experience of the patient.
- Provides stewardship in the utilization of resources; contributes to the operational and strategic planning for the diabetic population.
- Collaborates with multidisciplinary team to meet DSRIP goals.
Medical Nutrition Therapy
Medical Nutrition Therapy is provided for patients, in a timely manner, based on low to high acuity based on nutrition status. Patient and family are actively involved in the care plan.
- Measurable goals are documented and appropriate to the plan of care.
- Priorities of care are revised and documented according to patient/family needs and safety considerations.
- Pertinent patient information is shared through multidisciplinary staff meetings or documented discussions with other involved health care providers. Referrals are made when appropriate.
- Age Specific care is provided to promote optimal nutritional health and knowledge based on
--Adolescent- assess for growth while implementing a care plan that involves the patient and parents.
-Adult – information and education is provided at a level of understanding for the patient.
-Geriatric- age related considerations are made and documented.
- Communication via the medical record is accurate, timely and complete.
- Nutrition Care Process is utilized for documentation in >95% of charts audited (when appropriate).
- Documentation includes National Patient Safety Goals "Do not use abbreviations" in charts.
- Documentation meets regulatory and hospital guidelines; is legible when using paper charts.
- All aspects of plan of care (including education) are recorded in appropriate sections in the medical record.
Texas Health Presbyterian Hospital Denton is a 255-bed, full-service hospital that has served North Texas and southern Oklahoma since 1987. Hospital services include heart and vascular care, women’s services, a Level III neonatal intensive care unit, orthopedics and sports medicine, pain management, emergency medicine, and a weight loss surgery program. As one of the largest employers in Denton County, Texas Health Denton has more than 1,000 employees and more than 325 physicians on its medical staff practicing in more than 45 specialties. Located 45 miles northwest of downtown Dallas and 40 miles northeast of downtown Fort Worth, Texas Health Denton is an accredited Cycle IV Chest Pain Center by the Society of Chest Pain Centers, a Joint Commission accredited Primary Stroke Center and a Bariatric Surgery Center of Excellence. We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.