Ann Arbor, Michigan
Murfreesboro, Tennessee
Durham, North Carolina
San Angelo, Texas
San Angelo, Texas
New York, New York
Posted: 14-Apr-26
Location: Ann Arbor, Michigan
Internal Number: 276107
RESUME AND COVER LETTER REQUIRED (for both internal & external applicants):
You must attach a complete and accurate resume and cover letter to be fully considered for this position.
BASIC FUNCTION : Oversee nutritional care for ambulatory care pediatric patients who are followed by the Division of Pediatric Genetics, Metabolism and Genomic Medicine at Michigan Medicine and other Pediatric Multi-specialty clinics, as needed. Manage complex nutritional problems for a patient population which includes, but is not limited to, infants, children, adolescents and young adults with genetic and genetics-related conditions, neurology, endocrinology (other than diabetes), pulmonary (other than Cystic Fibrosis) and other acute or chronic medical conditions. Provide nutrition services as part of an interdisciplinary team for four (4) CMDS clinics which meet in person weekly, monthly, or quarterly: Craniofacial, Peds Endocrine Metabolic Clinic (pediatric weight management), Myelomeningocele (Spina Bifida), and Osteogenesis Imperfecta. Orchestrate dietary interventions, nutrition education and comprehensive care management to achieve optimal growth and safe, positive health outcomes.
Work alongside two other Peds Genetics RDNs who specialize in Metabolic Biochemical Genetics including Inborn Errors of Metabolism such as Glycogen storage diseases (GSD1a, GDS1b, GSD3, GSD9), Organic acidemias (propionic acidemia/methylmalonic acidemia), Homocystinuria, Urea cycle disorders, Fatty acid oxidation disorders (MCAD, VLCAD), Galactosemia and Phenylketonuria (PKU).
Recommend and calculate specialized nutrition regimens, including monitoring and implementing specialized nutrition support as needed. Coordinate care on behalf of the patient to promote growth and self-care management. Identify, diagnose, and address pediatric malnutrition. Demonstrate flexibility in job role to meet patient, department, Registered Dietitian Nutritionist (RDN) team, and organizational needs.
Work 40 hours/week, weekdays; Hybrid position with ~50% remote work
ORGANIZATIONAL RELATIONSHIPS
- Reporting structure:
- Ambulatory Care Pediatric Specialty Nutrition Supervisor for professional oversight
- Ambulatory Care Nutrition Manager
- Liaison relationship with Children?s and Women?s Ambulatory Care Unit (CW ACU) Administrative Manager and Medical Director
Liaison relationship with interdisciplinary health care team for patient care population of responsibility (Division of Pediatric Genetics, Metabolism and Genomic Medicine plus additional Interdisciplinary clinics) - Peer relationships with Registered Dietitian Nutritionists in work group
- Preceptor to Dietetic Interns and students, as able
Patient Care
- Perform nutrition care primarily on site in person at the Children's and Women's Hospital in conjunction with virtual visits, as needed, in keeping with departmental and institutional guidelines.
- Conduct an ongoing comprehensive nutrition assessment for pediatric patients identified to be seen as per clinic standards.
- Organize patient health and disease information to identify nutrition-related problems.
- Diagnosis pediatric malnutrition after identifying the problem and clarifying the cause of the problem.
- Develop and implement an individualized plan for nutrition intervention.
- Analyze food diaries, meal recipes and specialized formula recipes for vital nutrients.
- Monitor lab values and adjust dietary interventions to keep lab values within a safe range.
- Ground interventions through review of quality research and/or use of medical nutrition therapy evidenced-based practice. Incorporate evidence-based standards when interpreting patient related data.
- Monitor and evaluate need for continuation and discontinuation of specialized nutrition support and make appropriate recommendations accordingly.
- Chart malnutrition diagnosis (if appropriate), individualized nutrition treatment plan, follow-up documentation of patient outcomes and revisions to plan in the electronic medical record. This communication is performed in a timely manner that is consistent with unit policy and procedures.
- Obtain prior authorizations for nutritional supplements and support regimens as needed.
- Coordinate the provision of specialty formula and products with Durable Medical Equipment (DME) facilities.
- Recognize the varied needs of age-specific populations, as well as cultural, religious, and ethnic concerns.
- Address patient's specific needs in the nutrition care plan and honor any advanced directives.
- Participate in multi-disciplinary clinics
- Measure effectiveness of nutrition interventions in reaching desired outcomes.
- Reassess the nutrition care process and implement changes as indicated.
- Provide short, frequent follow up care, most often through virtual visits, in keeping with best practices.
- Communicate regularly with the medical team through interdisciplinary meetings, rounds, and medical conferences.
- Communicate regularly and effectively with the inpatient registered dietitian nutritionists to provide continuity of care whenever patients transition between settings.
- Abide by UMHS policy for the proper use of patients' protected health information.
- Abide by UMHS policy for the proper use of infection control precautions in patient care areas.
Business Functions
- Provide service to Division of Pediatric Genetics, Metabolism and Genomic Medicine and other Pediatric Specialties associated with the CW ACU for identified patient populations and Interdisciplinary clinics, including virtual support.
- Implement charge capture by RDN for RDN services and facilitate scheduling patients as needed.
- Provide quality service based on customer expectations and needs.
- Incorporate Michigan Medicine core values of care, integrity, inclusion, teamwork and innovation into all work efforts.
- Exemplify and model equitable behavior that encourages belonging and respect in an inclusive, diverse workplace.
- Maintain clinical activity standards and practice effective time management.
- Participate in developing nutrition-related policies, procedures, guidelines, protocols and forms, particularly those associated with nutritional care in the Division of Pediatric Genetics, Metabolism and Genomic Medicine and/or the CW ACU.
- Assist in achieving compliance with state and federal regulatory and accrediting agencies.
- Participate in interdisciplinary meetings, task forces, and projects as appropriate.
- Contribute to quality improvement efforts including collection of outcome data to help improve practice in the Division of Pediatric Genetics, Metabolism and Genomic Medicine and/or the CW ACU.
- Participate in research studies and communicate findings through reports, abstracts, presentations, and publication as appropriate.
KNOWLEDGE AND SKILLS REQUIREMENTS
- Able to work with a team to accomplish organizational goals.
- Coordinate nutrition patient care services with the other Pediatric Specialty dietitians.
- Work together with the other Pediatric Genetic Metabolic RDNs to cooperatively and comprehensively provide quality nutrition care. Cross cover each other during vacations, illnesses, etc. as needed.
- Act as the point person to keep the rest of the team informed of the latest dietary trends in disease management
- Communicate in a clear, concise and diplomatic manner both verbally and in writing.
- Implement critical thinking to solve problems.
- Use technology such as word processing, spreadsheets, e-mail and telecommuting requirements.
- Demonstrate flexibility in job role to meet patient, department and organizational needs.
- Registration by the Commission on Dietetic Registration, the credentialing agency for the Academy of Nutrition and Dietetics.
- If licensed on or after January 1, 2024: Master's degree
- This classification requires Primary Source Verification.
- Candidate may also be RDN eligible if RDN status is achieved within 6 months of hire
- Some experience in clinical dietetics is desirable
- Employees in this classification are required to have a minimum of a bachelor's degree in a recognized field of science or learning which is directly related to the duties of the position.
- Board Certified Specialist in Pediatric Nutrition (CSP)
- Master's Degree in nutrition related field.
- Documented experience working with genetic metabolic/biochem patient population.
- Documented experience working with medically complex pediatric populations
NOTE: * Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
Work 40 hours/week, weekdays; Hybrid position with ~50% remote work
This position is covered under the collective bargaining agreement between the U-M and the United Michigan Medicine Allied Professionals (UMMAP), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal employment opportunity employer.
