This position is responsible for the provision of nutrition care, assessment, evaluation, training and monitoring to a patient population (spanning neonates to geriatrics) prior to and following hospital discharge and in ambulatory care areas. Additionally responsible for care plan development and modifications. Care coordination is conducted with prescribers and treatment regimens are established. Orders are entered into an internal software system to ensure accuracy and appropriate provision of all necessary formula, supplies, and equipment to administer therapy. Patients are screened for eligibility with selective payer groups to aid in identifying patient out of pocket expenses. Individuals in this role also triage and resolve problems as they arise with home enteral nutrition therapy, and work as a member of a multidisciplinary patient care team and in collaboration with other health system and home health care professionals. This position will rotate between the hospital and the HomeMed office locations, based on business needs

Essential:

• Perform and provide care and service for home care pediatric, adult and geriatric populations.

• Evaluate, recommend, and implement comprehensive and specialized nutritional support for patients with complex treatment and diagnostic needs.

• Identify enteral feeding access devices and coordinate patient needs related to home enteral nutrition supplies. 

• Provide training related to home enteral nutrition therapy including enteral feeding pumps and supplies to assigned patients and caregivers.

• Monitor enteral feeding regimen and troubleshoot issues related to home equipment and supplies of assigned patient population.

• Assist reimbursement staff with insurance issues related to home enteral nutrition patients.

• Identify appropriate product replacements when enteral nutrition items are discontinued or unavailable and submit suggestions to the program coordination for review and consideration.

• Serve as a consultant to the staff concerning patient treatment plans, established practices, policies and procedures.

• Assist in the planning, organization, implementation, and evaluation of student training.

• Assign specific cases to students for their study and evaluate the student?s output.

• Represent the department at specialty and routine patient conferences.

• Assist in developing and conducting special projects or research.

• Participate in interdisciplinary planning, for meeting patient care and health care standards.

• Evaluate care plans for their appropriateness and initiate necessary changes.

• Prepare patients to return to the community by continuing patient education and referrals to appropriate community agencies.

• Plan, calculate and record daily dietary intakes of all assigned patients and provide recommendations for therapeutic diets. 

• Assist with transition from tube feeding to oral diet. 

• Record treatment provided and patient progress and responses in medical record.

Other Related Duties:

• Complies with all Michigan Medicine and departmental standards and expectations.

• Support the department?s commitment to continuous improvement activities and principles through positive and respectful contribution in all problem-solving and change processes.         

• Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.

• Will comply with all work schedule requirements including shift assignments within any 24-hour period and any day of the week regardless of weekend, holiday, or other calendar recognitions.

• Will participate in on-call, 24-hours, 7 days a week, 365 days a year, when assigned. 

• Will comply with all licensing requirements for working in a pharmacy regardless of the state in which the license is held by HomeMed.  For example: Michigan, Ohio, Indiana, Florida, or any other state within the Continental U.S.   

• Performs other duties as assigned.

• 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.

• Proficient in operating within the Windows environment 
• A minimum of one year experience in home care activity with a demonstrated knowledge of regulations, standards, and guidelines applicable to the provision of nutrition care in the home

• Certification in Nutrition Support (CNSC) desired.

   

• Demonstrated knowledge in feeding tube devices, formula classifications, and medical terminology
• Ability to work with minimal direction and supervision.
• Demonstrated ability in interaction with other health professionals and patients in the provision of pharmaceutical service.
• Ability to read, write, speak, and comprehend English.
• Functional visual acuity and hearing for accurate assessment and recording of patient observations and information in clinical records.
• Manual dexterity and physical endurance to perform required procedure activity proficiently and safely.
• The employee will be able to perform the assigned duties and responsibilities with or without reasonable accommodation.
• Must comply with all UMHS Occupational Health requirements including annual Flu immunization.

Variable schedule rotating shifts between 7am and 7pm (most commonly working between 8 am - 5:30 pm) with variable work locations rotating between hospital campus and offsite locations. 

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.

About University of Michigan - Ann Arbor

A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.

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