Department: Home Infusion Services
Reports To: Director of Pharmacy / Clinical Manager
Position Summary
The Registered Dietitian (RD) is responsible for providing nutrition assessment, education, monitoring, and support for patients receiving home infusion therapy, including parenteral nutrition (PN), enteral nutrition (EN), hydration therapy, and specialty infusion therapies. The RD collaborates with pharmacists, physicians, nurses, and other healthcare professionals to optimize nutritional outcomes and ensure compliance with CMS, California regulations, and accreditation standards (ACHC, URAC, or The Joint Commission).
Minimum Qualifications (Required)
The candidate shall possess the following minimum qualifications:
Education
- Bachelor's degree or higher in Dietetics, Nutrition, Clinical Nutrition, or Food and Nutrition from an accredited college or university.
Registration
- Must be a Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN) credentialed through the Commission on Dietetic Registration (CDR).
State Requirements
- Must possess any California licensure or certification required by state law, if applicable.
- Must maintain all professional credentials in good standing.
CMS/Medicare Qualification
The Registered Dietitian shall meet Medicare requirements, including:
- Bachelor's degree or higher in Nutrition or Dietetics.
- Completion of an accredited dietetics education program.
- Minimum of 900 hours of supervised dietetics practice.
- Registration by the Commission on Dietetic Registration (CDR), or otherwise meet applicable Medicare requirements for a nutrition professional.
Preferred Qualifications
- Minimum one (1) year of clinical nutrition experience.
- Home infusion experience preferred.
- Experience with:
- Total Parenteral Nutrition (TPN)
- Peripheral Parenteral Nutrition (PPN)
- Enteral Nutrition
- Oncology Nutrition
- Nutrition Support
- Board Certified Nutrition Support Clinician (CNSC) preferred but not required.
Essential Duties
The Registered Dietitian shall:
- Perform comprehensive nutritional assessments.
- Develop individualized nutrition care plans.
- Calculate nutritional requirements.
- Recommend appropriate enteral and parenteral nutrition formulas.
- Monitor patients receiving TPN and enteral nutrition.
- Review laboratory values and adjust nutrition recommendations.
- Provide patient and caregiver education.
- Collaborate with pharmacists regarding formulation adjustments.
- Communicate with physicians regarding nutrition recommendations.
- Document all clinical interventions in the medical record.
- Participate in interdisciplinary case conferences.
- Assist with quality improvement initiatives.
- Participate in accreditation surveys (ACHC, URAC, Joint Commission).
- Maintain compliance with HIPAA, OSHA, CMS, Medicare, and California Board of Pharmacy regulations.
Knowledge
The Registered Dietitian shall have knowledge of:
- Home Infusion Therapy
- Enteral Nutrition
- Total Parenteral Nutrition (TPN)
- Nutrition Support Guidelines (ASPEN)
- Drug-Nutrient Interactions
- Medical Nutrition Therapy
- Infection Prevention
- Diabetes Nutrition
- Renal Nutrition
- Oncology Nutrition
- Pediatric and Adult Nutrition (if applicable)
Skills
- Clinical nutrition assessment
- Nutrition calculations
- Documentation
- Patient counseling
- Critical thinking
- EMR documentation
- Communication skills
- Interdisciplinary collaboration
Physical Requirements
- Ability to sit, stand, and walk for extended periods.
- Ability to lift up to 20 pounds.
- Ability to travel for patient visits if required.
Required Certifications
- Registered Dietitian (RD/RDN)
- Current CDR Registration
- Current BLS (preferred)
- Valid California Driver License (if patient visits are required)
Compliance Requirements
The Registered Dietitian must comply with:
- CMS Home Infusion Therapy Conditions for Participation
- Medicare Medical Nutrition Therapy regulations
- HIPAA
- OSHA
- California Board of Pharmacy regulations
- ACHC/URAC/The Joint Commission accreditation standards
- Oneiro Pharmacy policies and procedures.
Recommended Requirement for Oneiro Pharmacy
For a California home infusion pharmacy seeking Medicare accreditation (ACHC, URAC, or Joint Commission), a strong hiring standard is:
- Registered Dietitian (RD/RDN) with current CDR registration (required)
- Bachelor's degree in Dietetics or Nutrition (minimum)
- Minimum 1 year of clinical nutrition experience (preferred)
- Experience with TPN/Enteral Nutrition (preferred)
- CNSC certification (preferred but not required)
This qualification set aligns well with CMS expectations, accreditation standards, and best practices for home infusion nutrition support.
Pay: $45.39 - $54.66 per hour
Benefits:
- Paid time off
- Travel reimbursement
Work Location: In person
