Pediatric Nutritionist and Fitness, Nutrition & Wellness Case Manager

Job Details

Job Location: 415 Columbia Rd - Dorchester, MA 02125Education Level: 4 Year DegreeSalary Range: $25.00 - $37.00 HourlyJob Category: Health Care

Position Title:         Pediatric Nutritionist and Fitness, Nutrition & Wellness Case Manager
Department:           Nutrition
Supervisor:            Senior Nutritionist
Hours per week:    Up to 20 hrs (with at least one evening with flexibility for more evenings if desired)

Pay Range:  The expected base pay for the position is $25-$37 per hour and may be increased based on other factors, such as language, certifications, etc.

Primary Function:
Direct and manage the Healthy in the City (HIC) Grant in coordination with Boston Children’s Hospital (BCH) and provide direct patient care to pediatric patients to meet the requirements of the grant and needs of the pediatric population.

Duties & Responsibilities:

Direct Patient Care:
•    Under the general clinical supervision of the Senior Nutritionist, provide, plan, direct and perform individual counseling in therapeutic and normal nutrition practices via in-person and virtual (phone and video) visits.
•    Promote healthy lifestyle habits for patients at every size.
•    Focus 75% of direct patient care to families who meet Healthy in the City (HIC) criteria (see below for more information):
o    Patient has BMI/age > 85th%ile.
o    Patient has a BMI/age that is increasing rapidly (crossing more than one BMI/age curve).
o    Patient or family are experiencing food insecurity.
o    Provide care with attention to preventing, detecting and treating eating disorders. Refer to more specialized treatment when necessary.
•    Other care may support patients with diagnoses such as elevated A1C, lipids or blood pressure; picky eating; constipation; poor appetite; at risk of or having eating disorders or disordered eating or more.
•    Provide culturally sensitive, actionable, and patient-focused nutrition and lifestyle counseling considering:
o    Cultural food history, food access and affordability.
o    Research based nutrition and lifestyle recommendations.
o    Readiness to change, nutrition education, and behavior change tools and psychological techniques.
•    Adapt or develop educational materials, recipes and budgets to the cultural and ethnic preferences of patients, ensuring translation of materials into appropriate languages.
•    Enter notes in the EMR in a timely and accurate fashion, with attention to billing/coding.
•    Work with clinical teams, including MAs, nurses and providers to ensure comprehensive care when needed.
•    Recommend referral to higher levels of care where indicated.

Group Nutrition Education:
•    In accordance with grant requirements, or as appropriate for patient care, plan and conduct group sessions, including, but not limited to:
o    Cooking classes.
o    Gardening classes.
o    Content specific topics (e.g., how to shop on a budget).
o    Physical activity in the community, summer camp registration and more. 
•    Consider collaboration with other departments and community organizations, including behavioral health department, Bird Street Community Center, WIC, local schools, other community health centers (e.g., Bowdoin Street) and others.
•    In partnership with Senior Nutritionist, provide in-service education to clinic staff on nutrition and behavior change. As needed, make educational materials available. 
•    May contribute to internal newsletter with information and ideas about food, food preparation, recipes or more.

Color Team Based Care:
•    Work closely with Pediatric and Family Medicine providers to:
o    Receive warm hand-offs (or live referrals) from providers in person, by phone or EMR chat message.
o    See patients who meet above criteria and are ready to engage in behavior change for diet and lifestyle.  
o    Provide timely case management and follow-up care as specified by the grant and NFW Case Manager’s clinical judgement.
o    Follow-up with providers in-person, or via EMR about progress of patients, and clinical questions.

•    Work with Practice Secretaries to ensure:
o    Referral queue is being managed, and patient appointment are scheduled and closed appropriately.
o    Patients are scheduled for follow-up appointments.

Grant Management:
•    Manage the Healthy in the City (HIC) grant funded by Boston Children’s Hospital (BCH).
•    Work with and oversee any Support Staff who assist in case management, data ent