Register Dietician

About the role

POSITION OVERVIEW:

The Mishkon Division provides support and services in a healthy and safe environment for individuals with intellectual/ developmental disabilities living in residential programs and in community settings. Our core values are to provide a healthy and safe environment that promotes person centered planning, community integration, and close collaboration with families and the community. This is all accomplished through an Orthodox Jewish lens, and with an understanding that staff, at all levels of the division, is the determining factor in achieving positive outcomes for our clients.

POSITION OVERVIEW:

The Registered Dietitian provides non-supervisory clinical nutrition services for Mishkon ICF and IRA residential programs serving individuals with intellectual and developmental disabilities. The role assesses nutritional needs, develops and monitors nutrition care plans, supports therapeutic and modified-texture diets, reviews menus and meal service practices, and collaborates with residential, nursing, medical, clinical, culinary, QIDP, BIS, and leadership teams to promote health, safety, compliance, kosher requirements, and person-centered care. The RD ensures compliance with CMS, OPWDD, Department of Health (DOH), and agency requirements while promoting optimal health, nutritional well-being, safety and quality of life. This position provides guidance, training, consultation, and follow-up but does not supervise staff, approve timekeeping, conduct performance evaluations, or manage discipline.

KEY ESSENTIAL FUNCTIONS:

Clinical Nutrition & Care Planning:

Complete initial, annual semi-annual, quarterly, and as needed nutrition assessments for ICF and IRA individuals based on medical status, weights, labs, intake, allergies, swallowing needs, preferences, kosher requirements, and diet restrictions. Develop, implement, monitor, and revise nutrition care plans consistent with physician orders, Life Plans, IPPs, PONS, IDT recommendations, and individual goals. Provide nutrition interventions for weight management, diabetes, GI concerns, cardiac/renal needs, dysphagia-related diets, allergies, malnutrition risk, hydration, tube-feeding, fluid modifications and other clinical concerns. Monitor outcomes, document required assessments and follow-up, and communicate nutrition risks and recommendations to nursing, medical residential, QIDP, BIS, culinary, and leadership teams. Participate in mealtime observations and assess food presentation, prescribed diet consistency, texture modifications, pacing, adaptive equipment, and dining supports in accordance with each individual's prescribed mealtime guidelines.

Dietary Compliance & Meal Service Support:

Review menus for nutritional adequacy, therapeutic diets, modified textures, substitutions, adaptive equipment recommendations, and special dietary accommodations for assigned ICF and IRA programs. Collaborate with culinary and residential teams to ensure meals are prepared and served according to diet implementation observations in ICF units and IRA homes. Support corrective action and staff guidance when nutrition or dietary concerns are identified through audits, surveys, incidents, meal observations, or quality reviews.