Conducted nutrition assessments for high risk inpatients including malnutrition findingsEvaluated health and disease conditions for nutrition-related consequences including COPD, failed outpatient therapy for infection and chronic renal diseaseInterpreted blood glucose results and recommended adjustment in food, insulin or medicationAssessed educational needs and provided nutrition counseling for diabetes patients and their families based on individual needs, including nutrient requirements, knowledge and abilities, and medical, economic, and social situationDevised meal plans, taught carbohydrate counting and performed nutrition-related functions in addition to pattern management, insulin initiation and delivery, home glucose meter monitoring, ketone testing, and glucagon administrationProvided appropriate follow-up in accordance with the patient’s treatment goals, referring patients for continued outpatient counseling and community or home health services as appropriatePromoted nutrition intervention during daily interdisciplinary rounds including order initiation, approval and writingOrganized World Diabetes Day co-sponsored with local health department including A1c testing with the Bluegrass Lion's Club, provided BMI analysis and nutrition counseling during annual “Go Red for Women” events and representative on P&T committee and Blood Glucose subcommitteeMet or exceeded outpatient revenue goals and daily inpatient caseloads

Assessed nutritional status of post cardiac event, post-transplant and wellness clients, including those with pre-diabetes, diabetes, and steroid induced diabetesPrioritized more frequent intervention based on referral by exercise physiologists and nursingProvided MNT counseling incorporating the AHA Diet and Lifestyle RecommendationsDeveloped and presented group nutrition education classes for clients and families and incorporated messaging to support medication management and smoking cessation concepts presented by outpatient pharmacists and addiction specialistsConducted shopping tours introducing AHA Heart-Check Food Certification ProgramImplemented support groups to assist clients with weight management and blood glucose management

Served as co-lead on interdisciplinary team to develop comprehensive diabetes management program, including provider, MNT and DSMT visits, lab draws, eye and foot care examinations, medication management reviews and documented outcomes and reporting in EHREnrolled >70% of diabetes patients into the case management programIntegrated digital retinal screening and foot exams, including mono filament testing, by diabetes educators, documented and communicated results via EHR alertsProvided DSMT and MNT to pediatric, adult and geriatric clientsFacilitated delivery of MicroClinic sessions, a 16-week program based upon the CDC DPPServed as co-lead of data collection and integrity for a health disparities research study to determine the effects of social support on health outcomesContributed to and user of Welkin Health application to promote remote patient engagement and improve workflow efficiency

Designed and implemented a telephonic diabetes education program based upon the seven core content areas for Recognition and enrolled >10K participantsFacilitated co-branding with the American Diabetes Association literature supporting the content areas provided to participants as part of the “Healthy Living” programAchieved a 73% re-order/conversion rate for meters/supplies vs. 50% for outbound call departmentOriented, mentored and coached >10 remote CDE staffEstablished baseline productivity measures earning Six Sigma Green Belt (Medco)Served as company-wide SME, presented diabetes programs for nursing CE and provided diabetes education for employer sponsored health fairs

Managed a multi-site Recognized Education Program, including marketing and financeProvided individualized MNT to persons with type 1, Type 2, gestational diabetes and patients on insulin pump therapyExpanded offerings to include individualized MNT for bariatric surgery, hypertension and cardiovascular disease and nutrition education for a smoking cessation program, pediatric weight management program and wellness clientsCoordinated with CDE nurse to provide MNT and pump therapy education and on call clinical support for patients initiating pump therapy and those referred in follow upSupported patients by providing monthly support groupsManaged 5 lay and professional staff including personnel managementCommunicated regularly with providers, medical center and support staff to explain benefits, outcomes and patient testimonials to strengthen referral relationships

Provided direct nutrition services to acute and long-term care, home health, and correctional facility residentsPrepared, presented and proctored college nutrition and FL Food Service Manager certification classesPrioritized and independently executed unannounced periodic food safety and sanitation inspections for commercial establishments, restaurants and food holding facilities

Coordinated nutrition care and delivery for acute care, tertiary facilities which included pediatric and adult medical/surgical, oncology, and rehabilitation servicesCoordinated provision of outpatient services to Cystic Fibrosis, High Risk Perinatal, dialysis, radiation therapy and hyperbaric servicesCovered all professional staff positions and on-site weekend department managerSupervised 25 FTE's professional and lay staff including personnel managementChampioned “Partners in Change” team resulting in $1.1 million expense reduction and provided nutrition expertise in consolidation of services during mergerAnalyzed and presented results of QC, PI and patient satisfaction measuresServed on Patient Education, Joint Commission Readiness, and Medical Records Review, Teams and as Co-Chair Pharmacy, Therapeutics and Nutrition CommitteeJupiter Medical Center, Jupiter, FL 6/1993 – 3/1/1994Clinical DietitianAssessed, planned, and monitored nutrition care plans for adult inpatients, including parenteral and enteral nutrition, and skilled nursing care residentsCounseled outpatients, including bio-impedance measurements of body fatPresented group diabetes classes, reviewed and revised 3-day dietary recallsDeveloped and presented food and nutrition and nursing in-servicesServed as representative on PI/QC, Education and Intensive Care Committees

Assessed, planned, and monitored nutrition care plans for adult inpatients, including parenteral and enteral nutrition, and skilled nursing care residentsCounseled outpatients, including bio-impedance measurements of body fatPresented group diabetes classes, reviewed and revised 3-day dietary recallsDeveloped and presented food and nutrition and nursing in-servicesServed as representative on PI/QC, Education and Intensive Care Committees

Developed a new patient select menus and training guidelines for food service staffIntegrated clinical and administrative functions, including authoring policy and procedures and conduct quality control and performance improvement measuresReduced floor stock costs by $0.20 per patient dayEvaluated software systems and served as departmental lead during implementationRepresented department on multiple committees, including facility order entry build-out, Patient Education and chaired Nutrition CommitteeManaged 15 FTE's, including professional and office staffProvided direct nutrition care, including enteral and parenteral nutrition, for acute care patients, outpatients and dialysis outpatients