Regional Registered Dietitian (RD) – Skilled Nursing

Position Overview

We are seeking an experienced Regional Registered Dietitian (RD) to provide clinical nutrition oversight and support across multiple skilled nursing and rehabilitation centers. This role partners closely with nursing leadership, dietary teams, therapy, and medical providers to ensure resident-centered, evidence-based nutrition care that supports clinical outcomes, regulatory compliance, and quality measures.

The ideal candidate is clinically strong, organized, approachable, and comfortable working independently across multiple sites—balancing direct resident care, regulatory readiness, and team education.

Key Responsibilities

Clinical Nutrition & Resident Care

• Complete and oversee comprehensive nutrition assessments, care plans, and progress notes in accordance with CMS, state, and professional standards
• Identify, monitor, and manage nutrition-related risks including weight loss, dehydration, malnutrition, dysphagia, wounds, renal disease, diabetes, and therapeutic diets
• Collaborate with interdisciplinary teams (nursing, therapy, physicians, MDS, and dietary staff) to support optimal resident outcomes
• Provide recommendations for supplements, modified textures, and specialized diets aligned with IDDSI standards

Regulatory & Quality Oversight

• Ensure compliance with CMS regulations, state survey requirements, and facility policies related to nutrition services
• Support survey preparedness and participate in mock surveys, audits, and corrective action plans
• Review quality indicators related to nutrition, weight trends, wounds, and hydration
• Assist centers with documentation accuracy to support Quality Measures and Five-Star performance

Leadership & Education

• Provide ongoing education and mentorship to dietary managers, cooks, and clinical staff
• Support onboarding and competency development for dietary teams
• Serve as a regional clinical resource for nutrition-related questions and best practices
• Promote a culture of resident choice, dignity, and person-centered care

Operational Support

• Travel to assigned centers (Holston Rehabilitaton and Care Center in Kingsport, TN and TriCities Rehabilitation Care Center in Cumberland, Kentucky) on a scheduled basis with flexibility for priority needs
• Utilize electronic health records effectively and support documentation consistency
• Communicate clearly with regional and corporate clinical leadership on trends, risks, and opportunities

Qualifications

Required

• Registered Dietitian (RD/RDN) credential through the Commission on Dietetic Registration
• Active state licensure (or ability to obtain) in assigned region
• Minimum of 2–3 years of experience in skilled nursing, long-term care, or post-acute care
• Strong knowledge of CMS regulations, MDS processes, and survey expectations
• Excellent communication, organization, and time-management skills
• Ability to travel regionally and work independently

Preferred

• Experience in a regional or multi-site role
• Familiarity with IDDSI diet standards
• Experience supporting quality initiatives, Five-Star measures, and survey remediation
• Comfort with change management and staff education

What We Offer

• Competitive compensation based on experience
• Mileage reimbursement and travel support
• Flexible scheduling options (where applicable)
• Supportive clinical leadership and collaborative culture
• Opportunity to make a meaningful impact across multiple communities

Why This Role Matters

This position plays a critical role in resident safety, quality outcomes, and regulatory success. As a Regional RD, you will help elevate nutrition services, support frontline teams, and ensure residents receive compassionate, evidence-based care that honors both clinical needs and personal preferences.