Director of Clinical Nutririon

OUR PATIENT POPULATION Patients have a primary eating disorder diagnosis: anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), avoidant restrictive food intake disorder (ARFID), or other specified feeding or eating disorder (OSFED). Eating disordered behaviors include restricting food intake, binge eating, purging (by vomiting, laxative use or over-exercise), body checking.

Eating disorder symptoms include body dysmorphia, preoccupation with food, weight, and calories. Co-occurring diagnoses often include major depressive disorder (MDD), obsessive compulsive disorder (OCD), or generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), bipolar disorder. Many individuals with eating disorders have experienced trauma QUALIFICATIONS Registered Dietitian with up-to-date credentialing.

Must maintain registration throughout employment. Minimum two years experience in treating eating disorders Knowledge of evidence based treatments and ability to individualize treatment approaches to meet each client's needs Must be able to conceptualize and implement a master treatment plan with fully developed problems, objectives and work in coordination with a treatment team, including therapists, medical doctors, psychiatrists.

ROLE OF Director of Medical and Clinical Nutrition Services Reports to Chief Executive Officer/Director of Operations Attend leadership meetings Responsible to manage budget for the department. Responsible to supervise medical nutritional therapy and counseling aspects of BRR programming, ensuring that Bright Road Recovery’s nutrition philosophy and guidelines are being translated to clients and staff members clearly.

Responsible to hire, train and manage registered dietitians and RD eligible dietitians. Expected to represent Bright Road Recovery at conferences and events as needed. Expected to make presentations on pertinent topics as needed. Conduct individual, group and family nutritional therapy sessions for program and outpatient patients, as assigned Conduct nutrition assessments as needed.

Participate in case management and care coordination, including utilization reviews and multidisciplinary treatment team meetings Maintain appropriate and timely contact with referring professionals, outpatient professionals, and any collateral contacts necessary for the patients’ treatment Detailed and timely documentation, including: nutrition assessment, weekly goal setting and treatment planning, session progress notes and discharge reporting and recommendations Engage in milieu management, interacting with clients to provide support, information and learn where quality improvement is needed.

Provide support to patients by performing the following during supported meals: Redirect conversations from inappropriate or triggering topics of conversation negative food talk, negative body talk, calories, diets, fitness plans or exercise, drug or alcohol use, violent or sexually explicit topics; Redirect eating disorder behaviors such as micro-cutting, micro-biting, or sorting of foods; Model proper table manners and eating behaviors; Eat without judgment Refrain from food talk Refrain from discussing diets or weight loss; Refrain from use of words like “healthy,” “good,” or “bad” in association with food Provide emotional support, positive modeling within appropriate therapeutic scope of practice; Support dietetics staff members as they manage the specifics of meal completion/supplementation, time-management of meals, and behavior redirection.

Help patients move toward a healthier relationship with food and a more intuitive and mindful way of eating EVIDENCE-BASED TREATMENT Bright Road Recovery patients are encouraged to participate in their own treatment by developing SMART goals (Specific, Measurable, Attainable, Realistic, Time-limited) to achieve recovery results via: eating disorder behavior reduction cognitive restructuring maintenance and relapse prevention Clinical Therapists assist patients in achieving their identified goals in psychotherapy using the following evidence based treatments, as indicated: Cognitive-Behavioral Therapy Dialectical Behavior Therapy Exposure and Response Prevention Motivational Interviewing Family Based-Treatment Clinical Therapists utilize various modalities including, but not limited to: Talk therapy En vivo exposures and systematic desensitization Art therapy EMDR Somatic Experiencing Movement-based therapies Mindfulness based therapies FOOD PHILOSOPHY Intuitive Eating is a core philosophy used by Bright Road Recovery staff that teaches individuals how to create a healthy relationship with food, mind, and body--where a person can ultimately become the expert of their own body.

The following are the 10 principles of Intuitive Eating. Reject the Diet Mentality Honor your Hunger Make Peace with Food Challenge the Food Police Respect Your Fullness Discover the satisfaction Factor Honor Your Feelings Without Using Food Respect Your Body Exercise-Feel the Difference Honor your health Exposure and response prevention (ERP) is a core philosophy used by Bright Road Recovery staff to decrease food phobias and increase patient tolerance of previously feared foods, quantities, and food-related environments.

Increase patient awareness and discernment of physical hunger cues from emotional responses and/or mood. Guide patients in making peace with food. Knowing that one’s health and worth as a person does not change as a result of eating a food that previously had been labeled as "bad" or "fattening.” All food fits! There are no “bad” or “good” foods.

Qualifier words like “healthy” should be avoided when discussing food, as they indicate a subtle judgement of the type of foods that should or should not be consumed. GENERAL JOB DUTIES/RESPONSIBILITIES Participate in developing, updating and ensuring compliance with: Emergency Procedures Manual Staff Policies Manual Patient Responsibilities Manual Employee Handbook Opening and closing responsibilities per Staff Policies Administrative duties as described Additional duties and tasks as assigned