Southside Community Health Services
Registered Dietitian, Chronic Condition Care Manager
Southside Community Health Services, Minneapolis, Minnesota, United States, 55400
Empower Patients. Advance Health Equity. Transform Lives Through Nutrition & Whole-Person Care.
Southside Community Health Services (SCHS) is a full-service, non-profit Federally Qualified Health Center serving the vibrant and diverse communities of South Minneapolis. With 90–120 dedicated employees, we are committed to delivering exceptional care, removing barriers, and promoting healthy lifestyles—because health equity is at the heart of everything we do.
We are seeking a
Registered Dietitian / Chronic Condition Care Specialist
who is passionate about whole-person care, community health, and evidence-based nutrition therapy. In this role, you will directly support patients in managing chronic conditions while elevating nutrition education across the clinic and community. You will use your clinical expertise, relational skills, and trauma-informed approach to help patients thrive and to strengthen SCHS’s chronic care programs. What You Will DoDeliver Direct Patient Care That Changes Lives Provide Medical Nutrition Therapy (MNT) and self-management education for chronic conditions (diabetes, hypertension, CKD, hyperlipidemia, obesity). Develop individualized, culturally responsive care plans in partnership with providers, patients, and families. Provide one-on-one and group education across the lifespan using motivational interviewing and behavior-change coaching. Assess diet-related factors that impact medication effectiveness and collaborate with providers to optimize treatment. Teach patients self-monitoring skills and support adherence through ongoing clinic and telehealth visits. Coordinate follow-up for DSME, nutrition visits, preventive care, labs, and chronic condition management. Help patients access and use MyChart to stay engaged in their health. Integrate Nutrition Expertise Across SCHS Serve as a content expert in nutrition, lifestyle medicine, and chronic disease management. Develop education tools, handouts, and patient-friendly resources with the Chronic Condition Care Program Manager. Provide staff trainings and contribute to clinic wellness activities. Stay current on best practices and emerging evidence in chronic disease prevention and nutrition science. Advance Community Health & Whole-Person Care Partner with community organizations to support food security and access to culturally relevant resources. Work across medical, dental, behavioral health, and vision teams to coordinate holistic care. Support patient outreach for preventive care and lifestyle-related risk reduction. Represent SCHS at community events, health fairs, and outreach activities. Support Quality Improvement & Program Growth Collaborate with the Quality team, Primary Care Integration team, and Chronic Condition Care Program Manager on QI initiatives. Assist with registries, care gap tracking, patient outreach, and data-informed improvement. Participate in peer review, grant activities, and cross-departmental care coordination. What You BringKnowledge, Skills & Strengths Strong foundation in Medical Nutrition Therapy, chronic disease management, and lifestyle medicine. Skilled in motivational interviewing and trauma-informed, patient-centered communication. Experience working in healthcare or FQHC settings and collaborating with interdisciplinary teams. Excellent documentation, organizational, and time-management abilities. Proficiency in EMRs (OCHIN Epic preferred), MyChart, and basic analytics. Culturally responsive and committed to equitable, inclusive, whole-person care. Able to build trust, foster collaboration, and support shared improvement goals. Minimum Qualifications Registered Dietitian Nutritionist (RD/RDN)
required. Certified Diabetes Care and Education Specialist (CDCES)
strongly preferred or willingness to obtain. Minimum
2 years
of nutrition counseling/education experience, ideally in chronic disease management. At least
2 years
in healthcare or community health. Bilingual in Spanish strongly preferred. Reliable transportation, valid driver’s license, and insurance. Occasional evening/weekend availability. Work Environment This role operates in a professional clinic/office setting and involves regular computer use, verbal and written communication, and movement between clinic areas. Occasional lifting (up to 20 lbs) and rare stair/ladder use may be required. Interaction with individuals who have communicable illnesses is possible. Reasonable accommodations will be made for qualified individuals with disabilities. Join Us in Advancing Health Equity Through Nutrition & Compassionate Care At SCHS, you will be part of a mission-driven team that views every patient interaction as an opportunity to create meaningful change. If you’re passionate about empowering patients, improving chronic health outcomes, and supporting community wellness—we’d love to meet you. Apply today and help us build a healthier, more equitable future for South Minneapolis. Job Type: Full-time Benefits:
Medical Dental Vision HSA/FSA STD/LTD Life and ADD Kavira Healthcare Membership EAP Wellness Day, Woliba and Calm Apps 403B with Company Match Generous PTO CE Funds and Time
Registered Dietitian / Chronic Condition Care Specialist
who is passionate about whole-person care, community health, and evidence-based nutrition therapy. In this role, you will directly support patients in managing chronic conditions while elevating nutrition education across the clinic and community. You will use your clinical expertise, relational skills, and trauma-informed approach to help patients thrive and to strengthen SCHS’s chronic care programs. What You Will DoDeliver Direct Patient Care That Changes Lives Provide Medical Nutrition Therapy (MNT) and self-management education for chronic conditions (diabetes, hypertension, CKD, hyperlipidemia, obesity). Develop individualized, culturally responsive care plans in partnership with providers, patients, and families. Provide one-on-one and group education across the lifespan using motivational interviewing and behavior-change coaching. Assess diet-related factors that impact medication effectiveness and collaborate with providers to optimize treatment. Teach patients self-monitoring skills and support adherence through ongoing clinic and telehealth visits. Coordinate follow-up for DSME, nutrition visits, preventive care, labs, and chronic condition management. Help patients access and use MyChart to stay engaged in their health. Integrate Nutrition Expertise Across SCHS Serve as a content expert in nutrition, lifestyle medicine, and chronic disease management. Develop education tools, handouts, and patient-friendly resources with the Chronic Condition Care Program Manager. Provide staff trainings and contribute to clinic wellness activities. Stay current on best practices and emerging evidence in chronic disease prevention and nutrition science. Advance Community Health & Whole-Person Care Partner with community organizations to support food security and access to culturally relevant resources. Work across medical, dental, behavioral health, and vision teams to coordinate holistic care. Support patient outreach for preventive care and lifestyle-related risk reduction. Represent SCHS at community events, health fairs, and outreach activities. Support Quality Improvement & Program Growth Collaborate with the Quality team, Primary Care Integration team, and Chronic Condition Care Program Manager on QI initiatives. Assist with registries, care gap tracking, patient outreach, and data-informed improvement. Participate in peer review, grant activities, and cross-departmental care coordination. What You BringKnowledge, Skills & Strengths Strong foundation in Medical Nutrition Therapy, chronic disease management, and lifestyle medicine. Skilled in motivational interviewing and trauma-informed, patient-centered communication. Experience working in healthcare or FQHC settings and collaborating with interdisciplinary teams. Excellent documentation, organizational, and time-management abilities. Proficiency in EMRs (OCHIN Epic preferred), MyChart, and basic analytics. Culturally responsive and committed to equitable, inclusive, whole-person care. Able to build trust, foster collaboration, and support shared improvement goals. Minimum Qualifications Registered Dietitian Nutritionist (RD/RDN)
required. Certified Diabetes Care and Education Specialist (CDCES)
strongly preferred or willingness to obtain. Minimum
2 years
of nutrition counseling/education experience, ideally in chronic disease management. At least
2 years
in healthcare or community health. Bilingual in Spanish strongly preferred. Reliable transportation, valid driver’s license, and insurance. Occasional evening/weekend availability. Work Environment This role operates in a professional clinic/office setting and involves regular computer use, verbal and written communication, and movement between clinic areas. Occasional lifting (up to 20 lbs) and rare stair/ladder use may be required. Interaction with individuals who have communicable illnesses is possible. Reasonable accommodations will be made for qualified individuals with disabilities. Join Us in Advancing Health Equity Through Nutrition & Compassionate Care At SCHS, you will be part of a mission-driven team that views every patient interaction as an opportunity to create meaningful change. If you’re passionate about empowering patients, improving chronic health outcomes, and supporting community wellness—we’d love to meet you. Apply today and help us build a healthier, more equitable future for South Minneapolis. Job Type: Full-time Benefits:
Medical Dental Vision HSA/FSA STD/LTD Life and ADD Kavira Healthcare Membership EAP Wellness Day, Woliba and Calm Apps 403B with Company Match Generous PTO CE Funds and Time