Dietitian (Clinical) - Recruitment/Relocation Incentive Authorized

Full Job Description

Provides autonomous, evidence-based medical nutrition therapy in Home-Based Primary Care for Veterans with complex medical and nutritional needs, serving as the clinical nutrition expert.

Coordinates care with the interdisciplinary team, Veterans, caregivers, and community partners; applies research to establish patient-centered goals and improve outcomes; and collaborates with Food Operations to enhance dining services, patient satisfaction, and overall quality of care.

HPTs who are on track to graduate/complete the requirements should respond as if they have met the requirements. HPTs must provide details in the narrative sections of the assessment.

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

Registered Dietitian Nutritionist (RDN) or Registered Dietitian (RD) - Must be registered with the Commission on Dietetic Registration (CDR) the credentialing branch of the Academy of Nutrition and Dietetics formerly known as the American Dietetic Association (ADA).

Exception for GS-07 and GS-09 Only: Dietitians who do not possess the RDN/RD credential.

Non-credentialed Dietitians who otherwise meet the basic qualification requirements and have fulfilled the requirements below, but do not possess the RDN credential, may be given a full-time temporary appointment not to exceed one year under the authority of 38 U.S.C.

7405(c)(2). May only be appointed at the GS-07 or GS-09 level and may not be promoted/converted until they obtain their RDN credential.

Non-credentialed Dietitians must have fulfilled each of the following: Earned a bachelor's or higher degree from a U.S. regionally accredited college or university or foreign equivalent.

Foreign Education: To be creditable, college and/or university degrees earned outside the U.S and its territories must be evaluated by ACEND and meet ACEND's International Dietitian Education standards which are designed to provide graduates with the knowledge and competencies to sit for the CDR credentialing exam.

~AND~ Completed an ACEND accredited experiential or supervised practice program and provide a verification statement from the program director that conveys eligibility to take the CDR registration exam as a prospective RDN.

A list of ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory.

Current VHA Dietitians that qualify based on being covered by the Grandfathering Provision may not be promoted to a higher grade if they do not meet the current RDN/RD requirements.

Grade Determinations: Dietitian (Clinical), GS-07: Experience or Education. None beyond the basic requirements. Assignment.

Employees in this assignment serve in a Dietitian (Clinical) entry-level developmental position.

They work under the guidance of a Dietitian who is at the full performance level or above, performing increasingly complex tasks designed to prepare them for promotion.

Clinical Dietitians conduct nutrition assessments for patients with lower acuity using the NCP while developing skills to apply evidence-based nutrition practice guidelines.

Clinical Dietitians learn to interpret research, apply whole health principles and develop patient-centered goals.

They develop skills in accurate record keeping of clinical activities and complete patient encounters using approved systems.

Clinical Dietitians comply with The Joint Commission (TJC) requirements and other accrediting agency standards to ensure safe and quality patient care.

They collaborate with the Food Operations Section to enhance the Veterans' dining experience and ensure patient satisfaction. Dietitian (Clinical), GS-09: Experience.

At least one year of experience equivalent to the next lower grade level. OR, Education. Master's degree from a regionally accredited university or college. AND Knowledge, Skills and Abilities.

In addition to the experience or education above, the candidate must demonstrate the following KSAs: Knowledge of various accrediting and regulatory requirements.

Knowledge of virtual technology to provide nutrition care. Ability to deliver patient care using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation).

Ability to apply evidence-based nutrition practices to improve patient outcomes. Ability to develop patient-centered goals. Ability to collect data for performance improvement studies.

Ability to collaborate with stakeholders. Assignment. Employees in this assignment serve in a Dietitian (Clinical)developmental position.

They perform increasingly complex tasks under general supervision. Clinical Dietitians conduct nutrition assessments using the NCP.

They develop skills in applying evidence-based nutrition practice guidelines, interpreting research and utilizing whole health principles to develop patient-centered goals and improve outcomes.

Clinical Dietitians also utilize virtual care technology to improve access to care. They maintain accurate record keeping of daily clinical activities and patient encounters using approved systems.

Clinical Dietitians comply with TJC and other accrediting agency standards to ensure safe and quality patient care.

They collect data related to performance improvement activities within Nutrition and Food Services (NFS) and assist in implementing new initiatives.

Clinical Dietitians collaborate with the Food Service Section to enhance the Veterans' dining experience, support patient satisfaction and serve as a liaison between clinical units and the food service section.

Dietitian (Clinical), GS-11: Experience. At least one year of experience as an RDN equivalent to the next lower grade. AND, Knowledge, Skills and Abilities.

In addition to the experience above, the candidate must demonstrate the following KSAs: Skill in delivering patient care using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation).

Skill in interpreting research to apply evidence-based nutrition practices to improve patient outcomes. Skill in developing patient-centered goals.

Skill in analyzing data for performance improvement studies. Skill in collaborating with stakeholders. Ability to comply with various accrediting, regulatory and agency authorities. Assignment.

Employees in this assignment serve in a Dietitian (Clinical) full performance level position.

Clinical Dietitians conduct comprehensive nutrition assessments for Veterans using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation), assuring high-quality nutrition care.

They apply evidence-based nutrition practice guidelines, interpret research and utilize whole health principles to develop patient-centered goals and improve outcomes.

Clinical Dietitians also utilize virtual care technology to improve access to care.

They are accountable for independent and accurate record keeping, autonomous coverage of daily clinical activities and efficiently completing patient encounters using approved systems.

Clinical Dietitians are knowledgeable of and ensure work accomplishments comply with TJC and other accrediting agency standards and ensure continuous improvement of safe and quality care.

They collect and analyze data related to performance improvement activities within NFS, lead activities in the implementation of new initiatives and collaborate with stakeholders.

Clinical Dietitians frequently collaborate with the food service section and leadership staff to enhance the Veteran's dining experience, support patient satisfaction and serve as a liaison between clinical units and the Food Service Section.

Preferred Experience: 1-3 years experience as clinical dietitian 1-3 years experience using the Nutrition Care Process model Experience working in team setting Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: Use of fingers Walking, 4-hours Standing, 2-hours Ability to operate a government-owned motor vehicle Hearing, without aid Mental and emotional stability Major Duties:

GS-7 Duties Conduct nutrition assessments for lower-acuity patients using the Nutrition Care Process, including NFPE.

Develop, implement, monitor, and adjust Medical Nutrition Therapy using established guidelines. Calculate nutrient requirements and diet restrictions.

Identify patients needing nutrition support and communicate with the care team. Document care using ADIME and complete care plans/MOS within timelines.

Provide nutrition education and counseling to individuals and groups. Participate in interdisciplinary team meetings. Maintain productivity standards and accurate records.

Manage clinic schedules to support access to care using established processes. Participate in service initiatives and performance improvement activities.

Comply with accreditation and regulatory standards. Perform other related duties as assigned.

GS-9 Duties Perform nutrition assessments for lower to moderate acuity patients with increased independence. Independently develop, implement, and modify Medical Nutrition Therapy and monitor outcomes.

Calculate and interpret nutrient needs across varied conditions. Recommend appropriate nutrition support modalities and coordinate with the care team.

Document care independently using ADIME and complete required plans within timeframes. Provide individualized and group counseling tailored to patient needs.

Actively contribute to interdisciplinary care planning. Manage clinic grids and modalities (virtual and in-person) to maximize access.

Participate in strategic planning, policy implementation, and performance improvement activities. Maintain productivity, records, and regulatory compliance. Perform other related duties as assigned.

GS-11 Duties Provide autonomous nutrition care for complex and high-risk patients, serving as the clinical nutrition expert.

Lead development, implementation, and evaluation of advanced Medical Nutrition Therapy interventions. Perform complex nutrient analysis and clinical decision-making for specialized conditions.

Coordinate nutrition care across interdisciplinary teams, caregivers, and community resources. Deliver advanced counseling and behavior-change interventions.

Function independently in documentation and clinical decision-making. Lead or drive quality improvement initiatives and use data to implement corrective actions.

Collaborate with operational units to improve patient experience and program outcomes. Influence care planning and program development at the service level or higher.

Maintain productivity, compliance, and accreditation standards. Perform other related duties as assigned.

Work Schedule: Monday - Friday, 8:00am - 4:30pm Telework: Available, ad-hoc only, as determined by the agency policy. Virtual: This is not a virtual position.

Functional Statement #: PD99500S, 995501S, 99502S Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized