Dietitian HBPC Home Based Primary Care

Full Job Description

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment.

Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application.

Former EDRP participants ineligible to apply.

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: GS-7 Dietitian (Entry Level) (a) Experience or Education. None beyond the basic requirements. (b) Assignment.

Employees at this grade are closely supervised and competency in progressively complex tasks is monitored by supervisor. Employees at this grade level serve in a developmental position.

(c) Demonstrated Knowledge, Skills, and Abilities. GS-9 Dietitian (Developmental Level) (a) Experience or Education.

At least 1 year of experience equivalent to the next lower grade level or education equivalent to 2 full years of progressively higher level graduate education, or master's degree from an accredited university or college in the field of dietetics or closely related field.

(b) Assignments. Employees at this grade level serve in either clinical or food service systems management dietitian positions.

It is expected that they receive guidance from higher-level or supervisory staff members. Employees at this grade are under general supervision. Progressively complex tasks are monitored by supervisor.

Employees at this grade level serve in a developmental position. (c) Demonstrated Knowledge, Skills, and Abilities. GS-11 Dietitian (Full Performance Level) (a) Experience or Education.

At least 1 year of experience as a registered dietitian equivalent to the next lower grade level, or education equivalent to 3 full years of progressively higher level graduate education, or a Ph.D.

or equivalent doctoral degree from an accredited university or college in the field of dietetics or closely related field. (b) Assignment.

Employees at this grade level serve as staff dietitians at the full performance level.

Registered dietitians are responsible for independently planning, developing and directing all nutrition care activities (e.g., food service and/or clinical nutrition).

Registered dietitians serve as important members of the interdisciplinary team of care providers, and focus on offering exceptional nutrition care and guidance to optimize health.

Registered dietitians work in a variety of settings, such as hospitals, outpatient centers, residential treatment programs and patient homes.

They are responsible for using evidence-based approaches to develop menus, counsel patients and provide nutrition care.

(c) Demonstrated Knowledge, Skills, and Abilities Preferred Experience: At least one year of experience delivering medical nutrition therapy in a home-based or in-home care setting.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Major Duties:

Clinical Dietitians provide HBPC coordinate nutritional care of Veterans with other health care providers, the Veteran, the Veteran's caregiver, and the community.

They interpret research and utilize whole health principles to develop patient-centered goals and improve outcomes.

Functions or Scope of Assigned Duties: Conducts comprehensive nutrition assessments using the Nutritional Care Process (NCP), including nutrition focused physical examinations, to establish a nutrition diagnosis and determine risk and/or degree of malnutrition.

Develops and implements Medical Nutrition Therapy (MNT) to address the nutrition diagnosis, evaluates and monitors the effectiveness and outcomes of MNT interventions.

Modifies the plan as needed to achieve positive patient outcomes.

Calculates nutrient requirements and necessary diet restrictions or food and drug interactions tailoring the diet prescription to each individual patient.

Documents MNT in the medical record using the Assessment, Diagnosis, Intervention, Monitoring, Evaluation (ADIME) format. Functions independently and accurately when record keeping.

Identifies patients in need of nutritional support and recommends the appropriate mode of support and communicates appropriately with the health care team.

Actively participates in formal and informal interdisciplinary team meetings.

Assesses educational needs and provides nutrition education/counseling for individuals and groups that is tailored to the Veteran(s). Utilizes virtual care technology to improve access to care.

Maintains productivity standards. Maintains accurate record keeping of daily clinical activities and completes patient encounters using approved systems.

Ensures improvement of safe and quality care of Veterans. Lead activities in the implementation of new initiatives.

Uses data in the development of measures, data evaluation, and initiation of corrective actions.

Complies with The Joint Commission requirements and other accrediting agency standards to ensure safe an quality patient care.

May perform other related duties as assigned which are appropriate for this grade an assignment. Work Schedule: Monday-Friday 8:30-4:30 Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized