Summary The Clinical Dietitian is acquiring skills in Nutrition and Food Services in planning, developing and directing basic nutrition care activities for assigned veterans, developing their experience and skills in using evidence based approaches to counsel veterans and to provide nutrition care to optimize health. The clinical dietitian supports the facility's mission and coordinates nutritional care with other health care providers, the veteran, the veteran's caregiver and the community. Responsibilities The clinical dietitian will be involved in the professional practice of dietetics in accordance with the guidance set forth in NFS directives, policies and procedures, and VA regulations governing the practice of dietetics. The clinical dietitian may be scheduled and assigned to any nutrition practice area. Duties will include: Nutritional Care Conducts a comprehensive nutrition assessment utilizing the Nutrition Care Process for assigned patients. Develops/implements an individualized plan for MNT in accordance with the patient's medical program goals and objectives. Performs a Nutrition Focused Physical Exam during assessments to determine risk and/or degree of malnutrition. Calculates nutrient requirements and necessary diet restrictions or food/drug interactions. Evaluates patterns/relationships among data obtained and possible root causes for nutrition problems. Tailors diet prescription to each individual patient according to physical and metabolic needs. Prioritizes the importance of nutrition problems for optimal health, recovery from illness, management of chronic disease or disease prevention. Utilizes evidenced-based Nutrition Practice Guidelines and Whole Health Principles to develop shared goals. Works with food service staff to assure conformance to diet prescriptions. Identifies patients in need of nutritional support and recommends the appropriate mode of support Evaluates and monitors the effectiveness and outcome of MNT interventions. Document's nutrition care plan in the patient's medical record, including nutrition assessment data, MNT initiated and recommendations, results of nutrition counseling, patient consents and discharge planning. Nutrition Education and Coordination of Care Assesses educational needs and provides nutrition education/counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational and medical situation of the patient. Utilizes motivational interviewing techniques to evaluate patient and/or caregiver's readiness to learn and potential for changing behaviors. Evaluates achievement of learning objectives by the patient and/or family. Utilizes virtual care technology to improve access to nutrition care. Provides follow-up nutrition education/counseling in accordance with the patient's treatment goals and determines when a problem requires consultation or referral to another provider or service. Participates in planning and education of home nutrition support. Develops, prepares and facilitates Healthy Teaching Kitchen presentations. Completes Minimum Data Sheets /Care plans timely. Participates in community projects and education. Serves on Health Education committees and workgroups as needed/assigned. Business Functions Maintains effective time management and prioritizing of tasks to ensure efficient workflow in assigned area. Ensures completion of consult management tasks by reviewing assigned nutrition consults. Scheduling and timely completion of all assigned consults. Maintains accurate record keeping of daily clinical activities and completes patient encounters utilizing the Event Capture System. Manages resources in a cost-effective manner. Developing/revising patient education materials, clinical forms, and protocols. Assists in achieving compliance with The Joint Commission, or other accrediting agency standards to continuously improve the safety and quality of care. Participation as a Member of the Health Care Team Communicates and influences treatment interventions by the medical team through interdisciplinary meetings, team rounds, medical conferences and nutrition-related in-services. Presents seminars, workshops, and lectures to convey current nutrition information on new and changing concepts. Coordinates care with colleagues in a variety of medical and home settings to ensure appropriate transitions of care are addressed to meet the patient's needs. Determines need for home care to assure continuity of care and makes appropriate referrals to Home Based Primary Care, Social Work Service, Satellite clinics or other community agencies. Patient discharge planning to ensure provision of appropriate services and equipment for enteral feeding. Review and revision of the Diet Manual, and menu analysis, as applicable. Serves as a member of the VAMC inspection team for the state Veteran's homes, homeless shelters, community nursing homes and with foodservice staff to assure conformance to diet prescriptions May participate in community outreach activities. Work Schedule: 7:30am-4pm Rotating Weekend Coverage Telework: Telework Available Virtual: This is not a virtual position. Functional Statement #: 0000000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station : Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel . Participation in the Coronavirus Disease 2019 vaccination program is a requirement for all Veterans Health Administration Health Care Personnel - See "Additional Information" below for details. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: Citizenship. Citizen of the United States. Education and Supervised Practice: The individual must have earned a bachelor's degree from a U.S. regionally accredited college or university or foreign equivalent and fulfilled each of the following criteria: Completed a didactic program in dietetics accredited by the Accreditation Council for Education in Nutrition and Dietetics , formerly known as the Commission on Accreditation for Dietetic Education . Completed an ACEND accredited or approved supervised practice program. Supervised practice programs are post-baccalaureate degree programs that provide supervised practice experiences which meet the eligibility requirements and accreditation standards of ACEND, formally known as CADE. Completion of a coordinated program in dietetics fulfills the requirements of a supervised practice program. Time spent in a dietetic internship or supervised practice program does not qualify as creditable experience. Registration/Certification. All applicants must be registered with the Commission on Dietetic Registration the credentialing branch of the Academy of Nutrition and Dietetics formerly known as the American Dietetic Association . Advanced Level Practice Dietitians must possess a minimum of one advanced practice credential relevant to the area of practice, , Board Certified Specialist in Renal Nutrition , Board Certified Specialist in Gerontological Nutrition , Certified Diabetes Educator , or Board Certified Specialist in Oncology Nutrition ).United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Exception. Non-CDR registered applicants who otherwise meet the minimum qualification requirements may be appointed, pending CDR registration, as a temporary full-time graduate dietitian under 38 U.S.C. 7405. In accordance with 38 U.S.C. 7405, this appointment may not exceed 2 years. Applicants appointed under this exception must provide care under the supervision of a registered dietitian at or above the full performance level. Applicants who fail to obtain CDR registration during this temporary full-time appointment may be terminated. The exception only applies to positions at the GS-7 and GS-9 level. For grade levels at or above the full performance level the candidate must be registered with the CDR. Grade Determinations. In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates GS-7 Experience or Education. None beyond the basic requirements AND Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Basic knowledge of principles and practices of dietetics and Medical Nutrition Therapy 2. Ability to provide nutrition care utilizing the Nutrition Care Process to patients, family members and/or caregivers considering psycho-social issues and age-appropriate, evidence-based nutrition practice guidelines. 3. Ability to communicate effectively orally and in writing with patients, family and/or caregiver, and other professional healthcare providers . 4. Ability to plan and organize work consisting of multiple tasks and priorities under direct supervision. 5. Basic knowledge of, and ability to use, current information technology operations, software, hardware, terminology, security requirements, and capabilities. 6. Knowledge of basic food production and service for various populations which incorporates principles of sanitation, safety, and menu planning within a healthcare environment. 7. Knowledge of educational concepts, methods, and the ability to execute existing education and training activities for Nutrition and Food Services employees GS-9 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. AND Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to plan and organize work of considerable difficulty and responsibility, under general supervision. 2. Knowledge of various food preparation and delivery systems within a healthcare environment. 3. Knowledge of educational concepts, methods, training materials, and resources and the ability to develop and conduct education and training programs for NFS employees. 4. Ability to participate in research studies and conduct performance improvement studies and document findings to evaluate staff, food, supplies, equipment, and service, in order to improve the efficiency of the operation. 5. Knowledge of the principles and practices of clinical dietetics including NCP and MNT in order to plan, develop, and coordinate nutrition interventions, including enteral and parenteral nutrition, interdisciplinary care plans, and nutrition education activities that promote Veteran health, wellness and lifestyle management GS-11 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. AND Demonstrated Knowledge, Skills, and Abilities 1. In addition to the experience above, the candidate must demonstrate the following KSAs: Knowledge of best practices in the dietetics profession and in scientific literature, including knowledge of research methods, study design, data collection, interpretation of findings, and translation of results into nutrition practice. Ability to comply with various accrediting, regulatory, and agency authorities. Ability to develop and maintain a system of internal reviews and direct quality control and performance improvement studies. Knowledge of computer software programs relative to food service systems. 2. In addition to the KSAs identified in subparagraph 1 above, candidates for clinical nutrition positions must demonstrate the following KSAs: Knowledge of the principles and practices of nutrition care and the treatment of complex cases in clinical settings in order to develop, implement and coordinate best practices in the dietetics profession . Knowledge of best practices in areas of clinical nutrition and the ability to apply nutrition interventions to patients with multiple co-morbidities. Preferred Experience: Inpatient Medical Nutrition Therapy References: VA HANDBOOK 5005/80 PART II APPENDIX G20 The full performance level of this vacancy is 11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-7 to GS-11. Physical Requirements: Light carrying : Use of fingers; Walking ; Standing ; Ability to distinguish basic colors; Hearing ; Mental and emotional stability Environmental Factors: Working closely with others; Working alone Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: Additional Information Receiving Service Credit or Earning Annual Leave: Federal Employees earn annual leave at a rate which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law . VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

Job Details:

Posted Date : 2022-04-21

Expiry Date : 2022-07-21

Job type : Part Time

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