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Announcement #878183700

Dietitian (Clinical)

Veterans Health Administration · Portland, Oregon
Federal employeesOpen to the publicVeteransTelework eligible

What you'd do

Clinical Dietitians coordinate nutritional care of Veterans with other health care providers, the Veteran, the Veteran's caregiver and the community. Clinical Dietitians learn to interpret research, apply whole health principles and develop patientcentered goals. They collaborate with the Food Operations Section to enhance the Veterans' dining experience and ensure patient satisfaction. This position serves the outpatient Patient Aligned Care Team (PACT) and is in an ambulatory setting.

Major duties

FUNCTIONS OR SCOPES OF PRACTICE 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. Documents MNT in the medical record using the Assessment, Diagnosis, Intervention, Monitoring, Evaluation (ADIME) format. Calculates nutrition requirements and necessary diet restrictions or food and drug interactions, tailoring the diet prescription to each individual patient. 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). Maintains productivity standards. Maintains accurate record keeping of daily clinical activities and complete patient encounters using approved systems. Participates in service-level strategic planning and implementation of new initiatives, policies, procedures, and goals. Supports service-level performance improvement activities to include development of measures, data collection, data evaluation, and initiation corrective actions. Complies with The Joint Commission requirements and other accrediting agency standards to ensure safe and quality patient care. Serves as a liaison between clinical units and the Food Operations Section. May perform other related duties as assigned which are appropriate for this grade and assignment. Work Schedule: Monday - Friday, 8:00am - 4:30pm, Flexible Compressed/Flexible: Available with service's authorization. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 99529S Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized

What you need to qualify

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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Registration. All applicants must hold the RDN credential from the Commission on Dietetic Registration (CDR) the credentialing agency of the Academy of Nutrition and Dietetics. Note: Applicants who hold the RDN credential have met the education requirement (e.g. bachelor's degree or higher) of CDR, as such this occupation is considered professional and scientific with a positive education requirement and the procedures in Part I, Chapter 4 of this Handbook will be followed when applying Veteran's preference. Exception for Dietitians who do not possess the RDN credential Non-credentialed Dietitians who meet the basic qualification requirements and have fulfilled the requirements below, but do not possess the RDN credential, may be given a temporary full-time appointment not to exceed one year under the authority of 38 U.S.C. § 7405(c)(2). Non-credentialed Dietitians must have fulfilled each of the following: Earned a bachelor's or higher degree from a U.S. regionally accredited college, university or foreign equivalent (refer to ii below). 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 is located on the ACEND® website or at ACEND Accredited Programs Directory. 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. Non-credentialed Dietitians may only be appointed at the GS-07 or GS-09 grade level and may not be promoted/converted until they obtain their RDN credential. English Language Proficiency. Dietitian candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: All individuals assigned to this occupation must meet all the basic qualification requirements. Dietitian (Clinical), GS-07 Experience or Education. None beyond the basic requirements. 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. Knowledge, Skills and Abilities. In addition to the experience or education above, the candidate must demonstrate the following KSAs: (a) Knowledge of various accrediting and regulatory requirements. (b) Knowledge of virtual technology to provide nutrition care. (c) Ability to deliver patient care using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation). (d) Ability to apply evidence-based nutrition practices to improve patient outcomes. (e) Ability to develop patient-centered goals. (f) Ability to collect data for performance improvement studies. (g) Ability to collaborate with stakeholders. Dietitian (Clinical), GS-11 Experience. At least one year of experience as an RDN equivalent to the next lower grade. Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: (a) Skill in delivering patient care using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation). (b) Skill in interpreting research to apply evidence-based nutrition practices to improve patient outcomes. (c) Skill in developing patient-centered goals. (d) Skill in analyzing data for performance improvement studies. (e) Skill in collaborating with stakeholders. (f) Ability to comply with various accrediting, regulatory and agency authorities. Preferred Experience: Outpatient/ambulatory nutrition experience, experience leading weight management groups or classes, experience utilizing motivational interviewing in individual and group settings. Experience with enteral nutrition education, assessment, and troubleshooting, and providing Medical Nutrition Therapy for a wide variety of diagnoses. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-7. 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: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.

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