Dietitian (Clinical)

Summary Employees in this assignment serve in a Dietitian (Clinical) full performance level position within the Clinical Section of NFS serving as the medical nutrition expert. They are autonomous in their work in applying evidence‑based nutrition practice guidelines for all patients—including those with complex medical and nutritional needs. Clinical Dietitians coordinate nutritional care of Veterans with other health care providers—the Veteran—the Veteran's caregiver—and the community. Qualifications 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. d. 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 Complete 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 the 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. Knowledge – Skills and Abilities: (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. 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. Knowledge – Skills and Abilities: (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. 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: Experience with nutrition support; experience in the outpatient clinical setting; experience working with inspectors of accrediting agencies (e.g. Joint Commission – LTCI – CARF – OIG). For more information on this qualification standard – please visit Physical Requirements: Light lifting – under 15 pounds; use of fingers – both hands required; walking – 4 hours; standing – 3 hours; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; hearing (aid permitted). Environmental Factors: Dry atmospheric conditions; working around machinery with moving parts; working closely with others. Duties Duties include but are not limited to: 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 continuous improvement of safe and quality care for Veterans. Leads 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 and quality patient care. Collaborates with Food Operations Section and department leadership to enhance the Veterans’ dining experience – support patient satisfaction – and serve 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 – 8:00 am to 4:30 pm. Virtual: This is not a virtual position. Functional Statement #: PD99529S Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. #J-18808-Ljbffr