Dietitian - Clinical

Summary Clinical Dietitians 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. Clinical Dietitians collaborate with the Food Operations Section to enhance the Veterans' dining experience and ensure patient satisfaction. 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 United States Citizenship Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy English Language Proficiency Must be proficient in spoken and written English 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 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: Dietitian (Clinical) - GS-07 Experience or Education None beyond the basic requirements Assignment 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 (T JC) 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/Education At least 1 year of experience equivalent to the next lower grade level OR a Master's degree from a regionally accredited university or college Knowledge - Skills and Abilities (KSAs) 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 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 T JC 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 1year of experience as an RON equivalent to the next lower grade KSAs 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 Full performance level 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 T JC 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: Two to Five years work experience as a dietitian in an acute care environment Reference: For more information on this qualification standard - please visit The full performance level of this vacancy is GS-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: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment A pre-placement physical examination is not required. Duties Major duties include - but are not limited to: Conducts comprehensive nutrition assessments for patients 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 nutrient 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 - communicating appropriately with the health care team Actively participates in formal and informal interdisciplinary team meetings Completes care plans/Minimum Data Set (MOS) within established time frames Assess educational needs and provides nutrition education/counseling for individuals and groups that is tailored to the Veteran(s) 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 Ensures continuous improvement of safe and quality care of Veterans Leads activities in the implementation of new initiatives Uses data in the development of measures - data evaluation - and initiation of corrective actions Collaborates with the 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: Primarily Monday-Friday 8:00am-4:00pm - however - This assignment will include some rotating Weekends and Holidays Telework: Available (AD-HOC only as determined by the agency policy.) Virtual: This is not a virtual position Functional Statement #:99529 - 99530 - 99531-S Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized #J-18808-Ljbffr U.S. Department of Veterans Affairs