U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs Charlotte NC United States
1 week ago
The Dietitian is the expert responsible for independently planning and directing all nutritional activities for assigned clients, including those with complex medical and nutritional needs. He/she coordinates nutritional care with other health care providers, the client, the client's family and the community. The increasing complexity in nutrition requires that the clinical dietitian... have expertise in a wide range of disease entities, treatment modalities, and drug/nutrient interactions
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The Clinical Dietitian is the medical nutrition expert responsible for independently planning, developing, and directing all nutritional care activities for assigned veterans, including those with complex medical and nutritional needs. 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. The Clinical Dietitian's expertise is specific to diagnosing nutrition problems and the nutrition ramifications of disease entities and medical treatment modalities. Assessment methodologies such as identifying physical signs of malnutrition, drug/nutrient interactions and depletions, and assessment of intake and nutrient losses are critical skills used by clinical dietitians.
The Clinical Dietitian may be scheduled and assigned to any nutrition practice area, and must possess the required knowledge and skills in order to perform the following functions:
• Conducts a comprehensive nutrition assessment for patients at nutritional risk.- Develops and implements an individualized plan for medical nutrition therapy for all dialysis unit patients in accordance with the patients' medical program goals and objectives. Accurately obtains and interprets medical information pertinent to the patient's nutritional care to determine risk, assess nutritional status and develop individual specialized care plans to simultaneously address several disease processes.
• Utilizes assessment and evaluation techniques that consider age-specific needs as well as cultural, religious, and ethnic concerns.
• Orders labs, diets and consults per Scope of Practice/Clinical privileges.
• Evaluates and monitors the effectiveness and outcome of medical nutrition therapy interventions. Evaluates the patient's response to care based on identified, measurable outcomes and reviews the plan as appropriate.
• Consults with physician regarding adjustments that may be needed.
• Documents nutrition care plan in the patient's medical record, including nutrition assessment data, medical nutrition therapy initiated and recommendations, results of nutrition counseling and discharge planning. Documentation supports an interdisciplinary approach and continuity of care.
• Works cooperatively with Food service staff to assure conformance to diet prescriptions, as applicable.
• Assesses educational needs and provides nutrition counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational, and medical situation of the patient. Includes information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation.
• Evaluates achievement of learning objectives by the patient and/or family. Adapts nutrition education materials and counseling techniques to client's level of understanding.
• Participates in community projects and education as needed/assigned.
• Documents in the medical record, the education materials provided, the care plan determined by the provider and the client, an assessment of the client's comprehension level to the education given and the expected compliance.
• Supports performance Improvement activities by participating in the development of nutritional care indicators, evaluation criteria, collecting continuous quality improvement data, monitoring outcomes and initiating corrective actions, as appropriate.
• Participates in planning and developing nutrition-related policies, procedures, and goals.
Participation as a Member of the Health Care Team:
• Serves as the nutrition expert on the interdisciplinary team which includes physicians, nurses, and other allied health professionals.
• Attends interdisciplinary meetings and advises interdisciplinary health care team of nutritional recommendations, goals, and efficacy of nutrition therapy. Discusses pertinent findings and interprets nutritional information which will assist the team in developing comprehensive patient treatment plans.
• Presents seminars, workshops, and lectures to convey current nutrition information on new and changing concepts. This includes the development and participation of in-service educational programs directed to members of interdisciplinary teams, Nutrition and Food Service personnel, Nursing, and various students, interns, residents, etc.
• Conducts self in a manner that demonstrates adherence to standards of professional performance.
• Performs others duties as assigned.
Work Schedule: Monday-Friday; 7:30AM - 4:00PM
Telework: May be available on an ad hoc basis
Virtual: This is not a virtual position.
Functional Statement #: Clinical Dietitian/GS-11; 659-1069FA
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Conditions of Employment
• You must be a U.S. Citizen to apply for this job.
• 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.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
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.
• 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: You must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).
• Education: Applicants 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:(a) Completed a didactic program in dietetics accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND), formerly known as the Commission on Accreditation for Dietetic Education (CADE) AND (b) 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.
• Licensure: You 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).
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).
GS-11 Dietitian (Full Performance Level):
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.
Assignment: At this grade level you will serve as a staff dietitian 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. You will be responsible for using evidence-based approaches to develop menus, counsel patients and provide nutrition care.
Demonstrated Knowledge, Skills, and Abilities.1. In addition to the experience above, you 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:
• a. 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 (e.g. assessment, diagnosis, intervention, monitoring and evaluation).
• b. Knowledge of best practices in areas of clinical nutrition and the ability to apply nutrition interventions to patients with multiple co-morbidities.
• c. Ability to act as a consultant for health care providers including registered dietetic technicians, dietetic interns, nurses, physicians, medical students, and allied health professionals.
References: VA Handbook 5005/80, Part II, Appendix G20. Dietitian GS-630; Dated: September 05, 2014.
The full performance level of this vacancy is GS-11.
Physical Requirements: The work is sedentary. Typically, the employee may sit comfortably to perform portions of the work. However, there is periodic walking; standing; bending; carrying of light items such as medical records, food trays, instructional material, books and manuals. No special physical demands are required to perform the work.
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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
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 (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). 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.
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WG Bill Hefner Salisbury VA Medical Center
1601 Brenner Avenue
Salisbury, NC 28144
Charlotte NC USA
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