Duties
The clinical dietitian will be involved in the professional practice of nutrition in accordance with the guidance set forth in Nutrition & Food Services (NFS) directives, policies & procedures, & VA regulations governing the practice of nutrition. The clinical dietitian may be scheduled & assigned to any nutrition practice area, & must possess the required knowledge & skills to perform the following functions:
Nutritional Care:
- Conducts a comprehensive nutrition assessment utilizing the Nutrition Care Process (NCP) for assigned patients.
- Develops & implements an individualized plan for Medical Nutrition Therapy (MNT) to address the nutrition diagnosis in accordance with the medical program goals & objectives.
- Performs a Nutrition Focused Physical Exam (NFPE) during assessments to determine risk &/or degree of malnutrition.
- Calculates nutrient requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes & fluids) & necessary diet restrictions or food/drug interactions to each individual patient.
- Utilizes evidenced-based nutrition practice guidelines & Whole Health Principles to develop shared goals with the patient & formulates a plan of care that is focused on the etiology of the nutrition problem.
- Orders labs, diets, & consults per Scope of Practice / Clinical privileges.
Nutrition Education & Coordination of Care:
- Assesses educational needs & provides nutrition education/counseling for individuals & groups, incorporating a learning approach that considers the cultural, religious, educational & medical situation of the patient. Includes information regarding budgeting, menu planning, food purchasing & preparation, food storage & sanitation.
- Identifies drug-nutrient interactions & drug-drug incompatibilities & counsels / communicates with the patient regarding the impact on nutrition status &/or nutrient utilization.
- Provides follow-up nutrition education/counseling in accordance with the treatment goals & determines when a problem requires consultation or referral to another provider or service.
- Assists in the education & oversight of dietetic students & interns.
- Participates in community projects & education.
Business Functions
- Ensures completion of consult management tasks by reviewing assigned nutrition consults.
- Maintains accurate record keeping of daily clinical activities & completes patient encounters utilizing the Event Capture System (ECS).
- Manages resources(time, materials, & staff) in a cost-effective manner.
- Assists in developing & revising patient education materials, clinical forms, & protocols.
- Participates in the orientation & training of new staff (e.g. dietetic interns, clinical dietitians, etc.)
Quality Improvement/Research
- Leads Performance Improvement activities by participating in the development of nutritional care indicators, evaluation criteria, collecting performance improvement data, monitoring outcomes, & initiating corrective actions.
- Participates in planning & developing nutrition-related policies, procedures, & goals.
- Participates in service-level strategic planning.
- Stays abreast of current research in nutrition related areas.
Participation as a Member of the Health Care Team:
- Serves as the medical nutrition expert for medical staff on the nutritional management of patients.
- Communicates & influences treatment interventions determined by the medical team through interdisciplinary meetings, team rounds, medical conferences & nutrition-related in-services.
- Presents seminars, workshops, & lectures to convey current nutrition information on new & changing concepts.
- Performs other duties as assigned to meet the needs of the service & patients to include providing support / coverage for vacancies & leave.
- Assists in patient discharge planning to ensure provision of appropriate services & equipment for enteral feeding.
- Serves as a member of the VAMC inspection team for the state homes, homeless shelters, & community nursing homes.
- May participate in community outreach activities.
Professional Development
- Maintains Registered Dietitian Nutritionist registration & continuing education requirements.
- Develops & implements an individualized plan for professional growth & development including participation in professional organizations & activities, workshops, seminars, & staff development programs.
- Participates in departmental &/or interdisciplinary meetings, task forces, & projects.
Incumbent may be assigned other duties as assigned to meet the needs of the Medical Center
The incumbent functions independently for all professional & technical aspects of clinical nutrition. They are responsible for planning & organizing their own work & coordinating with staff & management personnel as appropriate. Work is reviewed for technical accuracy/adequacy & conformance with VHA procedures & practices.
Work Schedule: 0800-1630 Monday- Friday
Telework: Regular Teleworks 6+ Days
Functional Statement #: 436-56611-A
Requirements
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.
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.
- 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.
- Non-credentialed Dietitians must provide care under the supervision of a RDN at or above the full performance level.
- Temporary appointments of non-credentialed Dietitian will not be extended beyond one year or converted to a new temporary appointment.
- Failure to Obtain Registration. In all cases, Dietitians must actively pursue meeting registration requirements starting from their appointment date. At the time of appointment, servicing Human Resources (HR) staff in collaboration with the supervisor, will provide non-registered Dietitians the written requirement to obtain registration, the date by which they must acquire it and the consequences for not doing so by the deadline. Failure to obtain registration within one year from the date of appointment will result in removal from the Dietitian, GS-0630 occupation and may result in termination of employment.
- Grandfathering Provision. Employees in VHA in this occupation, under a permanent, appropriate and legal placement on the effective date of the qualification standard, are considered to have met all qualification requirements for the grade and/or assignment held, including positive education and registration/certification, where applicable. Employees appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, either on a temporary or permanent basis until they fully meet the basic requirements of the standard. The following provisions apply to employees who do not meet all the qualification requirements:
- Employees may be reassigned, promoted up to and including the full performance (journey) level or changed to a lower grade within the occupation, but may not be promoted beyond the journey level or be newly placed in a supervisory or managerial position.
- Employees must meet the assignment-specific certification/education requirements to be placed in Dietitian (Advanced Level Practice) or Dietitian (Dietetic Internship Director) assignments.
- Employees initially grandfathered into this occupation who subsequently obtain additional education and/or registration/certification that meet all the qualification standard's basic or assignment-specific requirements must maintain the required credentials as a condition of employment in the occupation/assignment.
- Employees retained in this occupation under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of re- entry in the occupation.
- 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:
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:
- Knowledge of various accrediting and regulatory requirements.
- 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).
- 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.
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:
- 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.
Preferred Experience: 1 year PACT experience or Primary Care experience
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-11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-07 to GS-11.
Physical Requirements: Refer to VA Handbook 5019 for pre-placement examination requirements. Dietitian(Clinical)providing HBPC must possess a current, valid, and unrestricted drivers license in order to operate a government owned vehicle.
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: 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
Required Documents
To apply for this position, you must provide a complete Application Package which includes:
- Resume
- SF-50/ Notification of Personnel Action
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this
checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.
- Cover Letter
- DD-214/ Statement of Service
- Disability Letter (VA)
- Other (2)
- Other (3)
- Professional Certification
- Resume
- SF-50/ Notification of Personnel Action
- Transcript
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit
Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
Veterans' preference does not apply for internal or other current permanent Federal agency employees.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from
schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/03/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12575478.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USA JOBS account,
https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
Next steps
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.