Dietitian (Clinical)

U.S. Department of Veterans Affairs; San Antonio (TX); On-site; USD 65,000 - 80,000; Full time

Job summary

The U.S. Department of Veterans Affairs seeks a qualified Registered Dietitian to provide specialized medical nutrition therapy in outpatient oncology and neurology, within the Clinical Section of NFS.

The dietitian will work autonomously, applying evidence-based guidelines to complex cases and using whole health principles. Responsibilities include conducting comprehensive nutrition assessments, developing Medical Nutrition Therapy plans, documenting in the medical record, utilizing virtual

Qualifications

• United States Citizenship required; non-citizens may be appointed per VA policy
• RDN/RD credential required by CDR
• ACEND accreditation and supervised practice eligibility
• English language proficiency in speaking and writing
• GS-07/GS-09/GS-11 qualification framework and advancement rules

Responsibilities

• Conduct comprehensive nutrition assessments using the NCP to establish diagnosis and malnutrition risk
• Develop and implement Medical Nutrition Therapy (MNT) and monitor outcomes
• Modify plans to achieve positive patient outcomes
• Document MNT using ADIME in the medical record
• Use virtual care technology to improve access to care
• Collaborate with interdisciplinary team and maintain productive record-keeping
• Lead implementation of new nutrition initiatives and drive performance improvement measures

Skills

NCP knowledge

MNT delivery

Virtual care delivery

Evidence-based practice

Education

Registered Dietitian Nutritionist (RDN) or RD credential

Master's degree (nutrition or related field)

Tools

Electronic Health Records

Telehealth platforms

Job description

Summary

This position provides specialized medical nutrition therapy in the outpatient oncology and neurology (ALS - seizure disorder) within the Clinical Section of NFS serving as the medical nutrition expert. They are autonomous in their work in applying evidenced based nutrition practice guidelines for all patients - including those with complex medical & nutritional needs. They interpret - research - and utilize whole health principles to develop patient-centered goals and improve outcomes.

Summary

This position provides specialized medical nutrition therapy in the outpatient oncology and neurology (ALS - seizure disorder) within the Clinical Section of NFS serving as the medical nutrition expert. They are autonomous in their work in applying evidenced based nutrition practice guidelines for all patients - including those with complex medical & nutritional needs. They interpret - research - and utilize whole health principles to develop patient-centered goals and improve outcomes.

Qualifications

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
• 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
• English Language Proficiency
• Dietitian candidates must be proficient in spoken and written English in accordance with 38 U.S.C.
• 7403(f)
• 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: GS-07: Experience or Education
• None beyond the basic requirements
• 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
• 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
• 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: 1-3 years' experience as clinical dietitian
• 1-3 years' experience using the Nutrition Care Process model
• Experience working in team setting
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: May be required - depending on the needs of the organization.

Duties

• Major Duties: 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 of 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 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: Monday -Friday - 7:30-4:30 Telework: Available - Ad-Hoc only
• Virtual: This is not a virtual position
• Functional Statement #: PD99529S - PD99530S - and PD99531S Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized