Dietitian (Clinical)

U.S. Department of Veterans Affairs; Spokane (WA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

U.S. Department of Veterans Affairs seeks a Clinical Dietitian to coordinate nutrition care for Veterans using the Nutritional Care Process (NCP).

The role emphasizes evidence-based Medical Nutrition Therapy, telehealth delivery, and collaboration with health-care teams to support patient-centered goals. The position requires RDN/RD credentials or eligibility, ACEND accreditation, and adherence to Joint Commission standards.

Qualifications

• Must be a U.S. citizen.
• Registered Dietitian Nutritionist (RDN) or Registered Dietitian (RD) with CDR.
• ACEND credentialing requirements for non-credentialed applicants.
• Experience with NCP and MNT; ability to deliver patient care via telehealth.

Responsibilities

• Conduct nutrition assessments using the NCP and determine malnutrition risk.
• Develop and monitor Medical Nutrition Therapy (MNT) and adjust as needed.
• Utilize virtual care technology to improve access to care.
• Document patient encounters in ADIME format with accuracy.
• Collaborate with interdisciplinary teams and leadership to enhance care.
• Maintain productivity and quality of care for Veterans.

Skills

NCP knowledge

MNT planning

Telehealth experience

Interdisciplinary collaboration

Documentation (ADIME)

Education

Bachelor's degree

ACEND-accredited program

RDN/RD credential eligibility

Job description

Summary

Clinical Dietitians coordinate nutritional care of Veterans with other health care providers - the Veteran - the Veteran's caregiver - and the community.

Summary

Clinical Dietitians coordinate nutritional care of Veterans with other health care providers - the Veteran - the Veteran's caregiver - and the community.

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
• Grade Determinations: Dietitian (Clinical) - GS-7 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-9 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
• 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: 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: 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
• 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-7 to GS-11
• Physical Requirements: There are no physical requirements for this occupation per OCHCO Communications email to VA Handbook 5019 - updated on 4/17/2026.

Duties

• Conduct 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
• Develop and implement Medical Nutrition Therapy (MNT) to address the nutrition diagnosis - evaluate and monitor the effectiveness and outcomes of MNT interventions
• Modify the plan as needed to achieve positive patient outcomes
• Calculate nutrient requirements and necessary diet restrictions or food and drug interactions tailoring the diet prescription to each individual patient
• Document MNT in the medical record using the Assessment - Diagnosis - Intervention - Monitoring - Evaluation (ADIME) format
• Function independently and accurately when record keeping
• Identify patients in need of nutritional support and recommend the appropriate mode of support and communicate appropriately with the health care team
• Actively participate in formal and informal interdisciplinary team meetings
• Assess educational needs and provide nutrition education/counseling for individuals and groups that is tailored to the Veteran(s)
• Utilize virtual care technology to improve access to care
• Maintain productivity standards
• Maintain accurate record keeping of daily clinical activities and complete patient encounters using approved systems
• Ensure continuous improvement of safe and quality care of Veterans
• Lead activities in the implementation of new initiatives
• Use data in the development of measures - data evaluation - and initiation of corrective actions
• Comply with The Joint Commission requirements and other accrediting agency standards to ensure safe and quality patient care
• Collaborate 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 8:00am-4:30pm Compressed/Flexible: To be determined by supervisor Telework: Available - Ad-Hoc only Virtual: This is not a virtual position
• Functional Statement #: PD99529S Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized