Clinical Dietitian-Home Based Primary Care

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

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.
• 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.
• English Language Proficiency: Dietitians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).

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:
GS-12 Advanced Level Practice;
(a) Experience: Completion of 1 year of experience equivalent to the next lower grade level.
(b) Credentials: Must hold an advanced practice certification from a nationally recognized certifying body such as the Commission on Dietetic Registration, the Association of Diabetes Care and Education Specialists or National Board of Nutrition Certification. The certification must be directly related to the assignment being filled. For example, where the assignment requires diabetes management a Board Certified-Advanced Diabetes Management (BC-ADM) or Certified Diabetes Care and Education Specialists (CDCES) certification are qualifying. Commonly held certifications include Board Certified Specialist in Renal Nutrition (CSR); Board Certified Specialist in Gerontological Nutrition (CSG); Registered Dietitian Nutritionist-Advanced Practitioner (RDN-AP); Certified Nutrition Support Clinician (CNSC).
(c) Assignment: For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. An advanced level practice dietitian in nutrition support, renal, oncology, geriatric, or diabetes nutrition specialties oversees the nutrition therapy of the most complex and/or high risk patients. The dietitian provides consultant services to VHA staff, conducts comprehensive nutrition assessment and diagnosis which may include the nutrition focused physical exam. The individual coordinates education programs for facility staff and serves as an education resource, instructing physicians, nurses, dietitians, pharmacists, interns, residents, and students on the current research and practice in the specialty area; maintains productivity standards, manages clinical resources, and conducts and/or participates in nutrition research studies and communicates findings through reports, abstracts, presentations, and publications. (d) Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate the following KSAs and demonstrate the potential to acquire the assignment-specific KSAs:
Preferred Experience: 2 years of clinical experience

References: VA HANDBOOK 5005/80 PART II APPENDIX G20

Driver's License Requirement: Applicants must possess a valid, unrestricted State driver's license, have a safe driving record, and demonstrate that he or she is medically qualified to operate the appropriate motor vehicle safely. Applicants are required to pass a pre-employment driving physical by Employee Occupational Health.

Responsibilities:

Duties include but are not limited to:

• Leads dietitians and specialty multidisciplinary teams in developing nutrition related services, policies, procedures and/or protocols.
• Leads staff, creates, and validates competencies and develops training activities.
• 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

Work Schedule: Monday-Friday, 0800-1630
Telework: 3 days per pay period
Virtual: This is not a virtual position.
Functional Statement #: 000000/Clinical Dietitian
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Contact -V20CompensationTeam@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Salary : $200,000 - $0