Dietitian (Clinical)

Summary

The Greater Los Angeles VA Healthcare System is recruiting for TWO (2) Dietitians (Clinical) within the Nutrition & Food Service for the Inpatient Section, one (1) Dietitian will be assigned to Acute Care and the other one (1) Dietitian will be assigned to the Community Living Center (CLC) for long-term care. The Clinical Dietitian is the medical nutrition expert responsible for independently planning, developing and directing all nutrition care activities for assigned Veterans.

Duties

Conduct comprehensive nutrition assessment for patients at nutrition risk. Develop and implement an individualized plan for medical nutrition therapy in accordance with the patient's 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. Calculate nutritional requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes, fluid) and necessary diet restrictions or food/drug interactions. Tailor a diet to each individual client's according to physical and metabolic needs and designs the nutritional treatment plan with consideration for psychosocial, behavioral, ethnic and cultural factors to obtain desirable outcomes and promote long term adherence to a medical nutritional care plan. Identify patients in need of nutrition support and recommends the appropriate mode of nutrition support, including suitable route, formula, and rate of administration. Provide initial and on-going nutritional assessments of patients receiving specialized nutrition support. Utilize 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. Evaluate and monitor the effectiveness and outcome of medical nutrition therapy interventions. Evaluate the patient's response to care based on identified, measurable outcomes and reviews the plan as appropriate. Assess 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. Include information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation. Provide appropriate follow-up in accordance with patient's treatment goals, referring patients for outpatient counseling, community or home health service as appropriate. May assist in the education of dietetic students and interns. Documents in the medical record, the education materials provided, the care plan determined by the provider and the client, an assessment of the Veteran's comprehension level to the education given and the expected compliance. Work Schedule: Monday-Friday, 7:00am - 3:30pm Compressed/Flexible: Traditional/Regular schedule OR a Compressed Tour (4/10s) are options for these positions. All Clinical Dietitians serving in the Inpatient Section work Federal Holidays and weekend days on assigned rotation. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized

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. (a) 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). i Non-credentialed Dietitians must have fulfilled each of the following: A. Earned a bachelor's or higher degree from a U.S. regionally accredited college, university or foreign equivalent (refer to ii below). B 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. ii 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. (b) 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. (c) Non-credentialed Dietitians must provide care under the supervision of a RDN at or above the full performance level. (d) Temporary appointments of non-credentialed Dietitian will not be extended beyond one year or converted to a new temporary appointment. (e) 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. Loss of Credential. In collaboration with HR Office staff, management officials must immediately relieve employees who fail to maintain the required registration/certification of duties and responsibilities associated with the occupation and/or assignment, which may also result in separation from employment. 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:GS-09 Dietitian (Clinical) (Developmental) - Experience/Education Requirement: In addition to meeting the basic requirements, to qualify for the GS-09 do you meet one of the below options which demonstrates the following Knowledge, Skills and Abilities?- 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 Dietitian (Clinical) (Full Performance Level) Experience Requirement: In addition to meeting the basi