SummaryThe clinical dietitian coordinates nutritional care with other health care providers, the veteran, the veteran’s caregiver and the community. The clinical dietitian will be involved in the professional practice of dietetics. The clinical dietitian may be scheduled and assigned to any nutrition practice area, and must possess the required knowledge and skills in order to perform nutrition education, coordination of care, and quality improvements.Learn more about this agencyHelpOverviewAccepting applicationsOpen & closing dates07/29/2022 to 08/18/2022Salary$80,248 – $125,185 per yearPay scale & gradeGS 00HelpLocation1 vacancy in the following location:Stockton, CA1 vacancyRemote jobNoTelework eligibleNoTravel RequiredOccasional travel – To other CBOC/Division may be required to meet operational needs.Relocation expenses reimbursedNoAppointment typePermanent -Work scheduleFull-time -ServiceCompetitivePromotion potential11Job family (Series)0630 Dietitian And NutritionistSupervisory statusNoDrug testNoPosition sensitivity and riskNon-sensitive (NS)/Low RiskTrust determination processCredentialingSuitability/FitnessAnnouncement numberCBSW-11589855-22-APControl number668451100HelpThis job is open toFederal employees – Competitive serviceCurrent or former competitive service federal employees.Federal employees – Excepted serviceCurrent excepted service federal employees.Internal to an agencyCurrent federal employees of this agency.Clarification from the agencyThis announcement is open only to Permanent VA and Federal employees. All others must apply to announcement CBSW-11586429-22-AP in order to receive consideration for this vacancy.VideosHelpDutiesThe incumbent serves as a clinical dietitian and is responsible for providing medical nutrition therapy at the VA Palo Alto Health Care System, an 800+ bed acute care facility. Primary responsibilities for this position include conducting comprehensive nutrition assessments, developing, and implementing individualized nutrition care plans for patients in the Community-Based Outpatient Clinics (CBOC) in Stockton, Modesto and Sonora. The clinical dietitian will provide care to patients with diagnoses that include but are not limited to obesity, diabetes, liver disorders, renal failure, cardiac disease, carcinoma, psychological disorders, post-surgical recovery and PTSDConducts a comprehensive nutrition assessment utilizing the Nutrition Care Process (NCP) for assigned patients.Develops and implements an individualized plan for Medical Nutrition Therapy (MNT) in accordance with the patient’s medical program goals and objectives.Performs a Nutrition Focused Physical Exam (NFPE) during assessments to determine risk and/or degree of malnutrition.Calculates nutrient requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes and fluids) and necessary diet restrictions or food and drug interactions.Evaluates patterns and relationships among data obtained and possible root causes for nutrition problems.Tailors diet prescription to each individual patient according to physical and metabolic needs. With an understanding of the patient’s health condition, designs the nutritional treatment plan with consideration for psychosocial, behavioral, physical activity, ethnic and cultural factors to obtain desirable outcomes and promote long term adherence to a medical nutrition care plan.Prioritizes the importance of nutrition problems for optimal health, recovery from illness, management of chronic disease or disease prevention.Utilizes evidenced-based Nutrition Practice Guidelines and Whole Health Principles to develop shared goals with the patient and formulates a plan of care that is focused on the etiology of the nutrition problem.Identifies patients in need of nutritional support and recommends the appropriate mode of support, including suitable route, formula, and rate of administration. Provides initial and on-going nutritional assessment of patients receiving enteral and/or parenteral nutrition.Order labs, diets, and consults. Evaluates and monitors the effectiveness and outcome of MNT interventions. Evaluates the patient’s response to care based on identified, measurable outcomes and reviews the plan, as appropriate.Document’s nutrition care plan in the patient’s medical record, including nutrition assessment data, MNT initiated and recommendations, results of nutrition counseling, patient consents and discharge planning. Measures outcomes through selecting indicators relevant to the nutrition diagnosis. Evaluates the effectiveness and measures progress toward outcomes of nutrition interventions by comparing current findings with previous goals and/or reference standards. Documentation supports an interdisciplinary approach and continuity of care.Assesses educational needs and provides nutrition education or counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational and medical situation of the patient. Includes information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation.Utilizes motivational interviewing techniques to evaluate patient and/or caregiver’s readiness to learn and potential for changing behaviors.Evaluates achievement of learning objectives by the patient and/or family. Adapts nutrition education materials and counseling techniques to the patient’s level of understanding, which frequently involves simplifying complex dietary restrictions.Identifies drug-nutrient interactions and drug-drug incompatibilities and counsels/ communicates with the patient regarding the impact on nutrition status and/or nutrient utilization.Provides follow-up nutrition education/counseling in accordance with the patient’s treatment goals and determines when a problem requires consultation or referral to another provider or service.Participates in planning and education of home nutrition support.Functions as a clinical preceptor for the dietetic internship program and in a teaching role for other health care professionals, patients and the community.Participates in community projects and education. Serves on Health Education committees and workgroups as needed / assigned. Work Schedule: Monday through Friday, 8:00 AM – 4:30 PM (includes weekends and holidays on a rotating schedule) Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not requiredHelpRequirementsConditions of EmploymentYou 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.Must pass pre-employment physical examination.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 Department of Veterans Affairs Personnel. QualificationsApplicants 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.English Language Proficiency: Dietitians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).Education and Supervised Practice: The individual must have earned a bachelor’s degree from a U.S. regionally accredited college or university or foreign equivalent and fulfilled each of the following criteria:Completed a didactic program in dietetics accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND), formerly known as the Commission on Accreditation for Dietetic Education (CADE).Completed an ACEND accredited or approved supervised practice program.Registration/Certification: Must be registered with the Commission on Dietetic Registration (CDR).Exception. Non-CDR registered applicants who otherwise meet the minimum qualification requirements may be appointed, pending CDR registration, as a temporary full-time graduate dietitian. This appointment may not exceed 2 years. Applicants who fail to obtain CDR registration during this temporary full-time appointment may be terminated. The exception only applies to positions at the GS-7 and GS-9 level. 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: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-7 Dietitian (Entry Level) Experience or Education. None beyond the basic requirements. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs:Basic knowledge of principles and practices of dietetics and Medical Nutrition Therapy (MNT).Ability to provide nutrition care utilizing the Nutrition Care Process (NCP) to patients, family members and/or caregivers considering psycho-social issues and age-appropriate, evidence-based nutrition practice guidelines.Ability to communicate effectively orally and in writing with patients, family and/or caregiver, and other professional healthcare providers (e.g., tailoring to audience and use of medical terminology).Ability to plan and organize work consisting of multiple tasks and priorities under direct supervision.Basic knowledge of, and ability to use, current information technology operations, software, hardware, terminology, security requirements, and capabilities.Knowledge of basic food production and service for various populations which incorporates principles of sanitation, safety, and menu planning within a healthcare environment.Knowledge of educational concepts, methods, and the ability to execute existing education and training activities for Nutrition and Food Services (NFS) employees. GS-9 Dietitian (Developmental Level) Experience or Education. At least 1 year of experience equivalent to the next lower grade level or education equivalent to 2 full years of progressively higher level graduate education, or master’s degree from an accredited university or college in the field of dietetics or closely related field. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs:Ability to plan and organize work of considerable difficulty and responsibility, under general supervision.Knowledge of various food preparation and delivery systems within a healthcare environment.Knowledge of educational concepts, methods, training materials, and resources and the ability to develop and conduct education and training programs for NFS employees.Ability to participate in research studies and conduct performance improvement studies and document findings to evaluate staff, food, supplies, equipment, and service, in order to improve the efficiency of the operation.Knowledge of the principles and practices of clinical dietetics including NCP and MNT in order to plan, develop, and coordinate nutrition interventions, including enteral and parenteral nutrition, interdisciplinary care plans, and nutrition education activities that promote Veteran health, wellness and lifestyle management. GS-11 Dietitian (Full Performance Level) Experience or Education. At least 1 year of experience as a registered dietitian equivalent to the next lower grade level, or education equivalent to 3 full years of progressively higher level graduate education, or a Ph.D. or equivalent doctoral degree from an accredited university or college in the field of dietetics or closely related field. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs:Knowledge of best practices in the dietetics profession and in scientific literature, including knowledge of research methods, study design, data collection, interpretation of findings, and translation of results into nutrition practice.Ability to comply with various accrediting, regulatory, and agency authorities.Ability to develop and maintain a system of internal reviews and direct quality control and performance improvement studies.Knowledge of computer software programs relative to food service systems. In addition to the KSAs identified above, candidates for clinical nutrition positions must demonstrate the following KSAs:Knowledge of the principles and practices of nutrition care and the treatment of complex cases in clinical settings in order to develop, implement and coordinate best practices in the dietetics profession (e.g. assessment, diagnosis, intervention, monitoring and evaluation).Knowledge of best practices in areas of clinical nutrition and the ability to apply nutrition interventions to patients with multiple co-morbidities.Ability to act as a consultant for health care providers including registered dietetic technicians, dietetic interns, nurses, physicians, medical students, and allied health professionals. References: VA Handbook 5005, Part II, APPENDIX G20. DIETITIAN QUALIFICATION STANDARD GS-630, Dated September 5, 2014 The full performance level of this vacancy is 11. The actual grade at which an applicant may be selected for this vacancy is in the range of 7 to 11. Physical Requirements: VA Directive and Handbook 5019 – a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required.EducationIMPORTANT: 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: 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: informationReceiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee’s credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee’s duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required exception from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.Read moreHelpA 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 benefitsEligibility 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 EvaluatedYou 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, r sum , 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. 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.HelpA 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 benefitsEligibility 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.As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have – whether you’re a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you’re eligible under their policies.To apply for this position, you must provide a complete Application Package which includes:Resume VA Form 10-2850c Application for Associated Health Occupations can be found at: The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklistto 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 LetterDD-214/ Statement of ServiceDisability Letter (Schedule A)Disability Letter (VA)LicenseOF-306Other (1)PCS OrdersP
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