This position is assigned to the Roseburg VA Medical Center within the Clinical Section of Nutrition and Food Service. As a member of the Patient Aligned Care Team, the outpatient dietitian functions independently to provide evidence-based nutrition care for all patients, including those with complex medical and nutritional needs.

Duties

The Clinical Dietitian is the medical nutrition expert. The clinical dietitian is responsible for independently planning, developing and directing all nutritional care activities for assigned veterans, including those with complex medical and nutritional needs. The clinical dietitian supports the facility's mission and coordinates nutritional care with other health care providers, the veteran, the Veteran's caregiver and the community. The increasing complexity and specialization in nutrition requires that the clinical dietitian have expertise in a wide range of disease entities and treatment modalities. The clinical dietitian's expertise is specific to diagnosing nutrition problems and the nutrition ramifications of disease entities and medical treatment modalities. Assessment methodologies such as identifying physical signs of malnutrition, drug/nutrient interactions and depletions, and assessment of intake and nutrient losses are critical skills used by clinical dietitians. Conducts nutrition assessments for patients with lower acuity 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. Documents MNT in the medical record using the Assessment, Diagnosis, Intervention, Monitoring, Evaluation (ADIME) format. Calculates nutrient requirements and necessary diet restrictions or food and drug interactions. Identifies patients in need of nutritional support and recommends the appropriate mode of support, communicating appropriately with the health care team. Actively participates in formal and informal interdisciplinary team meetings. Completes care plans/Minimum Data Set (MOS) within established time frames. Assesses educational needs and provides nutrition education/counseling for individuals and groups that is tailored to the Veteran(s). Maintains productivity standards. Maintains accurate record keeping of daily clinical activities and complete patient encounters using approved systems. Participates in service-level strategic planning and implementation of new initiatives, policies, procedures, and goals. Supports service-level performance improvement activities to include development of measures, data collection, data evaluation, and initiation corrective action. Complies with The Joint Commission requirements and other accrediting agency standards to ensure safe and quality patient care. Serves as a liaison between clinical units and the Food Operations Section. Work Schedule: Mon-Thu 7:30-5:00 and Friday 8:00-12:00, Mon-Fri 8:00-4:30 or Mon-Fri 7:30-4:00 Telework: Ad-hoc Virtual: This is not a virtual position. Functional Statement #: PD99529S Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

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. 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 Dietitian (Entry Level) Experience or Education: None beyond the basic requirements. GS-09 Dietitian (Developmental) 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 Dietitian (Clinical) 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 or education 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. Salary for this position ranges dependent upon grade level of selection: GS-7: $46,696-$60,703 annually GS-9: $57,118-$74,250 annually GS-11: $69,107-$89,835 annually Preferred Experience: Registered Dietitian with at least 2 years of acute or ambulatory care experience of independently managing patients with complex medical needs. References: VA Handbook 5005 Part II Appendix G20 Physical Requirements: The work related does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required.

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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory.

Contacts

• Address Roseburg VA Medical Center 913 Northwest Garden Valley Boulevard Roseburg, OR 97471 US
• Name: Angelica Ratliff
• Phone: 916-640-8042
• Email: [email protected]