This position serves as the Dietitian (Clinical) at the Orlando VA Medical Center in the Home Based Primary Care (HBPC) Program located in Daytona Beach, FL. Clinical Dietitians coordinate nutritional care of Veterans with other health care providers, the Veteran, the Veteran's caregiver, and the community. They interpret research and utilize whole health principles to develop patient-centered goals and improve outcomes.

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. 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. Maintain accurate record keeping of daily clinical activities and completes patient encounters using approved systems. Manage clinic grids to maximize access to nutrition services. Ensures both virtual and face-to-face modalities of are available to meet the needs of patients. Comply with The Joint Commission requirements and other accrediting agency standards to ensure safe and quality patient care. Participate in service-level strategic planning and implementation of new initiatives, policies, procedures, and goals. 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. Work Schedule: Monday-Friday 7:30am- 4:00pm Telework: Regular Telework 3+ days/PP Virtual: This is not a virtual position. Functional Statement #: 99502-S/99501-S/99500-S Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

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. Preferred Experience: 2 years of clinical experience Basic Requirements: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with chapter 3, section A, paragraph 3g, this part.) Grade Determinations: GS-11 Dietitian (Full Performance Level) (a) Experience or Education. At least 1 year of experience as a registered dietitian equivalent to the next lower grade level (GS-09). Knowledge, skills, and abilities at the GS-09 grade level are: a. Knowledge of various accrediting regulatory requirements. b. Knowledge of virtual technology to provide nutrition care. c. Ability to deliver patient care using the NCP (e.g., assessment, diagnosis, intervention, monitoring &evaluation). d. Ability to apply evidence-based nutrition practices to improve patient outcomes. e. Ability to develop patient-centered goals. f. Ability to collect data for performance improvement studies. g. Ability to collaborate with stakeholders. (b) Assignment. Employees at this grade level serve as staff dietitians at the full performance level. Registered dietitians are responsible for independently planning, developing and directing all nutrition care activities (e.g., food service and/or clinical nutrition). Registered dietitians serve as important members of the interdisciplinary team of care providers, and focus on offering exceptional nutrition care and guidance to optimize health. Registered dietitians work in a variety of settings, such as hospitals, outpatient centers, residential treatment programs and patient homes. They are responsible for using evidence-based approaches to develop menus, counsel patients and provide nutrition care. (c) Demonstrated Knowledge, Skills, and Abilities In addition to the experience above, the candidate must demonstrate the following KSAs: a. 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. b. Ability to comply with various accrediting, regulatory, and agency authorities. c. Ability to develop and maintain a system of internal reviews and direct quality control and performance improvement studies. d. Knowledge of computer software programs relative to food service systems. e. Skill in collaborating with stakeholders. f. Ability to comply with various accrediting, regulatory and agency authorities. References: VA Handbook 5005, Appendix G20, Dietitian Qualification Standard, GS-630 The full performance level of this vacancy is GS-11. Physical Requirements: See VA Directive and Handbook 5019.

Education

IMPORTANT: 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: 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.

Education and Supervised Practice
(1) 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:
(a) 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).
(b) Completed an ACEND accredited or approved supervised practice program. Supervised practice programs are post-baccalaureate degree programs that provide supervised practice experiences which meet the eligibility requirements and accreditation standards of ACEND, formally known as CADE. Completion of a coordinated program in dietetics fulfills the requirements of a supervised practice program. Time spent in a dietetic internship or supervised practice program does not qualify as creditable experience.
(2) Individuals who have earned college and/or university degrees outside the United States and its territories also must have their transcripts evaluated by a foreign transcript evaluation service to determine if their degree is equivalent to a degree granted by a regionally accredited college or university in the United States. Validation of a foreign degree does not eliminate the need for verification of completion of didactic program, dietetic internship, or coordinated program requirements. The completion of ACEND didactic program requirements and at least a bachelor's degree from a U.S. regionally accredited college/university or foreign equivalent are necessary for eligibility to enter an ACEND-accredited supervised practice program.

Registration/Certification. All applicants 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)
(1) 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 under 38 U.S.C. 7405(a)(1)(B). In accordance with 38 U.S.C. 7405(c)(2), this appointment may not exceed 2 years. Applicants appointed under this exception must provide care under the supervision of a registered dietitian at or above the full performance level. 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. For grade levels at or above the full performance level the candidate must be registered with the CDR.
(2) Failure to Obtain Registration. In all cases, dietitians must actively pursue meeting registration requirements starting from the date of their appointment. At the time of appointment, the supervisor will provide the unregistered dietitian with the written requirement to obtain registration, the date by which the registration must be acquired, and the consequences for not becoming registered by the deadline. Failure to become registered within 2 years from date of appointment will result in removal from the GS-0630 Dietitian series and may result in termination of employment.



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).

Grandfathering Provision. All persons employed in VHA as a dietitian on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and registration requirements or board certification, if applicable. For employees who do not meet all the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following apply:
(1) Such employees may be reassigned, promoted up to and including the full performance (journeyman) level, or changed to lower grade within the occupation, but may not be promoted beyond the journeyman level or placed in supervisory or managerial positions.
(2) Dietitians who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis until they fully meet the basic requirements of the standard.
(3) Dietitians initially grandfathered into this occupation who subsequently obtain additional education and/or registration that meet all of the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.
(4) Employees who are retained as a dietitian under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry as a dietitian.

Contacts

• Address Orlando VA Medical Center 13800 Veterans Way Orlando, FL 32827 US
• Name: Nikki Merkes
• Phone: 708-953-2851
• Email: [email protected]