Employees in this assignment conduct comprehensive nutrition assessments for Veterans using the Nutrition Care Process (NCP) assuring high-quality nutrition care under an advanced and expanded scope of practice. Advanced Level Practice Dietitians are the subject matter experts in advanced clinical nutrition and uses knowledge, expertise, principles and/or current research to lead dietitians and nutrition specialty care teams to plan, implement, and evaluate organizational initiatives.

Duties

Leads dietitians and specialty multidisciplinary teams in developing nutrition related services, policies, procedures and/or protocols. Provides comprehensive medical nutritional care applying the NCP in a specialty program, and/or a variety of patient care settings. Bases individualized nutrition interventions on the best available research and/or evidence-based guidelines and best practices. Provides nutrition education to individuals, small and large groups, peers, licensed practitioner(s), medical students, interns, and residents as applicable. Provides consultative services regarding advanced therapies, policies, procedures, and research in the provision of quality nutritional care. Develops, monitors, and directs practice-specific benchmarks based on standards of care or national initiatives. Utilizes knowledge, expertise, principles and/or current research to plan, implement and evaluate organizational initiatives. Leads the implementation of new nutrition initiatives or a change in practice to achieve strategic goals. Establishes goals, measures outcomes and reports progress toward meeting goals to medical center committees, health care teams and/or professional groups. Leads staff, creates, and validates competencies and develops training activities. Work Schedule: 8:00am - 4:30pm, Monday - Friday, some On-Call weekends Compressed/Flexible: NotAuthorized Telework: NotAuthorized Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): NotAuthorized PCS Appraised Value Offer (AVO): NotAuthorized Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: a. Citizenship. Citizen of the United States.Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. b. 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. (c) 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). Advanced Level Practice Dietitians must possess a minimum of one advanced practice credential relevant to the area of practice, (e.g. Certified Nutrition Support Clinician (CNSC), Board Certified Specialist in Renal Nutrition (CSR), Board Certified Specialist in Gerontological Nutrition (CSG), Certified Diabetes Educator (CDE), or Board Certified Specialist in Oncology Nutrition (CSO)). (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. (3) Loss of Credentials. An employee who fails to maintain the required registration must be removed from the occupation, which may also result in termination of employment. At the advanced level practice assignment, an employee who fails to maintain the required board certification must be removed from the assignment. At the discretion of the appointing official, an employee may remain at an appropriate assignment in the occupation when the credential is not a requirement and a placement opportunity exists. d. 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: e. Physical Requirements. See VA Directive and Handbook 5019. f. English Language Proficiency. Dietitians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d). Grade Requirements: GS-12 Advanced Level Practice (a) Experience. Completion of 1 year of experience equivalent to the next lower grade level. (b) Credentials. Advanced level practice dietitians must possess a minimum of one advanced practice credential relevant to the area of practice, (e.g. Certified Nutrition Support Clinician (CNSC), Board Certified Specialist in Renal Nutrition (CSR), Board Certified Specialist in Gerontological Nutrition (CSG), Certified Diabetes Educator (CDE) or Board Certified Specialist in Oncology Nutrition (CSO)). (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 designated by an asterisk (*): 1. *Ability to develop, maintain, and supervise a system of internal reviews and direct quality control and performance improvement studies to assure compliance with various accrediting, regulatory, and agency authorities. 2. *Knowledge of the principles of program management and oversight required to develop program goals and objectives, administer and monitor program, evaluate program outcomes/accomplishments, set and redefine priorities, and implement effective solutions in processes/systems as needed. 3. Ability to act as a consultant for staff. 4. Ability to mentor and educate peers and other multidisciplinary team members in complex issues, procedures and practices. 5. Ability to make presentations on topics regarding food, nutrition and health issues. 6. Ability to make high level decisions with a focus on delivering patient care and achieving program outcomes. 7. Ability to contribute to evidence analysis process to affect practice and identify and create new practice opportunities. References: VA Handbook 5005/80 Part II Appendix G20

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

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

Contacts

• Address VA Maryland Health Care System 10 North Greene Street Baltimore, MD 21201 US
• Name: Mewael Teklehaimanot
• Phone: 4106057000
• Email: [email protected]