Dietitian (Clinical) - Home Based Primary Care

SummaryColumbia VA Healthcare System is hiring a Dietitian within the Clinical Section of Nutrition & Food Services (NFS) to work with the Home Based Primary Care (HBPC) program. The employee will serve as a medical nutrition expert - apply evidence-based guidelines to complex patients - and coordinate care with providers - Veterans - caregivers - and community resources. The employee will provide nutrition care in the homes of Veterans in the Columbia - South Carolina HBPC catchment area.QualificationsBasic Requirements:United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA PolicyEnglish Language Proficiency: Dietitian candidates must be proficient in spoken and written English in accordance with 38 U.S.C.7403(f)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 credentialNon-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 credentialNon-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 equivalentForeign 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 RDNA list of ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs DirectoryCurrent 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 requirementsGrade Determinations: All individuals assigned to this occupation must meet all the basic qualification requirements and all the requirements defined in the specific assignmentDietitian (Clinical) - GS-07 Experience or EducationNone beyond the basic requirementsDietitian (Clinical) - GS-09 ExperienceAt least one year of experience equivalent to the next lower grade levelOR - EducationMaster's degree from a regionally accredited university or collegeKnowledge - Skills and AbilitiesIn addition to the experience or education above - the candidate must demonstrate the following KSAs: (a) Knowledge of various accrediting and 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 and 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 stakeholdersDietitian (Clinical) - GS-11 ExperienceAt least one year of experience as an RDN equivalent to the next lower gradeKnowledge - Skills and AbilitiesIn addition to the experience above - the candidate must demonstrate the following KSAs: (a) Skill in delivering patient care using the NCP (e.g. - assessment - diagnosis - intervention - monitoring and evaluation)(b) Skill in interpreting research to apply evidence-based nutrition practices to improve patient outcomes(c) Skill in developing patient-centered goals(d) Skill in analyzing data for performance improvement studies(e) Skill in collaborating with stakeholders(f) Ability to comply with various accrediting - regulatory and agency authoritiesReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: This work requires some physical exertion such as prolonged periods of standing - bending - reaching - crouching - stooping - stretching - and lifting moderately heavy items such as manuals - record boxes - equipment or assisting patientsSee https://dvagov.sharepoint.com/sites/OCHCO/SitePages/D5019.aspx VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements.DutiesMajor duties may include - but are not limited to: Conducts 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 malnutritionDevelops and implements Medical Nutrition Therapy (MNT) to address the nutrition diagnosis - evaluates and monitors the effectiveness and outcomes of MNT interventionsModifies the plan as needed to achieve positive patient outcomesCalculates nutrient requirements and necessary diet restrictions or food and drug interactions tailoring the diet prescription to each individual patientDocuments MNT in the medical record using the Assessment - Diagnosis - Intervention - Monitoring - Evaluation (ADIME) formatIdentifies patients in need of nutritional support and recommends the appropriate mode of support and communicates appropriately with the health care teamAssesses educational needs and provides nutrition education/counseling for individuals and groups that is tailored to the Veteran(s)Maintains accurate record keeping of daily clinical activities and completes patient encounters using approved systemsLeads activities in the implementation of new initiativesUses data in the development of measures - data evaluation - and initiation of corrective actionsComplies with The Joint Commission requirements and other accrediting agency standards to ensure safe and quality patient careMay perform other related duties as assigned which are appropriate for this grade and assignmentMust possess a valid driver's licenseWork Schedule: Monday - Friday - 7:30am - 4:00pm Telework: Ad-hoc Virtual: This is not a virtual position Functional Statement #: PD59915F - PD60281F - and PD99531S Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized