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Summary
Employees in this assignment serve in a Dietitian (Clinical) position within the Clinical Section of Nutrition & Food Service. Clinical Dietitians
coordinate nutritional care of Veterans with other health care providers, the Veteran, the Veteran's caregiver and the community. Clinical Dietitians learn to interpret research, apply whole health principles and develop patient-centered goals.
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Duties
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Duties include but are not limited to:

• 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.
• 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.
• Manages 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.
• Supports service-level performance improvement activities to include development of measures, data collection, data evaluation, and initiation corrective actions.
• Complies with The Joint Commission requirements and other accrediting agency standards to ensure safe and quality patient care.

Work Schedule: Monday - Friday; 0800 - 1630
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: PD99529S
Relocation/Recruitment Incentives: May be authorized for a highly qualified candidate.
Recruitment Incentives. Recruitment incentives may be authorized to full-time, part time[,] or intermittent individuals in their first appointment as a Federal employee or to a newly appointed former Federal employee with at least a 90-day break in service
Relocation Incentives. Relocation incentives may be authorized to full-time Federal employees who must change worksite[s] and physically relocate to a different geographic area when the approving official determines that without the incentive, it would be difficult to fill the position with a high-quality candidate.
Permanent Change of Station (PCS): Not Authorized
Requirements
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Conditions of employment

• You 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.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

As a condition of employment for accepting this position, you will be required to serve a 1-year or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
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-7 Dietitian (Entry Level)
(1) Experience or Education. None beyond the basic requirements.
(2) Assignment. Employees in this assignment serve in a Dietitian (Clinical) entry-level developmental position. They work under the guidance of a Dietitian who is at the full performance level or above, performing increasingly complex tasks designed to prepare them for promotion. Clinical Dietitians conduct nutrition assessments for patients with lower acuity using the NCP while developing skills to apply evidence-based nutrition practice guidelines. Clinical Dietitians learn to interpret research, apply whole health principles and develop patient-centered goals. They develop skills in accurate record keeping of clinical activities and complete patient encounters using approved systems. Clinical Dietitians comply with The Joint Commission (TJC) requirements and other accrediting agency standards to ensure safe and quality patient care. They collaborate with the Food Operations Section to enhance the Veterans' dining experience and ensure patient satisfaction.
GS-9 Dietitian (Developmental Level)
(1) Experience. At least one year of experience equivalent to the next lower grade level.
OR
(2) Education. Master's degree from a regionally accredited university or college.
(3) Knowledge, Skills and Abilities. In 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 stakeholders.
(4) Assignment. Employees in this assignment serve in a Dietitian (Clinical) developmental position. They perform increasingly complex tasks under general supervision. Clinical Dietitians conduct nutrition assessments using the NCP. They develop skills in applying evidence-based nutrition practice guidelines, interpreting research and utilizing whole health principles to develop patient-centered goals and improve outcomes. Clinical Dietitians also utilize virtual care technology to improve access to care. They maintain accurate record keeping of daily clinical activities and patient encounters using approved systems. Clinical Dietitians comply with TJC and other accrediting agency standards to ensure safe and quality patient care. They collect data related to performance improvement activities within Nutrition and Food Services (NFS) and assist in implementing new initiatives. Clinical Dietitians collaborate with the Food Service Section to enhance the Veterans' dining experience, support patient satisfaction and serve as a liaison between clinical units and the food service section.
GS-11 Dietitian (Full Performance Level)
(1) Experience. At least one year of experience as an RDN equivalent to the next lower grade.
(2) Knowledge, Skills and Abilities. In 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 authorities.
(3) Assignment. Employees in this assignment serve in a Dietitian (Clinical) full performance level position. Clinical Dietitians conduct comprehensive nutrition assessments for Veterans using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation), assuring high-quality nutrition care. They apply evidence-based nutrition practice guidelines, interpret research and utilize whole health principles to develop patient- centered goals and improve outcomes. Clinical Dietitians also utilize virtual care technology to improve access to care. They are accountable for independent and accurate record keeping, autonomous coverage of daily clinical activities and efficiently completing patient encounters using approved systems. Clinical Dietitians are knowledgeable of and ensure work accomplishments comply with TJC and other accrediting agency standards and ensure continuous improvement of safe and quality care. They collect and analyze data related to performance improvement activities within NFS, lead activities in the implementation of new initiatives
Preferred Experience:

• Has active current registration status via the CDR.
• If no active registration, has successfully completed all steps necessary to take the RD exam.
• Has worked in clinical nutrition patient care in both/either the inpatient and/or outpatient setting.
• Ability to clearly communicate and adjust communication methods to accommodate age specific groups.
• Ability to prepare and implement an individualized Medical Nutrition Therapy plan.

The full performance level of this vacancy is GS-11 The actual grade at which an applicant may be selected for this vacancy is in the range of GS-7 to GS-11
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: Physical aspects associated with work required of this assignment are typical for the occupation and would generally not require a pre-placement examination.
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.
NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.
ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory.
Additional information
Receiving Service Credit for 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. 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.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
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