Dietitian (Advanced Level Practice)

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.

01Basic Requirements

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Registration: All applicants must hold the RDN credential from the Commission on Dietetic Registration (CDR) the credentialing agency of the Academy of Nutrition and Dietetics.

Note: Applicants who hold the RDN credential have met the education requirement (e.g. bachelor's degree or higher) of CDR, as such this occupation is considered professional and scientific with a positive education requirement and the procedures in Part I, Chapter 4 of this Handbook will be followed when applying Veteran's preference.

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.

Employees in VHA in this occupation, under a permanent, appropriate and legal placement on the effective date of the qualification standard, are considered to have met all qualification requirements for the grade and/or assignment held, including positive education and registration/certification, where applicable.

Employees appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, either on a temporary or permanent basis until they fully meet the basic requirements of the standard.

The following provisions apply to employees who do not meet all the qualification requirements: Employees may be reassigned, promoted up to and including the full performance (journey) level or changed to a lower grade within the occupation, but may not be promoted beyond the journey level or be newly placed in a supervisory or managerial position.

Employees must meet the assignment-specific certification/education requirements to be placed in Dietitian (Advanced Level Practice) or Dietitian (Dietetic Internship Director) assignments. Employees initially grandfathered into this occupation who subsequently obtain additional education and/or registration/certification that meet all the qualification standard's basic or assignment-specific requirements must maintain the required credentials as a condition of employment in the occupation/assignment.

Employees retained in this occupation 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 re- entry in the occupation.

02Grade Determinations

Dietitian (Advanced Level Practice), GS-12: Experience. One year of experience equivalent to the next lower grade level. Certification. Must hold an advanced practice certification from a nationally recognized certifying body such as the Commission on Dietetic Registration, the Association of Diabetes Care and Education Specialists or the National Board of Nutrition Certification. The certification must be directly related to the assignment being filled.

For example, where the assignment requires diabetes management, a Board Certified-Advanced Diabetes Management or Certified Diabetes Care and Education Specialists certification is qualifying. Commonly held certifications include Board Certified Specialist in Renal Nutrition; Board Certified Specialist in Gerontological Nutrition; Registered Dietitian Nutritionist-Advanced Practitioner; Certified Nutrition Support Clinician.

In addition to the experience and certification above, the candidate must demonstrate the following KSAs: Skill in leading a team in the implementation of nutrition-related activities. Skill in utilizing evidence- based practice guidelines to establish or modify goals and improve patient outcomes. Ability to communicate in writing to develop policies and standard operating procedures. Ability to serve as a nutrition expert, providing technical guidance, direction and staff development.

Ability to lead research or performance improvement studies. Ability to present complex nutrition information to a large group of health care providers to persuade and influence provision of care.

03Preferred Experience

Commission on Dietetic Registration (CDR) Board Certified Specialist Renal Nutrition (CSR) Three years experience in renal setting Experience working with inspectors of accrediting agencies i.e. Joint Commission, LTCI, CARF, OI Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-12.

04Physical Requirements

The work is sedentary.? Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work.? Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site.? Incumbent may carry and lift light items weighing less than 15 pounds.

Duties may include but are not limited to: 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.

Leads nutrition research studies or performance improvement and communicates findings through reports, abstracts, presentations and/or peer-reviewed professional publications. Presents at seminars, workshops, and lectures to convey current nutrition information on new and changing concepts. May perform other related duties as assigned which are appropriate for this grade and assignment Work Schedule: Monday - Friday, 8:00am - 4:30pm Telework: Ad-hoc Virtual: This is not a virtual position.

Functional Statement #: 99523-S Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized