Job Title: Advanced Level Practice (Registered Dietitian)
Veterans Affairs, Veterans Health Administration
Healthcare, Practitioner and Technician, Information Technology, Restaurant and Food Service, Executive Management, Quality Control, Medical
Advanced Level Practice (Registered Dietitian)
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/09/2019. 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. 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). (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. (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. 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. 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. GS-12 Advanced Level Practice (Registered Dietitan): Completion of 1 year of experience equivalent to the next lower grade level. GS-12 Qualifications: Must have one year of experience equivalent to the next lower grade level (GS-11)? Examples of experience include independently planning, developing and directing all nutrition care activities (e.g., food service and/or clinical nutrition), working with a team of care providers, and/or focusing on offering nutrition care and guidance to optimize health. Experience may have been gained in a variety of settings, such as hospitals, outpatient centers, residential treatment programs and patient homes. Assignments: For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety. A clinical nutrition manager serves as a supervisory dietitian, clinical nutrition expert, and consultant with primary responsibility for professional management support of clinical nutrition program activities. The clinical nutrition manager integrates clinical functions with other sections of NFS, other services and units within the medical center, hospital and community based clinics, and the local community. The individual assesses, plans, and evaluates the clinical nutrition program to ensure proper coordination between the delivery of clinical nutrition services and the overall delivery of health care. The clinical nutrition manager is responsible for ensuring compliance with internal and external regulatory authorities. 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 (*): 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. 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. Ability to act as a consultant for staff. Ability to mentor and educate peers and other multidisciplinary team members in complex issues, procedures and practices. Ability to make presentations on topics regarding food, nutrition and health issues. Ability to make high level decisions with a focus on delivering patient care and achieving program outcomes. 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. The full performance level of this vacancy is a GS-12.