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Dietitian - Advanced Level Practice

Company: Veterans Affairs, Veterans Health Administration
Location: Denver
Posted on: June 25, 2022

Job Description:

Summary This position is located at the VA Eastern Colorado Health Care System (ECHCS). The Advanced Level Practice Registered Dietitian (RD)/Board Certified Specialist Obesity and Weight Management (CSOWM) Bariatric Registered Dietitian Nutritionist known also known as the bariatric RD position is located in the Nutrition and Food Service (NFS) department. Responsibilities Duties include but are not limited to: A. Nutrition Care: Functions at an expert level of advanced practice bariatric nutrition according to the Academy of Nutrition and Dietetics Scope of Practice. Manage and direct clinical nutrition care for assigned Veterans utilizing the Nutrition Care Process (I.e. patients requiring complex weight management nutrition therapy). Provides a comprehensive nutrition assessment of the nutritional needs of Veterans with overweight and obesity to address nutrition issues such as adequacy and appropriateness of nutrient intake/nutrient delivery including macro and micronutrients, effects of disease on nutrient metabolism and utilization including hypermetabolic conditions, comorbid conditions or chronic disease, and assess clinical factors (mechanical, physiological, or psychological) that may interfere with the ingestion, digestion, absorption, metabolism, and utilization of nutrients. Performs nutrition focused physical exam (NFPE) during assessments to determine risk and/or degree of malnutrition including macro- and micronutrient deficiencies. B. Nutrition Education and Coordination of Care: Assesses educational needs and provides nutrition education/counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational and medical situation of the patient. Includes information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation. Utilizes motivational interviewing techniques to evaluate patient readiness to learn and potential for changing behaviors. Evaluates achievement of attaining learning objectives and short and long-term goals by the patient and/or family. Adapts nutrition education materials and counseling techniques to the patient's level of understanding, which frequently involves simplifying complex dietary restrictions. Identifies drug-nutrient interactions and drug-drug incompatibilities and counsels communicates with the patient regarding the impact on nutrition status and/or nutrient utilization. C. Business Functions: Maintains productivity standards. Practices effective time management, and prioritizing of tasks to ensure efficient workflow in assigned area. Ensures completion of consult management tasks by reviewing assigned nutrition consults. Ensures appropriate scheduling and timely completion of all assigned consults. Maintain accurate record keeping of daily clinical activities and completes patient encounters utilizing the Event Capture System (ECS), including information for scheduling, coding and billing. Manages resources (time, materials, staff) in a cost-effective manner. D. Quality Improvement/Research: Completes regular quality assessment and performance improvement (QAPI) assurance activities compared to weight management network and national standards to develop and monitor protocols and similar documents for Veteran care. Supports other Performance Improvement activities by participating in the development of nutritional care indicators, evaluation criteria, collecting performance improvement data, monitoring outcomes, and initiating corrective actions. Provides expert knowledge and application of quality management and performance improvement activities, research and common statistical methods to design and conduct and critique nutrition research. Contributes to a culture of safety by entering patient safety concerns in the Joint Patient Safety Reporting System (JPRS). E. Participation as a Member of the Health Care Team: Serves as the nutrition expert for medical staff on the nutritional management of patients. Able to assume the consultative, clinical administrative and quality management functions of a weight management team in the absence of other team members. Communicates and influences treatment interventions determined by the medical team through interdisciplinary meetings, team rounds, medical conferences and nutrition-related in-services. F. Professional Development: Maintains dietetic registration and continuing education requirements. Maintains Board Certified Specialist Obesity and Weight Management. Interprets current clinical knowledge, standards of care, and research to improve patient care. Work Schedule: Monday through Friday between 7am to 6pm, weekends and holidays as needed by the service. Telework: Available Virtual: This is not a virtual position. Functional Statement #: 54792O Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements 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. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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. Education and Supervised Practice: Individuals must have earned a bachelor's degree from a U.S. regionally accredited college or university or foreign equivalent (transcript required) 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. NOTE: 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. Registration/Certification: Candidates 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). GS-12 Grade Determinations Experience: Completion of one year of experience equivalent to the next lower grade level. 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)). Knowledge Skills and Abilities: At this level, candidates must also demonstrate the following Knowledge, Skills, and Abilities (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. Preferred Experience: 1. Board Certified Specialist in Obesity Weight Management Certification required 2. Experience individual and group education/counseling variety of modalities preferred 3. Inpatient and outpatient nutrition experience preferred 4. Program coordination preferred 5. Quality performance improvement preferred References: VA Handbook 5005/80 Part II Appendix G20 Physical Requirements: The position requires light to moderate carrying (up to 44 pounds), use of fingers (good manual dexterity and keyboarding skills are essential), reaching above shoulder, walking (up to 1 hour), standing/sitting for prolonged periods of time, bending, twisting, the ability to distinguish basic colors, near vision correctable in one eye to 20/20 & 20/40 in the other, hearing (aid permitted), exchange and express ideas by means of spoken and written word (view and read information on computer screens), and mental and emotional stability. Must be able to work alone or closely with others. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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. Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

Keywords: Veterans Affairs, Veterans Health Administration, Denver , Dietitian - Advanced Level Practice, Healthcare , Denver, Colorado

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