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Veterans Affairs, Veterans Health Administration Dietitian (Advanced Level Practice) in Saint Louis, Missouri

Summary Employees in this assignment serve as an Advanced Level Practice Dietitian. They conduct comprehensive nutrition assessments for Veterans assuring high-quality care under an advanced and expanded scope of practice. Advanced Level Practice Dietitians are the subject matter experts in advanced clinical nutrition and uses knowledge, expertise, principles and/or current research to lead dietitians and nutrition specialty care teams to plan, implement, and evaluate organizational initiatives. Responsibilities Functions Or Scopes of Practice: 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: Mon-Fri, 8a-4:30p. Telework: Ad-Hoc Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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. 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 dentification 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). 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. 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). Advance Practice Certification: must hold an advanced practice certification from a nationally recognized certifying body such as the Commission on Dietetic Registration. 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: Dietitian (Advanced Level Practice), GS-12. Experience: One year of experience equivalent to the next lower grade level (GS-11). Certification: 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 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 (BC-ADM) or Certified Diabetes Care and Education Specialists (CDCES) certification are qualifying. Commonly held certifications include Board Certified Specialist in Renal Nutrition (CSR); Board Certified Specialist in Gerontological Nutrition (CSG); Registered Dietitian Nutritionist-Advanced Practitioner (RDN-AP); Certified Nutrition Support Clinician (CNSC). Knowledge, Skills and Abilities: At least 1 year of experience as an RDN/RD equivalent to the next lower grade level (GS-11) which demonstrates the following Knowledge, Skills and Abilities: Skill in leading a team in the implementation of nutrition related activities. Skill in utilizing evidenced 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. Preferred Experience: Preferred applicant with Board Certification as a Specialist in Renal Nutrition certification. Consideration for individuals that hold another recognized CDR advanced practice certification with 3 years experience in a clinical renal setting. SUPERVISORY CONTROLS: The incumbent works under the general supervision of the Supervisory Dietitian, GS-12 or above, who establishes objectives and department priorities. The incumbent functions independently for all professional and technical aspects of clinical nutrition. They are responsible for planning and organizing their own work, coordinating with staff and management personnel as appropriate. Assumes responsibility in work assignments in accordance with regulations and independently resolves most conflicts by using considerable judgment and interpretation. Work is reviewed for technical adequacy and conformance with VHA procedures and practices. CUSTOMER SERVICE REQUIREMENT: Meets the needs of all customers while supporting the Medical Center and Service missions. Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner. Provides the customers with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately. AGE, DEVELOPMENT, AND CULTURAL NEEDS OF PATIENTS: Provides care and/or services appropriate to the age of the patients being served, and which is appropriate to the cognitive; emotional, and chronological maturation of the patient. Assesses data reflective of the patient's status and interpret the information needed to identify each patient's requirements relative to their age- specific needs and to provide care needed as described in the services' policies and procedures. Takes into consideration age-related differences of the various veteran populations with this institution. The incumbent must demonstrate the knowledge of the changes associated with aging and possess the ability to provide care/support based upon age related factors. Ensures staff receives training in these categories. Sensitivity to the special needs of all patients in respect to age, developmental requirements, and culturally related factors must be consistently achieved. Age Categories include: Young Adulthood (18 - 39): Accepts adults' chosen lifestyle and assist with necessary adjustments relating to health. Employee recognizes the person's commitment and the function of competence in life and supports changes as necessary for health. Middle Adulthood (40 - 64): Employee assists clients to plan for anticipated changes in life, to recognize the risk factors related to health, and to focus on strengths rather than weaknesses. Late Maturity (65 - Death): Employee assists clients to keep physically and socially active, and to maintain peer group interactions. Employee provides necessary safety measures and assist client with self-care as required, and with maintaining as much independence as possible. COMPUTER SECURITY REQUIREMENT: Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations, VA statutes and policy, and VHA guidelines. Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in the computer access agreement that the employee signs. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The work required does not inherently include any physical requirements essential for successful job performance that could not otherwise be performed with accommodation or workplace adjustment. A pre-placement physical examination is not required. Education ACEND accredited programs are located on the ACEND website or at ACEND Accredited Programs Directory. Transcripts: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Education is a basic part of qualifications for this position, failure to submit transcripts with your application package may result in your application being removed from consideration. 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. Additional Information Receiving Service Credit or 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. 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 an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

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