The John Cochran VA in St. Louis is seeking an Advanced Practice Level Dietitian. They conduct comprehensive nutrition assessments assuring high-quality nutrition 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
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). 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: One year of experience equivalent to the next lower grade level. Education: Master's degree or higher from an accredited university or college. 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. Knowledge, Skills and Abilities: In addition to the experience and certification above, the candidate must demonstrate the following KSAs: (a) Skill in leading a team in the implementation of nutrition-related activities. (b) Skill in utilizing evidence- based practice guidelines to establish or modify goals and improve patient outcomes. (c) Ability to communicate in writing to develop policies and standard operating procedures. (d) Ability to serve as a nutrition expert, providing technical guidance, direction and staff development. (e) Ability to lead research or performance improvement studies. (f) Ability to present complex nutrition information to a large group of health care providers to persuade and influence provision of care. Assignment: For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty) and range of variety and be performed by the incumbent at least 25% of the time. Employees in this assignment serve as an Advanced-Level Dietitian. They conduct comprehensive nutrition assessments for Veterans using the NCP assuring high-quality nutrition care under an advanced and expanded scope of practice. Advanced-Level Dietitians lead a multi-disciplinary team developing nutrition-related services, policies, procedures and/or protocols. They provide consultative services regarding advanced therapies and research in providing quality nutritional care. Advanced-Level Dietitians develop, monitor and direct practice-specific benchmarks based on standards of care or national initiatives. They utilize knowledge, expertise, principles and/or current research to plan, implement and evaluate organizational initiatives. Advanced-Level Dietitians lead the implementation of new nutrition initiatives or a change in practice to achieve strategic goals. They establish goals, measure outcomes and report progress toward meeting goals to medical center committees, health care teams and/or professional groups. Advanced-Level Dietitians lead staff, create and validate competencies and develop training activities. They lead nutrition research studies or performance improvement and communicate findings through reports, abstracts, presentations and/or peer-reviewed professional publications. Advanced-Level Dietitians present at seminars, workshops and lectures to convey current nutrition information on new and changing concepts. This assignment must represent substantial additional responsibility over and above that required at the full performance grade level and cannot be used as the full performance level of this occupation. SUPERVISORY CONTROL: The full performance 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. Work is reviewed for technical adequacy and conformance with VHA procedures and practices. Preferred Experience: CDCES preferred, consideration for individuals who plan to obtain CDCES within 1 year of employment. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. VASTLHCS is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with visits to the Emergency Department and admissions for medical comorbidities. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing. The incumbent may occasionally be exposed to patients who are combative secondary. to delirium, dementia, or psychiatric disorders. Then incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on organizational needs. 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 preplacement physical examination is not required.
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 Work Schedule: Monday- Friday, 8-430pm Telework: Ad Hoc Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized The VA St. Louis Health Care System includes two medical centers and seven community based-outpatient clinics offering a wide range of nutrition services, including acute care, long-term care, mental health, psychiatric, primary care, and specialty services. As a clinical dietitian, you may be required to cover any area within the diverse health care system.