Summary The primary purpose of the Remote Patient Monitoring-Home Telehealth (RPM-HT) Dietitian (Clinical) position is to enable planning, development, and directing of nutritional care activities for Veterans enrolled in the TeleMOVE! program. The position reports to the Director of the RPM-HT program. Responsibilities The Registered Dietitian requires the skill in applying the theories and practices of dietetics in accordance with the guidance set forth in Nutrition and Food Service and Office of Telehealth Services policies and procedures and VA regulations governing the practice of dietetics. The Dietitian(Clinical) will provide authoritative advice and program consultation on nutrition and weigh management programs; develop new approaches and apply current scientific advances; maintain effective working relationships with public health administrators and different community resource agencies. The Dietitian must possess the required knowledge and skills in order to perform the following functions: Assesses nutritional, behavioral, and physical activity needs of individuals through analysis of patient histories and the MOVE! 23 Questionnaires. Screens veterans for a home telehealth device and assigns the most appropriate device to meet needs of veteran/caregiver. Reviews expectation with veteran/caregiver on using the home telehealth device for 82 day daily session in a 90 day period that can be repeated. Assesses biochemical and anthropometric finds, obtains history of dietary intake, and evaluates clinical factors to consider complex health requirements imposed by the patient's specific disease and weight management treatment plan. Monitors patients daily/weekly weight status and answers to weight reduction disease management questions and follows up when there are out-of-range alerts on monitor devices. Monitors, medications, treatment modalities and progress towards goals and intervenes frequently to respond to complicated disease state. Reviews current lab tests to assess nutritional laboratory parameters and monitors weight management outcome measures. Synthesizes data to determine nutritional and weight loss consequences on the system and thus evaluate patients projected response to treatment. Develops and assesses effectiveness of general and specialized diets and weight management care plans. Develop care plans for severely nutritionally and medically compromised patients. Develops or identifies specialized feeding programs for morbidly obese patient conditions to enhance weight management outcomes. Assesses compliance by the patient/family caregiver. Counsels individuals and health care providers on using motivational interviewing techniques to meet patient therapeutic goals. Monitor weekly and complete tracking reports of weights using home Telehealth data. Plans, delivers and evaluates weight management education for patients. Educates patients for compliance with critical and specialized nutrition weight loss care plan. Provides nutritional, behavioral, and physical activity counseling to patients. Documents in the electronic medical record. Serves on Health Education committees as assigned. Develop guidance for Telehealth MOVE! Weight Management Program. Assures compliance with the VHA Weight Management Program Directives. Coordinates program activities Establishes and maintains a continuous and systematic process of curriculum development, assessment, review, revision, evaluation and implementation of the Telehealth MOVE! Weight Management Program. Utilizes effective written and oral communication skills. Resolves policy, program and project issues associated with the Telehealth Move! Program. Maintains productivity standards and practices, effective time management, and prioritizing of tasks. Maintains accurate records. Manages resources in a cost-effective manner. Completes special projects as assigned. Assists in the evaluation and effectiveness of the MOVE! Weight management program. Analyze criteria and adjust standards in response to program development. Develops tools for the nutritional assessment. Serves as the nutrition expert on the interdisciplinary treatment team. Conduct presentations at seminars, workshops, and lectures. Maintains dietetic registration and continuing education requirements. Develops and implements an individualized plan for professional growth and development. Participates in departmental meetings, task forces, and projects. Complies with the VHA Core Values and the VAMC Washington, DC House Rules at all times Courteous and cooperative with coworkers, supervisors, patients, visitors, and medical Center personnel. Protects sensitive data and completes annual computer security training. Work Schedule: 8:00 am - 4:30 pm Telework: Available, Ad-hoc only as determined by the agency policy. Virtual: This is not a virtual position. Functional Statement #: PD260284F 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. 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 identification 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). As a condition of employment for accepting this position, you will be required to serve a 1-year or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. 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). 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 (Clinical), GS-11 1.) Experience. At least one year of experience as an RDN equivalent to the next lower grade(GS-9).Examples of duties at the GS-9 include but are not limited to: Conduct nutrition assessments using the NCP; develop skills in applying evidence-based nutrition practice guidelines, interpreting research and utilizing whole health principles to develop patient-centered goals and improve outcomes; utilize virtual care technology to improve access to care; also utilize virtual care technology to improve access to care. They maintain accurate record keeping of daily clinical activities and patient encounters using approved systems; comply with The Joint Commission and other accrediting agency standards to ensure safe and quality patient care; collect data related to performance improvement activities within Nutrition and Food Services (NFS) and assist in implementing new initiatives. Clinical Dietitians collaborate with the Food Service Section to enhance the Veterans' dining experience, support patient satisfaction and serve as a liaison between clinical units and the food service section; Knowledge of various accrediting and regulatory requirements; Knowledge of virtual technology to provide nutrition care; Ability to deliver patient care using the Nutrition Care Process (NCP) (e.g., assessment, diagnosis, intervention, monitoring and evaluation); Ability to apply evidence-based nutrition practices to improve patient outcomes; Ability to develop patient-centered goals; Ability to collect data for performance improvement studies; Ability to collaborate with stakeholders. 2.) Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: Skill in delivering patient care using the NCP (e.g., assessment, diagnosis, intervention, monitoring and evaluation). Skill in interpreting research to apply evidence-based nutrition practices to improve patient outcomes. Skill in developing patient-centered goals. Skill in analyzing data for performance improvement studies. Skill in collaborating with stakeholders. Ability to comply with various accrediting, regulatory and agency authorities. 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. Additional Information Receiving Service Credit for 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. 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. Whole Health is an approach to health care that empowers and equips people to take charge of their health and well-being and live their life to the fullest. The VA is committed to Whole Health and values Veteran and Employee health and well-being. As a VA employee, you will practice Whole Health in an environment that supports personalized and proactive care.
