This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Dietitian (Home Based Primary Care Nutrition Specialist)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:VHA-664-13-CUS-841989

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.


$51,617.00 to $81,184.00 / Per Year


Friday, March 01, 2013 to Friday, March 15, 2013




Part Time 60 hours - Excepted Service Term NTE 2 years




2 vacancies in the following location:
San Diego County, CA United StatesView Map


United States Citizens


Vacancy Identification Number (VIN): 841989 

OUR MISSION: To fulfill President Lincoln’s promise – “To care for him who shall have borne the battle, and for his widow, and his orphan” – by serving and honoring the men and women who are America’s Veterans. How would you like to become a part of a team providing compassionate care to Veterans?


VHA provides patient centered care, delivered by engaged, collaborative teams in an integrated environment that supports learning and continuous improvement.  The Veteran's experinece and health outcomes are improved with an emphasis on prevention through healingrelationships in an optimal healing environment.


We are seeking new team members interested in working in this environment.  We are looking for team members that possess high energy, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working for a collaborative, team-oriented system.  The team member must be willing to build customer confidence by professional dress and demeanor.


We invite you to apply to become part of a team of professionals engaged in promoting positive organizational change to improve business outcomes and create a positive healthcare experience for patients, families, and caregivers.


As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.


VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities.  For more information on the Department of Veterans Affairs, go to


Special Employment Consideration:  VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more.



  • U. S. Citizenship
  • Must pass pre-employment examination
  • English Language Proficiency required
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required


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The HBPC Clinical Dietitian is the medical nutrition expert responsible for independently planning, developing and directing all nutritional care activities for assigned clients, including those with complex medical and nutritional needs. She/he supports the facility's mission and coordinates nutritional care with other health care providers, the client, the client's family and the community. The increasing complexity and specialization in nutrition requires that the clinical dietitian have expertise in a wide range of disease entities, treatment modalities and drug/nutrient interactions. The specialist is also responsible for providing professional guidance and education in the medical nutrition care of HBPC patients for medical residents, fellows, nursing, allied health, and dietetic students.



Major duties and responsibilities include but not limited to the following:

     ·           Accurately assess medical nutrition needs by independently conducting a comprehensive nutrition

assessment on all patients referred.


·         Calculates nutritional requirements (calories, protein, fluids) and necessary diet restrictions based on metabolic needs.

·         Utilizes knowledge of etiology and pathophysiology of disease states, knowledge of digestion/absorption, principles of growth and development over the life span and metabolism of nutrients, complex drug nutrient interactions and makes a nutritional assessment of each patient interpreting requirements relative to the patient’s age specific needs. Many patients are at nutritional risk due to their disease states and/or recent or pending surgical procedures. Through the physician, the dietitian initiates laboratory tests for patients to more accurately assess nutritional needs. Monitors laboratory values closely.

·         Develops and implements an individualized plan for medical nutrition therapy in the nutrition care process (NCP) format in accordance with the patient’s medical program goals and objectives. Accurately obtains and interprets medical information pertinent to the patient’s nutritional care to determine risk, assess nutritional status and develop individual specialized care plans to simultaneously address several disease processes. Includes assessment of physical, psychosocial, and environmental factors in the patient’s home.


·         Prescribes diet supplements and diet regimes. Individually tailors meal plans to improve nutritional status and maximize adherence to diet prescription. Makes diet calculations, since many patients cannot be put on standard diets or adhere to a number of restrictions due to the complexity and variety of their disease states. Recommends appropriate nutritional regimen and diet prescriptions. Serves as nutrition expert to identify HBPC patients at risk for malnutrition and develops intervention strategies to help patients maintain or improve their nutrition status.

·         Plans, organizes, conducts and evaluates educational needs and provides nutrition counseling for individuals, family members and caregivers. Provides extensive nutritional counseling to patients whose disorders/diseases require complex dietary management. The fact that the patients are not located in a controlled Medical Center environment serves to complicate this process requiring the dietitian to utilize unique approaches to achieve compliance. Adapts instructions to correlate with cultural background, intelligence, economic status, age-specific needs, religious considerations and other factors which might influence adjustment to prescribed regimen. Instructs patients and family members on potential drug-nutrient interactions. Assists the patient and/or caregiver with menu planning, label reading, food selection, food budgeting, storage and preparation. Assesses adequacy of the caregiver’s capacity to prepare recommended meals.


·         Serves on interdisciplinary treatment team(s) composed of physicians, nurses, social workers and other health care providers. Participates as full member of home-based healthcare teams.


·         Coordinates the nutrition program with other programs and services to assure optimal patient nutritional care. Maintains effective writing and verbal communication inter- and intra-departmental.




Salary Determination: Salary and grade level based upon Education/Expense. (To be determined by Dietitian Professional Standards Board prior to appointment).


Relocation Expenses: Relocation expenses are not authorized for this position.


Recruitment Incentive or Relocation Incentive: Not authorized


Work Schedule : Two part-time positions working 30 hours per week for a total of 60 hrs per pay period. One schedule is Mon 7:30am-4:00pm, Tues/Wed 7:30am-3:30pm, Thur 7:30am-4:00pm. Second schedule is Tues/Wed 7:30am-3:30pm, Thur/Fri 7:30am-4:00pm.


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BASIC REQUIREMENTS:   Applicants must meet the basic requirements for this occupation.

  • U.S. citizenship.  
  • Education: You must have completed a minimum of a bachelor’s degree from a U.S. regionally accredited college or university, and fulfilled each of the following criteria: (1) Completed a didactic program in dietetics accredited by Accreditation Council for Education in Nutrition and Dietetics (ACEND) NOTE:  You must submit a copy of your transcript to qualify for this position.
  • Registration: Applicants must have passed a national examination administered by the Commission on Dietetic Registration (CDR), the credentialing agency for the Academy of Nutrition and Dietetics.

  • Physical Requirements: Applicants must successfully complete a pre-employment physical.

  • English Language Proficiency:  Dietitians must be proficient in spoken and written English in accordance with 38 U.S.C., chapter 73 or 74, 7402(d).

  • Driving required for home care visits. The use of a privately owned vehicle is required when necessary to attend meetings, training or other activities at the medical center when assigned to a remote worksite.

  • GRADE REQUIREMENTS: Creditable Experience: Knowledge of Current Professional Dietitian Practices. To be creditable, the experience must have required the use of knowledge, skills, abilities, and other characteristics associated with current professional dietetics practice. 

  • GRADE DETERMINATIONS: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.


Specialized Experience:   Examples of specialized experience would typically include, but are not limited to:


·         Expertise in a wide range of disease entities, treatment and modalities and drug/nutrient interactions.

·         Develops and implements an individualized plan for medical nutrition therapy in the Nutrition Care process format.

·         Serves as the medical nutrition expert responsible for managing the nutritional care of patients/clients in the HBPC program at the Medical Center, off-site clinic or in the home.

·         Serves on multidisciplinary treatment teams and is recognized as the dietary expert. The dietitian coordinates dietary treatment of the patient with the HBPC team, other health professionals, with the patient’s families/caregivers and with any others necessary.




You will be rated on the following Knowledge, Skills, Abilities and Other characteristics (KSAOs) based on your application for this position:


Knowledge of principles and practices of clinical dietetics and medical nutrition therapy for patients with complex medical conditions in order to plan, develop, and coordinate medical nutrition therapy intervention, interdisciplinary care plans, and nutrition education activities.


Ability to serve as a nutrition expert in an interdisciplinary team and with a variety of healthcare providers, patients, co-workers and employees.


Knowledge of Quality Controls and the Performance Improvement process as related to quality care and research


Ability to assess and educate the patient/client in a home environment


If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview.


IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. If your resume/application does not support your questionnaire answers, we will not allow credit for your response(s).


References: VA Handbook 5005 Part II Appendix G20 Dietitian Qualification Standard GS-630:


PHYSICAL REQUIREMENTS:  Applicants must successfully complete a pre-employment physical.

APPLICANTS PLEASE NOTE:  Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.)  Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.  Applicants can verify accreditation at the following website: All education claimed by applicants will be verified by the appointing agency accordingly.  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.


Veterans' Preference:

When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference.  For more information on Veterans' Preference, please visit


Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.   You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.


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Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life.  For more information please visit us at



This job opportunity announcement may be used to fill additional vacancies.


This position is in the Excepted Service and does not confer competitive status. 


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.   VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service.  This credited service can be used in determining the rate at which they earn annual leave.


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To begin the process, click the Apply Online button at the right side of this screen to create an account or log in to your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process.


YOU MUST INCLUDE VA FORM 10-2850c IN YOUR APPLICATION PACKAGE TO BE CONSIDERED FOR THIS VACANCY.   You may upload the completed form to your USAJOBS or Application Manager account if you apply online.  Then you can use the uploaded form again and again when applying for future vacancies.  Please see this guide ( for more information on uploading and re-using the form in your applications.  Other required forms and documents can also be saved in your account and used the same way.  Applicants are urged to apply online; this process is much easier and faster.


Note: To return to a previously Saved or Incomplete application, just reapply through your account in USAJOBS. Check your account ( to see the status of your application after applying, including any messages that may have been sent to you.


If you cannot apply online:

  1. Click the following link to view and print the occupational questionnaire: View Occupational Questionnaire.
  2. Print this 1203FX form to provide your response to the occupational questionnaire:
  3. Fax the completed 1203FX form along with all supporting documents to (478)757-3144.  Your 1203FX form must be placed on top of all materials being faxed and will serve as a cover page for your fax transmission.
  4. Keep a copy of your fax receipt in case verification is needed.


To fax supporting documents you are unable to upload:

  1. Complete this cover page using the following Vacancy ID: 841989.  You must use this fax cover sheet in order for your documents to be matched with your online application.
  2. Fax your documents to (478)757-3144.

The complete Application Package must be submitted by 11:59 PM (EST) on Friday, March 15, 2013.


You must provide a complete Application Package which includes:

  1. CV or Resume.
  2. VA Form 10-2850c - Application for Associated Health Occupations (Available at (required).
  3. Occupational Questionnaire
  4. If prior military service, include all copies of your DD Forms 214 or proof of service (required).   Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at  
  5. If currently employed in the VA system, include latest SF-50 - Notification of Personnel Action. (required).


VASDHS Human Resources
Phone: (858)552-8585x3401
Agency Information:
VHA San Diego HCS
Human Resources
San Diego, CA


After we receive your complete application package (including any required documents), your qualifications will be reviewed to decide if you meet the basic requirements.  You will be notified when this decision is made.

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