Work assignments include providing comprehensive nutritional care to clients or patients and/or serving as the lead worker in coordinating the activities of a small nutrition program. Situations in which employees provide direct nutritional services in the Special Supplemental Food Program for Women, Infants, Children (WIC) program deal primarily with high-risk patients as identified in the program standards, with a limited number of clients who may have chronic medical problems, such as, renal disease, or have relatively complex nutritional needs. Clients are referred from lower level nutritionists and clinicians for the employees to determine program eligibility, complete a nutrition assessment, and examine food preferences in relationship to client needs. Work requires the employees to provide more in-depth individual counseling concerning therapeutic diets, developmental processes, programmatic parameters, and nutrition principles. Employees are also involved in nutrition training and consultation to paraprofessional and Professional staff, as well as community agencies and groups. Employees serving as a lead worker coordinate the activities of a limited and small nutrition program while providing limited professional direct client nutritional care, and are responsible for managing the WIC program within a local health department. Employees are designated as the WIC director and incorporate State directives into their daily work plans. Employees rely upon the technical assistance of the regional consultant for policy interpretation, additional training, and budgetary matters. Work requires the employees to plan for the daily activities of the nutrition program, modify State policies into systematic operational procedures, provide in-service programmatic training, and handle any vendor problems that might arise. The employees usually deal with clients within the WIC program and, on occasion, may provide limited nutrition care to clients with chronic medically related problems such as diabetes.
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