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CLOSED: Cascade County Seeking Dietitian

Posted Date: 
January 10, 2018

Position:  Registered Dietitian
County Department:  City-County Health Department
Department Admin:  Tanya Houston
Type of Position:   Full-time
Salary:  $18.58-$19.04 per hour DOE
Must join MPEA Union
Closing Date:  Open Until Filled

Applications available at Cascade County Human Resources Department, or Job Service.

All application materials must be turned in to the Cascade County Human Resources Department.


The Registered Dietitian is responsible for nutrition assessment and counseling, breastfeeding and nutrition education to high-risk individual participants and groups. To promote and support breastfeeding, provide program outreach and make referrals to community services. This function includes: Conducting a complete nutrition assessment  and determining nutritional eligibility of WIC clients; developing participant’s nutrition care plan; providing and documenting participants centered nutrition education to high risk and other clients responsive to the needs/interests of the participants; providing and documenting appropriate follow up referrals to other health and social services agencies, especially those with additional nutrition or health concerns; tracking participant’s progress, including goals set, to improve health and document outcomes; performs and records weights, heights, and hemoglobin test results; orders formula in a timely manner for high risk infants; works in close collaboration with medical providers and State Registered Dietitian; provides community outreach and promotions through media; documents client information in M-Spirit computer data base; monitors client files as needed to assure accurate documentation; performs general office duties as needed; performs other related duties as assigned.


The Registered Dietitian follows specific criteria to determine nutritional eligibility of WIC clients; provides nutrition assessment, education, planning and consultation services for expectant mothers and families with children; assesses the nutrition needs and provides nutrition education to develop and implements nutritional care plans for high risk WIC clients within the parameters of Montana WIC Program Policy and MCH programs; provides specialized formula for high risk infants; works collaboratively with medical providers and State staff concerning prescriptions; may be assigned to develop and implement a nutritional care plan for high risk MCH clients who are not on WIC but who are receiving Medicaid targeted case management services. Care will be limited to the same parameters/conditions included in the Montana WIC Program Policy; coordinates plans for services and nutrition interventions with nurses, medical providers and other professional workers concerned with the individual and /or family health services; work with families who may have mental health conditions or are unemployed or homeless by being culturally aware, competent and sensitive to individuals with various social and emotional histories is a must; conducts interviews in a sensitive manner while maintaining confidentiality; participates in and coordinate the planning, development, and implementation of nutrition care plans for clients and their children; provides guidance and direction to influence positive behavior changes regarding nutrition in an effective and sensitive manner; collects and documents all data pertaining to the nutrition education visit into M-Spirit as required by the WIC State Plan; provides referrals to Better Beginnings, home visiting programs and other community resources as needed; completes and submits required time studies quarterly to the State WIC office; performs duties efficiently and effectively; follows agency and county policies and procedures, promotes optimum organizational dynamics by utilizing proper lines of authority, maintaining open vertical and horizontal lines of communication, working collaboratively with other team members, identifying problems with respect of client care issues or that impede program functioning, and offering ideas/suggestions for problem resolution; maintains confidentiality of sensitive information; establishes and maintains productive working relationships with fellow employees, supervisors, and the public; participates in ongoing position related training as required or requested; assists with program outreach activities as needed; reviews clinic nutrition education materials, as assigned; assists with WIC quality improvement activities, as assigned; assists with collecting program/client information for clinic reports, planning and evaluation; is part of the Cascade County emergency response team in the event of a public health emergency.

Knowledge and understanding of: Knowledge of infant, child, and maternal nutrition, normal pregnancy conditions and breastfeeding; counseling techniques and community resources; recording weights, heights, and hematocrits; WIC State Plan; M-Spirit, Microsoft Office (Outlook, Word, Excel, Internet), Health District Information System; understand Health Department safety policies and procedures.

Skills in: High level of computer knowledge and experience; effective communication, oral, in person or by telephone and written; accurate and detailed record keeping according to pre-established WIC and MCH guidelines.

Ability to: Provide nutrition education to participants in accord with the nutrition education plan and nutrition services standards; provide certain minimum health services to participants, including but not limited to referral to and follow-up of appropriate medical care; be sensitive to individuals with various social and emotional histories; provide guidance and direction to participants in influencing positive behavior changes regarding nutrition without being judgmental; provide effective counselling and observation skills and ability to identify early warning signs or red flags; manage difficult or emotional customer situations, responds effectively to customer needs; work collaboratively with supervisors, co-workers and other individuals and agencies; work independently with little direction but also works as a team; multi-task with good time management and organizational skills; adapt to changes in the work environment, manages competing
demands, changes approach or method to best fit the situation, able to deal with frequent change, delays and or unexpected events; meet challenges with resourcefulness through original thinking and creativity; maintain confidentiality and compliance with HIPAA privacy and security rules; approach others in a tactful manner and treat others with respect and consideration regardless of their status or position; establish effective working relationships with  other county departments, employees, Federal and State agencies, private agencies, and the general public; communicate well with others in both technical and non-technical terms; use logical and creative thought processes to develop solutions according to written specifications and/or oral instructions; quickly learn and put to use new skills and knowledge brought about by rapidly changing information and/or technology; navigate M-Spirit and HDIS effectively and monitor client files as needed; adhere to HIPAA Privacy and Security Rules; observe required work hours; demonstrate punctuality; meet established timelines and/or deadlines; operate a variety of office equipment; read and comprehend materials; analyze and compile information; work collaboratively with management and co-workers; observe established lines of authority; identify problems that adversely affect the organization and its functions and offers suggestions for improvements; operate county vehicle.


The above is typically acquired through a combination of education and experience.  At a minimum, all qualified applicants must have: 


  • Dietitian with a Bachelor’s degree in Nutrition/Dietetics or higher.
  • Registered Dietitian with the Academy of Nutrition and Dietetics and has a Nutritionist License in Montana.
  • WIC experience is preferred but not required.


  • Completion of supervised practice through the Commission on Accreditation;
  • Valid Driver’s License issued by the State of Montana.


  • Each applicant is required to provide the following: 
  • Completed Cascade County Employment Application
  • Detailed resume of work experience.
  • OFFICIAL college transcript that reflects the required course credits in the Education & Experience paragraph.

The successful applicant must serve a 6-month probationary period, join the MPEA Union and may have a criminal background check conducted.  The results thereof may disqualify applicant from consideration for employment with the county.

Notice to Applicants: Applicants who are claiming Veteran’s or Handicap Preference must provide a DD-214 Discharge Document (Part 4) or DPHHS Handicap Certification and Employment Preference Form with their application for employment so Cascade County may apply the preference during the selection process.

Cascade County makes reasonable accommodations for any known disability that may interfere with the applicant’s ability to compete in the recruitment and selection process or an employee’s ability to perform the essential duties of the job. For Cascade County to consider such arrangements, the applicants must make known any needed accommodations.