SUBJECT 1: Unused Local Agency Computer Equipment
SUBJECT 2: WIC Replacement Computer Policy
SUBJECT 3: “Unknown” Height and Weight
SUBJECT 4: Heavy Metals in Baby Foods

JOB POSTING: Full-Time Registered Dietitian/Nutritionist – Butler County Health Department
JOB POSTING: Full-Time WIC Nutritionist – St. Louis County Department of Public Health
JOB POSTING: Full-Time Nutritionist/Dietitian – Affinia Healthcare
JOB POSTING: Full-Time WIC Certifier – Affinia Healthcare
JOB POSTING: Part-Time WIC Breastfeeding Peer Counselor – Affinia Healthcare
JOB POSTING: Part-Time Community Dietitian – Family Care Health Centers
JOB POSTING: Part-Time WIC Nutritionist – Ray County Health Department
JOB POSTING: Full-Time Nutritionist/Dietitian – Samuel U. Rodgers Health Center
JOB POSTING: Full-Time WIC Clerk/Health Professional Assistant (HPA) – Family Care Health Centers

 

SUBJECT 1: Unused Local Agency Computer Equipment. If a local agency has any computer equipment that is no longer being used or doesn’t work, please contact Jason Seehusen and he will arrange disposal for you.

Examples of computer equipment include:

  • Desktops/Laptops
  • Printers (MICR, color, monochrome)
  • Scanners
  • Battery Back-Up Surge Protectors
  • Monitors
  • Signature Pads
  • eWIC Card Reader/Writers

Jason will work with ITSD to have these items surplussed and removed from local agency clinics. If you have any questions or would like Jason to surplus equipment, please email him at Jason.Seehusen@health.mo.gov

SUBJECT 2: WIC Replacement Computer Policy. As a reminder, DHSS has determined that all replacement computers purchased by DHSS will be laptops. This will allow staff to work remotely if needed. Please note that any laptop, with or without a docking station can still use any desktop peripherals (monitor, keyboard, mouse, etc.) as needed.

SUBJECT 3: “Unknown” Height and Weight. This is a reminder to follow the waiver guidance in the Missouri WIC Disaster Plan if the participant is not physically present for their WIC certification or MCA. If the participant is NOT physically present, document this in MOWINS in the certification guided script or mid-certification (MCA) guided script. On the Demographics screen, select the radio button “No” for Physically Present. Select “COVID-19 Pandemic” from the Reason Not Present dropdown menu. Do not enter height or weight measurements on the Height/Weight tab. Do not enter “unknown.”

If “unknown” is entered in the height/weight field for a participant who is less than 24 months, you will see an error in MOWINS:

    • All subsequent entries will default to standing height when they should be recumbent.
    • The growth will not be plotted, and growth risk factors will not be assigned.

When agencies resume normal operations once the physical presence waiver is no longer in use:

  • Agencies who improperly entered “unknown” will begin to see length for infants and children less than 24 months default to standing.
  • If not caught and changed to recumbent, the standing default results in no growth plot and no growth risk factors.

An agency can identify “unknown” entries using the crystal report Not Physically Present Due to COVID 19. On that report, Unknown = 0 in the height and weight data fields. Existing “unknown” entries cannot be edited or deleted, so local agencies will need to be alert for a previous “unknown” ht/wt entry to assure that a new standing height or recumbent length is correct for the participant’s category. Please contact your assigned TA nutritionist if you have questions.

SUBJECT 4: Heavy Metals in Baby Foods. The USDA Food and Nutrition Services (FNS) department has issued the following statement regarding the FDA’s recommendation in addressing heavy metal presence in baby food:
“The FDA continues to advise consumers to eat a well-balanced diet for good nutrition and to minimize potential adverse consequences from consuming an excess of any one food. Parents can take several steps to reduce heavy metals exposure in their children, including to feed their children a broad array of healthful foods, including a variety of fortified infant cereals rather than rely solely on infant rice cereal, and for toddlers, provide a well-balanced diet which includes a variety of grains. Additionally, parents should follow the advice of the American Academy of Pediatrics and feed their infants and toddlers a variety of foods as part of a well-balanced diet.”

There are several things caregivers can do to reduce their child’s exposure to heavy metals. Nutritionists and CPAs should work with concerned caregivers to help them feel confident in utilizing WIC benefits for their infants and children by:

  • Educating on the variety of infant cereals available on their food package including oatmeal or multigrain cereal.
  • Issuing the fresh fruits and vegetables cash value benefit for infants 9-11 months in place of infant foods for caregivers who want to make their own baby foods. Making homemade baby foods may decrease some metals associated with food processing; however, variety will still remain important as certain fresh fruits and vegetables can still contain heavy metals depending on the soil source.
  • Encouraging breastfeeding to reduce exposure to metals.
  • Assessing homes for lead hazards and making referrals to local resources to reduce exposure.
  • Educating caregivers on the risk of increasing heavy metal exposure through smoking and vaping. Provide smoking cessation resources such as the Missouri Tobacco QuitLine Program as appropriate.

For more advice from the American Academy of Pediatrics on how parents can reduce their child’s heavy metal exposure, visit https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Metals-in-Baby-Food.aspx
General information about heavy metal contaminants can also be found at https://www.fda.gov/food/cfsan-constituent-updates/fda-response-questions-about-levels-toxic-elements-baby-food-following-congressional-report

For additional questions, please call the state agency at (800) 392-8209 and ask for the nutritionist on formula duty or your TA nutritionist.

WIC Positions

JOB POSTING: Full-Time Dietitian/Nutritionist – Butler County Health Department. The Butler County Health Department WIC Program has an opening for a full-time Registered Dietitian/Nutritionist. Primary responsibility of this position will be assuring the WIC participants receive accurate nutrition assessments and appropriate nutrition education. The ideal candidate must be dependable, highly self-motivated, and work well in a team atmosphere. Must have a Bachelor’s degree from an accredited college or university with a minimum of 15 earned credit hours in Foods and Nutrition, including at least one course in diet therapy and one course in community nutrition or nutrition in life cycle; or Registration or current eligibility for registration as a Registered Dietitian by the commission of Dietetic Registration.

To apply, mail resume to:

Butler County Health Department
Attn: WIC Coordinator
1619 North Main Street
Poplar Bluff, MO 63901

Or email to:
Carlenna.Hill@lpha.mo.gov

JOB POSTING: Full-Time WIC Nutritionist – St. Louis County Department of Public Health. The St. Louis County Department of Public Health is currently accepting applications for 2 full-time WIC Nutritionist positions (posted as Nutrition Technician positions). Minimum requirements include graduation from an accredited four-year college or university with a Bachelor’s degree in Public Health Nutrition; Dietetics; or closely related field; including or supplemented by at least 15 semester hours in food and nutrition including diet therapy and community nutrition. The St. Louis County DPH offers a generous benefit package which includes affordable health insurance, dental and vision coverage, 4 weeks of PTO the first year, 10 paid holidays, deferred benefit retirement plan, paid life insurance, as well as, short and long term disability. Please apply on line at www.stlouisco.com

JOB POSTING: Full-Time Nutritionist/Dietitian – Affinia Healthcare. Affinia Healthcare has an immediate opening for a full time Nutritionist/Dietitian in the WIC program. The candidate must have graduated from an accredited four-year college or university with a Bachelor’s degree in Public Health Nutrition, Dietetics, Home Economic, or closely related field; including or supplemented by at least fifteen (15) semester hours in food and nutrition including diet therapy and community nutrition. The selected candidate will provide nutrition education to WIC eligible participants and assess their nutritional needs for certification eligibility. Resumes will be accepted by email only to kgore@affiniahealthcare.org

JOB POSTING: Full-Time WIC Certifier – Affinia Healthcare. Affinia Healthcare Affinia Healthcare has an immediate open for the position of WIC Certifier in the WIC Program. This position is full-time and is responsible for assisting clients in the program by collecting and entering data needed for the certification. Duties will also include assisting with nutrition education, issuing food prescriptions, and assessing risk factors. A high school diploma/GED is required; an Associate Degree in a related field is preferred. Excellent communication, computer, organizational and attention to detail skills are required, while two years of related experience is preferred. Resumes will be accepted by email only to kgore@affiniahealthcare.org

JOB POSTING: Part-Time WIC Breastfeeding Peer Counselor – Affinia Healthcare. Affinia Healthcare has an immediate opening for a part time (24 hours per week) Breastfeeding Peer Counselor position within the WIC Program. The selected candidate will give basic breastfeeding information, support and encouragement to new mothers and help mothers achieve their own breastfeeding goals. Candidate must be willing to accept after hour phone calls and make home and hospital visits. Personal breastfeeding experience is a must. Selected candidate will work 24 hours/week. Resumes will be accepted by email only to kgore@affiniahealthcare.org

JOB POSTING: Part-Time Community Dietitian – Family Care Health Centers. Family Care Health Centers is accepting applications for a part-time (28 hr./week) Community Dietitian. Responsibilities include providing nutrition education and counseling to eligible WIC families, outpatient medical nutrition therapy, and community outreach. Qualifications: BS in Nutrition, RD or RD eligible; Licensed in Missouri.

To apply, send resume to:
Amy Callico, RD, LD
Nutrition Services Team Leader
acallico@fchcstl.org

JOB POSTING: Part-Time WIC Nutritionist – Ray County Health Department. The Ray County Health Department has an opening for a part-time WIC Nutritionist. This position is responsible for participating in the development and implementation of public health nutrition services and assuring that WIC participants receive accurate nutrition assessments and appropriate nutrition education. This position will report to the WIC Coordinator. For more information about this position, please call 816-776-5413 or email shelby.spor@lpha.mo.gov

JOB POSTING: Full-Time Nutritionist/Dietitian – Samuel U. Rodgers Health Center. Samuel U Rodgers has an immediate full time opening for a Nutritionist/Dietitian in the WIC program. At minimum, the candidate must have graduated from an accredited four-year college or university with a Bachelor’s degree in Public Health Nutrition, Dietetics, Home Economics, or closely related field; including or supplemented by at least fifteen (15) semester hours in food and nutrition including diet therapy and community nutrition. This position could be part time or full time for the right candidate. Please submit your application online at samrodgers.org

JOB POSTING: Full-Time WIC Clerk/Health Professional Assistant (HPA) – Family Care Health Centers. Family Care Health Centers is accepting applications for a full time WIC Clerk/Health Professional Assistant (HPA). Responsibilities include determining eligibility of WIC applicants, collecting and documenting height, weight, blood work data, and providing clerical support. Strong customer service skills required. Qualifications: High School Diploma/GED; 1+ years WIC experience preferred.

To apply, send resume to:
Amy Callico, RD, LD
Nutrition Services Team Leader
Family Care Health Centers
401 Holly Hills Ave.
St. Louis, MO 63111
(314) 353-5190 x3043
acallico@fchcstl.org

Missouri WIC is an equal-opportunity employer.