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Summary This position is located within the Department of Homeland Security, ICE, Enforcement and Removal Operations, ICE Health Service Corps (IHSC), Division of Clinical Services. The incumbent will report directly to the IHSC MAST Regional Director in the Clinical Services Support Unit. This is a non-supervisory position. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Responsibilities DUTIES AND RESPONSIBILITIES: Clinical Support Duties: Incumbent serves as nurse practitioner or physician assistant providing medical care to noncitizens at IHSC staffed facilities as temporary duty (TDY) status. Travel is expected at least 50% of duty time. Incumbent practices in conformance with established criteria, guidelines, and policy. Incumbent functions independently for a select patient population under the general supervision of a physician (i.e., collaborative practice agreement). Efforts are directed toward the enhancement of the physical, emotional, and social wellbeing of noncitizens. Consults as needed with medical officers. Provides health care of a scope, quality, and quantity consistent with PHS and agency policies. Primary contact is with persons outside the immediate work environment, but within the agency. This includes the public, patients, and patient's families. The primary mission is to meet their health care needs, obtain, and provide information, present reports, and further the goals and objectives of PHS and the agency. Performs other clinical duties and responsibilities as assigned for the TDY facility. Program Support Duties: When not performing clinical support duties, incumbent oversees assigned programs and, or projects within the clinical services division. Incumbent serves as a senior advanced practice provider consultant for local, regional and agency programs. Incumbent coordinates activities relative to policy development, program implementation and evaluation subject to regulations, policies, procedures, and pertinent laws. Advises local, and department officials regarding policy development. Incumbent review reports, identify and analyze problems, provide formal written analysis or reports; participates in the design and development of procedures; and represent the office to the parties inside and outside the unit but within the agency. Performs specialized or complex professional tasks without benefit of close supervision or detailed guidelines, independently establishes criteria, formulates approaches and evaluation efforts. Justifies, defends, negotiates, or settles matters involving significant or controversial issues; work at this level usually involves active participation in conferences, meetings, or presentations involving problems or issues of maximum consequences or importance. Duty requirements include review of professional practice and peer review. Facilitates and mentors APP onboarding and training. As necessary, serves as Acting Senior Supervisory APP or Acting Regional APP. Assessing and validating the current patient care delivery system, ensuring clinical and staffing standards for APP clinical practice are consistent with current evidence-based research and professional standards to align with the mission, vision, and values of the organization. Offering recommendations regarding improvements needed in clinic operations or to improve patient outcomes. Developing and communicating a strategic vision of APP clinical care that includes communicating values and goals for a diverse group of APP professionals. Formulating short and long-range objectives for programs within unit to ensure integration of them with overall objectives/plans of IHSC. Planning, directing, coordinating, and evaluating clinical policy. Development and annual revisions of national, evidence-based Clinical Practice Guidelines/Protocols. Development of strategies promoting the recruitment and retention of APPs and to recognize APP excellence. Serves as an instructor including but not limited to APP discipline specific content development and presentations; tracking APP training progress; and generating tailored and comprehensive reports. Providing APP in-service trainings that increase understanding of the policies/procedures which promote best clinical practices, compliance with accreditation standards, and other topics applicable for the nursing profession. Providing on-site training or competency training in clinical procedures, emergency response, mass casualty drills, Basic Life Support, and other trainings, based on appropriate knowledge and training. Acting as a resource on a full range of primary clinical care provided to detainees, including, but not limited to health assessments, intake screening, transfer summaries, sick call, chronic care, medical housing unit care, and additional approved treatments and procedures appropriate to the clinical setting. Assist with competency reviews to ensure the scope of practice is consistent with licensure requirements. Attends general/medical and Unit meetings as scheduled. Requirements Conditions of Employment Qualifications CONDITIONS OF WORK Work Schedule: Clinical positions may be required to work various shifts, or combinations of shifts, that may include 8 hour, 10 hour or 12 hour shifts; evenings, weekends and holidays also be required. On-Call Duties: This clinical position may be required to perform on-call duties within the unit to which it is assigned during off shift hours, to in include evenings, nights, weekends and/or holidays. Emergency Response: This clinical position may be required to respond to emergencies at the local facility to which it is assigned during off shift hours, to include evenings, nights, weekends and/or holidays. Telework: This position may not support telework and will be authorized on a case-by-case basis by the hiring manager. Remote work: This position may support remote work and will be authorized on a case-by-case basis by the hiring manager. Recruitment/Relocation Incentives: Not currently authorized. Student Load Repayment Program (SLRP) Authorized: Contact the [email protected] Permanent Change of Station (PCS): Authorized. Financial Disclosure Report: Not required. PHYSICAL DEMANDS: Requires physical exertion such as lifting objects greater than 30 pounds. Required to perform CPR/emergency care standing or kneeling. Must have the ability to assist sick, injured or aging detainees or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self). The work may necessitate some physical characteristics that will be required when responding to an emergency, such as running a short distance, prolonged standing and working in an austere environment. Travel at least 50% of the time. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Minimum of four years of full-time clinical experience as a physician assistant or nurse practitioner. Qualifying degree for the officer's category from an accredited institution in a State, the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education. Physician Assistant minimum: Bachelor of Science. Master's degree preferred. Nurse Practitioner minimum: Master of Nursing Unrestricted, current, and valid license from any U.S. state, the District of Columbia, Puerto Rico, or other U.S. territory. It is the responsibility of the incumbent to fulfill and maintain the obligation(s) for their licensing or certifying body and to maintain continuing medical education. National Certification: Physician Assistant - Must have and maintain certification as a Physician Assistant from the National Commission on Certification of Physician Assistants (NCCPA). Nurse Practitioner - Must have and maintain board certification as Family Nurse Practitioner, Adult Nurse Practitioner, or Adult-gerontology by the American Nurse Credentialing Center (AANC) or American Academy of Nurse Practitioners (AANP). Must have and maintain CPR/BLS certification. Must have and maintain clinical practice proficiency and credentials for patient care. Flexibility and ability to adapt to sudden changes in schedules and work requirements. Knowledge of a wide range of complex patient care concepts, principles, and practices to perform assessments of considerable diversity to include mental health, medical surgical, ambulatory, and emergency care. Preferred But Not Required Knowledge, Skills, and Abilities: Correctional health care experience. Certification as Correctional Healthcare Professional (CCHP). Knowledge and/or experience with IHSC policies, NCCHC, and PBNDS requirements. Knowledge of public health preparedness, infection control and TB management. ACLS certification. Additional Information This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Division of Clinical Services. The incumbent will report directly to the IHSC Medical Asset Support Team (MAST) Regional Director in the Clinical Services Support Unit. This is a non-supervisory position. The Medical Services Unit ensures the provision of quality medical, dental, and pharmacy services to non-citizens in ICE custody. The deputy medical director oversees credentialing and privileging of all licensed independent providers practicing at IHSC-staffed facilities. The deputy medical director serves as chair of the Medical Executive Committee; provides guidance to IHSC clinical providers to adjudicate challenging cases; and provides clinical subject matter expertise and support to ICE leadership. The chief advanced practice provider (APP) leads, mentors, and supervises all IHSC APP care practices. The chief APP consults on issues related to APP training, peer review, competencies, scope of practice, clinical guidelines, recruitment and retention, and awards. The incumbent serves as the Senior Physician Assistant or Nurse Practitioner, Medical Asset Support Team (MAST), for the IHSC Clinical Services Division (CSD). The incumbent primary provides direct patient care to non-citizens as directed by IHSC leadership. Also, the incumbent oversees assigned APP projects within unit to improve clinical care within IHSC. IHSC has a multi-sector, multidisciplinary workforce of more than 1100 employees, including U.S. Public Health Service (PHS) Commissioned Corps officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 21 detention facilities throughout the country and manages the provision of off-site medical care for detainees housed in approximately 240 additional Intergovernmental Service Agreement (IGSA) facilities. The ICE detainee population is approximately 34,000 detainees daily, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. IHSC also provides medical support during ICE enforcement operations in the air, on the ground, and at sea. MEMORANDUM OF AGREEMENT U.S. Public Service Commissioned Corps officers are detailed to Department of Homeland Security as described in a Memorandum of Agreement. SUPERVISORY CONTROLS The incumbent is supervised by the IHSC Medical Asset Support Team (MAST) Regional Director in the Clinical Services Support Unit with clinical oversight provided by the Clinical Director or designee when performing clinical duties at a TDY site. Functions independently as a consultant and carries out assigned duties as directed by the IHSC Medical Asset Support Team (MAST) Regional Director in the Clinical Services Support Unit or the facility CD. Immediate and direct clinical supervision may not be on site. Completed work is reviewed by peer review mechanisms for satisfactory result and professional judgement. Guidelines are available but not completely applicable to all work situations. The officer must use individual initiative in interpreting and adapting guidelines to unusual work situations.