Summary 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), Office of Deputy Assistant Director of Clinical Services. 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: DUTIES AND RESPONSIBILITIES (O-3 & O-4 Billet): A physician assistant or nurse practitioner who practices in conformance with established criteria, guidelines, and agency procedures. Efforts are directed toward the enhancement of the physical, emotional, and social well-being of individuals. Judgmental failure could seriously affect the health status of one or more individuals. Decisions are reviewed as needed with medical officers or other advanced practice providers. Provides health care of a scope, quality, and quantity consistent with agency and PHS policies. Primary contact is with persons outside the immediate work environment, but within the agency. This includes the general public and patients. The primary mission is to meet their health care needs, obtain and provide information, present reports, and further the goals and objectives of the PHS and the agency. Performs comprehensive history and physical evaluations, behavioral health care, and minor outpatient surgical procedures for detainees as required by IHSC policy, or as required for detainee medical complaint. Coordinates health care needs of detainees including referrals to off-site consultants. Takes appropriate infection control actions in accordance with IHSC policy and guidance. Completes all training as required/assigned. Attends on-site, regional, and national meetings as required. O-4 level participates in the APP Peer Review process. Performs other duties and responsibilities as assigned. DUTIES AND RESPONSIBILITIES (O-5 Billet): Provides direct care to detainees via scheduled appointments, emergency, or urgent care visits. Consults with the physician / Clinical Director for complex medical and/or psychiatric patients and as required by IHSC policy. Provides infirmary care including admission, discharge, and daily rounds for detainees that require higher levels of medical care or monitoring. Performs comprehensive history and physical evaluations, behavioral health care, and minor outpatient surgical procedures for detainees as required by IHSC policy, or as required for 2 3/6/2019 detainee medical complaint. Works within and performs functions as outlined in the IHSC Advanced Practice Provider (APP) Scope of Practice and the Controlled Prescribing Scope of Practice for APPs. Applies knowledge of drugs and therapeutics when prescribing medication. Coordinates health care needs of detainees including referrals to off-site consultants. Interprets diagnostic and laboratory results. Interprets Tuberculin skin tests (TSTs) and diagnostic studies, manages Direct Observation Therapy (DOT) for treatment of active or latent tuberculosis. Takes appropriate infection control actions in accordance with IHSC policy and guidance. Adheres to universal precautions and properly disposes of all sharps. May serve as medical escort of detainees as needed, for domestic/overseas travel. Utilizes and documents interpretation and/or translation and/or assisted communication services as needed to ensure ability to communicate with detainees or others who are Limited English Proficient (LEP) or have a communication disability or impediment. Maintains flexibility and adaptability to sudden changes in schedules and work requirements. Provides relevant patient health education to detainees verbally and/or with handouts. Documents detainee care visits in the required health record using required format, in compliance with IHSC policy and guidance. Maintains patient confidentiality and confidentiality of medical records. Completes all training as required/assigned. Serves as Acting Senior Supervisory APP or Acting Regional APP. Facilitates and mentors APP onboarding and training. Attends on-site, regional, and national meetings as required. Participates in the APP Peer review process. Performs other duties and responsibilities as assigned. Requirements Conditions of Employment Qualifications COMPETENCIES: Superior oral/written communication skills. Analytical Skills and ability to navigate complex system. Strong interpersonal and active listening skills. Strong organizational and time management skills. Demonstrates strong problem solving, judgment and decision-making skills. Demonstrates Integrity/Honesty and Cultural Competency. 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 situation, such as running a short distance, prolonged standing and working in an austere environment. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-3 & O-4 Billet): Individuals applying for an O-3 billet / GS equivalent are a new graduate or have no clinical experience. Upgrade to O-4 is dependent upon adequate performance. Individuals applying for O-4 / GS equivalent have one year of clinical experience as a PA or NP, are officers currently in an O-4 billet, or approved by the Deputy Medical Director. Meet the minimum education and certification requirements for either a nurse practitioner or physician assistant. Nurse practitioner. Must possess a certified advance practice nurse practitioner degree from a graduate school training program approved for this qualifying degree, an unrestricted Nurse Practitioner state license, and a national board certification through the American Academy of Nurse Practitioners (APRN) or the American Nurse Credentialing Center (ANCC). Physician assistant. Must possess an accredited bachelor's, or master's degree, and completed a physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), national certification through the National Commission on Certification of Physician Assistants (NCCPA), and an unrestricted physician assistant state license. Fulfills the obligation(s) of their licensing or certifying body to maintain currency. Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. If applicable, maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications. Maintains basic readiness for duty. Maintains current CPR/BLS certification. Maintains clinical professional skills via continuing education opportunities. Preferred Knowledge, Skills, and Abilities: Experience in correctional health care Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. Knowledge of public health preparedness, infection control and TB management ACLS certification DEA Buprenorphine X Waiver certification REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-5 Billet): Requires more than 4 years of full-time clinical experience as a PA or NP or approval of the IHSC Medical Director. Team lead or supervisory experience. Physician Assistant- Requires unrestricted Physician Assistant state license, national board certification through the National Commission on Certification of Physician Assistants (NCCPA). Nurse Practitioner- Requires unrestricted Family Nurse Practitioner state license, national board certification through the American Academy of Nurse Practitioners (APRN) or the American Nurse Credentialing Center (ANCC). Fulfills the obligation(s) of their licensing or certifying body to maintain currency. Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications. Maintains basic readiness for duty. Maintains current CPR/BLS certification. Maintains clinical professional skills via continuing education opportunities. Preferred Knowledge, Skills, and Abilities: Correctional health care experience. 3 3/6/2019 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 O-3 & O-4 Billet 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), Office of Deputy Assistant Director of Clinical Services. The incumbent reports directly to the supervisory advanced practice provider. If no supervisory advanced practice provider is on-site, the incumbent reports to the facility clinical director. The regional advanced practice provider serves as the incumbent's reviewing official. O-5 Billet 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), Office of Deputy Assistant Director of Clinical Services. The incumbent will report directly to the site Health Services Administrator. This is a non-supervisory position. IHSC has a multi-sector, multidisciplinary workforce of more than 1400 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 23 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 on a daily basis, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground and at sea. DHS SUPERVISORY CONTROLS: DHS ICE ERO HHS SUPERVISORY CONTROLS: DHHS USPHS CC SUPERVISORY CONTROLS: The Physician Assistant or Nurse Practitioner works under the general administrative supervision of the Health Services Administrator (HSA) with clinical oversight provided by the Clinical Director or designee. Incumbent plans and carries out the successive steps and handle problems and deviations in work assignments in accordance with guidance and USPHS instructions and policies or by accepted standards of care. Work is reviewed for professional judgment and attainment of objectives.