Advanced Practice Provider (O-3/O-4/O-5 Billet) Non-Supervisory

The non-supervisory Advanced Practice Provider (Physician Assistant or Nurse Practitioner) position within ICE Health Service Corps (IHSC), reports to the site Health Services Administrator. IHSC's multidisciplinary workforce provides direct and off-site medical care for ICE detainees across detention and IGSA facilities nationwide, and supports ICE enforcement operations by air, land, and sea.

This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.

DUTIES AND RESPONSIBILITIES

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 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, incompliance 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.

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.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Requires more than 1 year of full-time clinical experience as a PA or NP or approval of the IHSC Medical Director. 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.

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