Advanced Practice Provider Medical Asset Support Team (O-5 Bille

Duties

DUTIES AND RESPONSIBILITIES:

Clinical Support Duties:

1. 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.
2. Performs other clinical duties and responsibilities as assigned for the TDY facility.

Program Support Duties:

1. When not performing clinical support duties, incumbent oversees assigned programs and, or projects within the clinical services division.
2. 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.
3. 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.
4. Duty requirements include review of professional practice and peer review. Facilitates and mentors APP onboarding and training.
5. As necessary, serves as Acting Senior Supervisory APP or Acting Regional APP.
6. 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.
7. Offering recommendations regarding improvements needed in clinic operations or to improve patient outcomes.
8. Developing and communicating a strategic vision of APP clinical care that includes communicating values and goals for a diverse group of APP professionals.
9. Formulating short and long-range objectives for programs within unit to ensure integration of them with overall objectives/plans of IHSC.
10. Planning, directing, coordinating, and evaluating clinical policy.
11. Development and annual revisions of national, evidence-based Clinical Practice Guidelines/Protocols.
12. Development of strategies promoting the recruitment and retention of APPs and to recognize APP excellence.
13. 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.
14. 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.
15. 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.
16. Assist with competency reviews to ensure the scope of practice is consistent with licensure requirements.
17. Attends general/medical and Unit meetings as scheduled.

Requirements

Conditions of Employment

• You must be a U.S. citizen to apply for this position.
• You must successfully pass a background investigation.
• You must successfully pass a drug screen.
• Males born after 12/31/59 must certify registration with Selective Service.
• Requirements by Closing Date: Unless otherwise noted, you must meet all requirements by the closing date of the announcement.
• Service Remaining Requirement Agreement: Upon appointment to this position, officers will be required to serve an 18 to 24-month commitment to IHSC.
• ASSIGNMENT PAY AGREEMENT: You must not have a current Assignment Pay Agreement. However, if you have a current Assignment Pay Agreement, it must be fulfilled within 90 days of your application submission.
• Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible for this position.

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 IHSCIPUHQ@ice.dhs.gov

Permanent Change of Station (PCS): Authorized.

Financial Disclosure Report: Not required.

PHYSICAL DEMANDS:

1. Requires physical exertion such as lifting objects greater than 30 pounds.
2. Required to perform CPR/emergency care standing or kneeling.
3. 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).
4. 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.
5. Travel at least 50% of the time.

Education

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

1. Minimum of four years of full-time clinical experience as a physician assistant or nurse practitioner.
2. 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
3. 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.
4. 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).
5. Must have and maintain CPR/BLS certification.
6. Must have and maintain clinical practice proficiency and credentials for patient care.
7. Flexibility and ability to adapt to sudden changes in schedules and work requirements.
8. 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:

1. Correctional health care experience.
2. Certification as Correctional Healthcare Professional (CCHP).
3. Knowledge and/or experience with IHSC policies, NCCHC, and PBNDS requirements.
4. Knowledge of public health preparedness, infection control and TB management.
5. 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.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. You may be selected for an interview at the hiring authority's discretion. You will be notified of selection or non-selection.

Required Documents

To apply for this position, you must provide a complete Application Package. Please note that if you do not provide all required information, as specified in this announcement, you may not be considered for this position. A complete application includes:

U. S. Public Health Service Officers

1. Cover Letter/Letter of Interest.
2. Degrees. (Place under "Diploma/GED")
3. Professional license. (If applicable)
4. Additional professional certificates. (If applicable)
5. Three professional references. (i.e., name, title and contact information)
6. Official USPHS Promotion CV - e.g., relevant experience, education, training. (Place under "Resume")
   • You may provide a civilian resume in addition to the USPHS Promotion CV to capture all relevant work experience.
7. A copy of your Certificate of Investigation (located in your eOPF).
8. *Three most recent Commissioned Officer Effectiveness Reports (COER). (Place under "Performance Appraisal")
9. For IHSC USPHS officers only, a copy of your current Service Remaining Requirements Agreement.
10. Indicate if you have an Assignment Pay (AP) Agreement and the date of the end of your AP Agreement. If you do not, please submit a memo attesting to no AP in the Assignment Pay (AP) Agreement section in the documents section of application.

New Call to Active Duty

1. Cover letter/Letter of Interest. Please include location preference here.
2. Degrees. (Place under "Diploma/GED")
3. Professional license. (If applicable)
4. Additional professional certificates. (If applicable)
5. Three professional references (i.e., name, title, and contact information)
6. CV - e.g., relevant experience, education, training. (Place under "Resume")
7. U.S. Public Health Service - Appointment Board Decision Letter/Email.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

How to Apply

To apply for this position, you must submit the required documentation outlined under the REQUIRED DOCUMENTS section below.

The complete initial Application must be submitted by 11:59 PM (EST) on 06/17/2025.

PLEASE NOTE: If your materials are not received by the closing date, your application will be evaluated solely on the information available and you may not receive full consideration or may not be considered eligible. Also, if you do not provide a valid email address, you may not be notified of the outcome of your application.

To begin the process, click the Apply Online button to create an account or log into your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process.

Note: To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account, select Application Status , and click on the more information link under the application status for this position.

Applications and supporting documentation will not be accepted by mail or email. If you need further assistance, contact the Human Resources Office representative listed on this announcement at least one day prior to the closing date for further instructions.

Agency contact information

IHSC Recruiting

Email IHSCrecruiting@ice.dhs.gov

Address ERO-DRO-IHSC Public Health Service
500 12th Street SW
Washington, DC 20536
US

Next steps

Once you submit your application, we will assess your experience and training, identify the best-qualified applicants, and refer those applications to the hiring manager for further consideration and interviews. We will notify you by email after each of these steps has been completed. Your status will also be updated on USAJOBS throughout the process. To check your status, log on to your USAJOBS account, click on "Application Status," and then click "More Information." We expect to make a job offer within 60 days after the deadline for applications. If you are selected, we will conduct a suitability/security background investigation. View more information on applying for federal employment .

Fair & Transparent

The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

• Criminal history inquiries
• Equal Employment Opportunity (EEO) Policy
• Financial suitability
• New employee probationary period
• Privacy Act
• Reasonable accommodation policy
• Selective Service
• Signature and false statements
• Social security number request