Advanced Practice Provider (O-5 Billet) Supervisory

Immigration and Customs Enforcement•Elizabeth, NJ

12d

About The Position

The Supervisory Advanced Practice Provider (Physician Assistant or Nurse Practitioner) works within ICE Health Service Corps (IHSC), whose multidisciplinary workforce provides on-site and off-site medical care for ICE detainees nationwide and supports medical needs during enforcement operations by air, land, and sea. The position reports to the site Clinical Director and is open only to current USPHS Commissioned Corps officers; civilians and USPHS Call to Active Duty candidates are not eligible. The role requires participation in the IHSC TDY On-Call Schedule (ITOS), an annual commitment of either one full month or two 16-day periods when officers must be available to serve based on agency needs. Upon appointment, officers must serve an 18- to 24-month commitment to IHSC. The incumbent supervises federal Physician Assistants and/or Nurse Practitioners at IHSC sites, overseeing onboarding, training, peer review, scheduling, and related clinical coordination. The position also provides direct patient care to detainees, including routine and urgent care, infirmary care, examinations, behavioral health services, and minor outpatient procedures. The APP coordinates referrals and other care needs, interprets diagnostic and laboratory results, manages tuberculosis-related care, follows infection-control practices, and documents care in accordance with IHSC policies. The incumbent maintains professional readiness, current CPR/BLS certification, clinical skills, and required training. Candidates must be current USPHS Commissioned Corps officers and meet the applicable licensure, certification, education, and experience requirements for either the Physician Assistant or Nurse Practitioner pathway. The position requires more than six years of full-time clinical experience as a PA or NP, unless approved by the IHSC Chief Advanced Practice Provider, and more than two years of team lead or supervisory experience. Physical demands include lifting objects over 30 pounds and assisting people who may weigh significantly more than the employee, as well as standing or kneeling for emergency care and potentially responding to emergencies in austere environments.

Requirements

Must be a U.S. citizen, pass a background investigation and drug screen, and meet the Selective Service registration requirement if applicable.
Must be a current USPHS Commissioned Corps Officer; civilians and USPHS Call to Active Duty candidates are ineligible.
Must not have a current Assignment Pay Agreement, or must fulfill an existing agreement within 90 days of application submission.
Must commit to 18 to 24 months of service with IHSC upon appointment.
Must participate in the IHSC TDY On-Call Schedule, which entails one month or two 16-day periods per year of availability to serve based on agency needs.
Physician Assistant pathway: unrestricted state Physician Assistant license and current licensure; graduate of an ARC-PA-accredited Physician Assistant program; national board certification as a PA-C through NCCPA.
Nurse Practitioner pathway: unrestricted Family Nurse Practitioner state license and current licensure; graduate-level advanced practice nurse practitioner degree from an approved training program; national certification through AANP or ANCC; knowledge of the Nurse Practice Act for the licensing state and/or state of practice.
More than six years of full-time clinical experience as a PA or NP, or approval of the IHSC Chief Advanced Practice Provider.
More than two years of team lead or supervisory experience.
Must meet the currency obligations of the applicable licensing or certifying body.
Must maintain an unrestricted license in the state of licensure and a Drug Enforcement Agency registration to prescribe controlled medications.
Superior oral and written communication skills.
Analytical skills and ability to navigate complex systems.
Strong interpersonal and active listening skills.
Strong organizational and time-management skills.
Problem-solving, judgment, and decision-making skills.
Demonstrates integrity, honesty, and cultural competency.
Able to lift objects weighing more than 30 pounds and assist sick, injured, or aging detainees or staff, potentially lifting, dragging, wheeling, or carrying someone who weighs significantly more than the employee.
Able to perform CPR or emergency care while standing or kneeling; may need to run a short distance, stand for prolonged periods, and work in an austere environment.

Nice To Haves

Experience in the IHSC health system.
Correctional healthcare experience.
Certification as a Correctional Healthcare Professional (CCHP).
Knowledge of or experience with IHSC policies, NCCHC requirements, and PBNDS requirements.
Knowledge of public health preparedness, infection control, and tuberculosis management.
ACLS certification.
ATLS certification.

Responsibilities

Directly supervises and rates federal Advanced Practice Providers, including Physician Assistants and/or Nurse Practitioners, at IHSC sites.
Leads and oversees APP onboarding and training and participates in national APP training initiatives as required.
Assists with credentialing and privileging processes and oversees APP peer review.
Augments clinical leadership in collaboration with the Clinical Director.
Coordinates APP work schedules at IHSC sites and regular on-site APP meetings and in-service training.
Serves as Acting Regional APP or Acting Chief APP as required.
Provides detainees direct care through scheduled appointments and emergency or urgent care visits.
Works within the IHSC APP Collaborative Practice and Prescriptive Authority Agreement.
Consults with the physician or Clinical Director regarding complex medical or psychiatric patients and as required by IHSC policy.
Provides infirmary care, including admissions, discharges, and daily rounds for detainees requiring higher levels of medical care or monitoring.
Performs comprehensive history and physical evaluations, behavioral health care, and minor outpatient surgical procedures as required by policy or patient complaint.
Applies knowledge of drugs and therapeutics when prescribing medication.
Coordinates detainees’ health care needs, including referrals to off-site consultants.
Interprets diagnostic and laboratory results, including Tuberculin skin tests and diagnostic studies; manages Direct Observation Therapy for active or latent tuberculosis treatment.
Takes infection-control actions in accordance with IHSC policy and guidance, follows universal precautions, and properly disposes of sharps.
May serve as a medical escort for detainees during domestic or overseas travel.
Uses and documents interpretation, translation, or assisted communication services as needed for people with limited English proficiency or communication disabilities or impediments.
Provides relevant patient health education verbally and/or through handouts.
Documents detainee care in the required health record and format in compliance with IHSC policy and guidance.
Maintains patient and medical-record confidentiality, basic duty readiness, and current CPR/BLS certification.
Maintains clinical professional skills through continuing education and completes required or assigned training.
Adapts to sudden changes in schedules and work requirements and performs other assigned duties.
Participates in the IHSC TDY On-Call Schedule (ITOS).