U.S. Immigration and Customs Enforcement (ICE)
ISOU Advanced Practice Provider (O-5 Billet) Non-Supervisory
U.S. Immigration and Customs Enforcement (ICE), Harlingen, Texas, United States, 78552
ISOU Advanced Practice Provider (O-5 Billet) Non-Supervisory
2 weeks ago Be among the first 25 applicants Summary
The ISOU Advanced Practice Provider position is tasked with delivering medical care to migrants during U.S. Coast Guard Alien Migrant Interdiction Operations and ICE removal missions. Responsibilities include emergency care, consulting, and supporting IHSC facilities. The role requires advanced clinical expertise, on-call readiness, and adaptability in austere environments, including at sea and in flight. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Duties
The incumbent serves as either a Physician Assistant or Nurse Practitioner with responsibility for providing direct patient care to migrants during Alien Migrant Interdiction Operations (AMIO) and to individuals in ICE custody during removal missions. Performs a variety of unusual and complex professional tasks without close supervision. Operates under U.S. Coast Guard medical protocols and must respond within 24 to 48 hours when on call. Provides medical care aboard cutters, small boats, fixed and rotary-wing aircrafts. Ensures official representation of U.S. government health services at sea. Anticipates and responds to medical needs in collaboration with military, federal, state, and civilian partners. Provides medical guidance as Medical Aircrew Member (MAM), plans patient transfers, and delivers care in remote or austere environments. Ensures continuity of care and patient safety while supporting mission objectives domestically and overseas. Acts as specialty consultant to local regional, and national programs. Advises on policy development, program implementation, and evaluation in compliance with regulations and laws. Reviews and analyzes, prepares written reports, and contributes to the development of medical protocols. Independently establishes evaluation criteria, formulates approaches, and participates in conferences or meetings on significant issues affecting mission performance and public health. Supports ICE Enforcement and Removal Operations (ERO) Field Offices by providing medical guidance, patient care, and planning support. Serves as Federal Emergency Response Official credentialed officer and responds to agency-declared emergencies as directed. Serves as an APP at an IHSC facility. Develops and implements care plans, for patients with complex physical, mental, and social health needs. Performs diagnostic procedures, prescribes treatments, and manages medical equipment and nursing techniques. Exercises independent judgment to protect patient safety and achieve mission readiness. Performs additional program duties and responsibilities as directed by the unit and/or agency. Remains flexible and able to adapt to sudden changes in schedules and work requirements, which may mean leave cancellation if it interferes with unanticipated missions or trainings. 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. PHS officers must participate in IHSC TDY On-Call Schedule (ITOS.) ITOS is either an entire month or two 16-day periods a year where, depending on the needs of the agency, the officer is required to be available to serve. Qualifications
PHYSICAL DEMANDS
Required to perform CPR or emergency care standing and kneeling positions at times in confined spaces. Must have the ability to assist sick, injured, or other during ingress and egress (e.g., may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than oneself). Must be able to lift and carry 50 lbs. of medical equipment 100 yds. without assistance. Incumbent carries equipment when boarding and disembarking the vessels. Must be able to see, hear, and smell with aids if necessary. Must easily alternate between kneeling and standing. Must be able to perform the duties in a stressful and often austere environment with inclement weather and challenging sea states and altitudes without physical limitations. Agency may require incumbent to work extended hours and remain at sea, confined cabin space, or aircraft during inclement weather and ground delays. Must be able to climb ladders and stairs without impediment. Must be able to tolerate sudden changes in environment, temperature, seasons, altitudes, geographies and weather. Must be able to pass the FAA Class III Flight Physical for Altitude Physiology Chamber orientation. Additional Information
The ISOU Advanced Practice Provider consists of both family nurse practitioners and physician assistants assigned to ISOU. Incumbents provide medical services to migrants rescued or interdicted at sea on U.S. Coast Guard cutters patrolling the seas, in support of their Alien Migrant Interdiction Operations (AMIO). Incumbents provide on call medical assistance for U.S. Coast Guard cutters patrolling U.S. coastal waters. Incumbents work in conjunction with ICE officers interacting with civilian and government organizations, contract staff, U.S. and foreign dignitaries, and domestic and foreign law enforcement agencies to provide continuity of care. IHSC has a multi-sector, multidisciplinary workforce of more than 1100 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. 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 on a daily basis, 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. Incumbent works under the direction of the ISOU Unit Chief. While under the U.S. Coast Guard, the U.S. Coast Guard Flight Surgeon provides clinical oversight for operations. The clinical directors provides clinical oversight at the IHSC facility. The ISOU Unit Chief obtains input from the IHSC clinic director and from the U.S. Coast Guard when conducting performance evaluations. Recurring assignments are not accompanied by instructions; however, objectives, priorities and deadlines are provided on new assignments. The incumbent plans and organized his/her own work, determine the sequence of assignments, selection and development methods, and seeks assistance from experts rarely. The incumbent works ,
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2 weeks ago Be among the first 25 applicants Summary
The ISOU Advanced Practice Provider position is tasked with delivering medical care to migrants during U.S. Coast Guard Alien Migrant Interdiction Operations and ICE removal missions. Responsibilities include emergency care, consulting, and supporting IHSC facilities. The role requires advanced clinical expertise, on-call readiness, and adaptability in austere environments, including at sea and in flight. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Duties
The incumbent serves as either a Physician Assistant or Nurse Practitioner with responsibility for providing direct patient care to migrants during Alien Migrant Interdiction Operations (AMIO) and to individuals in ICE custody during removal missions. Performs a variety of unusual and complex professional tasks without close supervision. Operates under U.S. Coast Guard medical protocols and must respond within 24 to 48 hours when on call. Provides medical care aboard cutters, small boats, fixed and rotary-wing aircrafts. Ensures official representation of U.S. government health services at sea. Anticipates and responds to medical needs in collaboration with military, federal, state, and civilian partners. Provides medical guidance as Medical Aircrew Member (MAM), plans patient transfers, and delivers care in remote or austere environments. Ensures continuity of care and patient safety while supporting mission objectives domestically and overseas. Acts as specialty consultant to local regional, and national programs. Advises on policy development, program implementation, and evaluation in compliance with regulations and laws. Reviews and analyzes, prepares written reports, and contributes to the development of medical protocols. Independently establishes evaluation criteria, formulates approaches, and participates in conferences or meetings on significant issues affecting mission performance and public health. Supports ICE Enforcement and Removal Operations (ERO) Field Offices by providing medical guidance, patient care, and planning support. Serves as Federal Emergency Response Official credentialed officer and responds to agency-declared emergencies as directed. Serves as an APP at an IHSC facility. Develops and implements care plans, for patients with complex physical, mental, and social health needs. Performs diagnostic procedures, prescribes treatments, and manages medical equipment and nursing techniques. Exercises independent judgment to protect patient safety and achieve mission readiness. Performs additional program duties and responsibilities as directed by the unit and/or agency. Remains flexible and able to adapt to sudden changes in schedules and work requirements, which may mean leave cancellation if it interferes with unanticipated missions or trainings. 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. PHS officers must participate in IHSC TDY On-Call Schedule (ITOS.) ITOS is either an entire month or two 16-day periods a year where, depending on the needs of the agency, the officer is required to be available to serve. Qualifications
PHYSICAL DEMANDS
Required to perform CPR or emergency care standing and kneeling positions at times in confined spaces. Must have the ability to assist sick, injured, or other during ingress and egress (e.g., may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than oneself). Must be able to lift and carry 50 lbs. of medical equipment 100 yds. without assistance. Incumbent carries equipment when boarding and disembarking the vessels. Must be able to see, hear, and smell with aids if necessary. Must easily alternate between kneeling and standing. Must be able to perform the duties in a stressful and often austere environment with inclement weather and challenging sea states and altitudes without physical limitations. Agency may require incumbent to work extended hours and remain at sea, confined cabin space, or aircraft during inclement weather and ground delays. Must be able to climb ladders and stairs without impediment. Must be able to tolerate sudden changes in environment, temperature, seasons, altitudes, geographies and weather. Must be able to pass the FAA Class III Flight Physical for Altitude Physiology Chamber orientation. Additional Information
The ISOU Advanced Practice Provider consists of both family nurse practitioners and physician assistants assigned to ISOU. Incumbents provide medical services to migrants rescued or interdicted at sea on U.S. Coast Guard cutters patrolling the seas, in support of their Alien Migrant Interdiction Operations (AMIO). Incumbents provide on call medical assistance for U.S. Coast Guard cutters patrolling U.S. coastal waters. Incumbents work in conjunction with ICE officers interacting with civilian and government organizations, contract staff, U.S. and foreign dignitaries, and domestic and foreign law enforcement agencies to provide continuity of care. IHSC has a multi-sector, multidisciplinary workforce of more than 1100 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. 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 on a daily basis, 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. Incumbent works under the direction of the ISOU Unit Chief. While under the U.S. Coast Guard, the U.S. Coast Guard Flight Surgeon provides clinical oversight for operations. The clinical directors provides clinical oversight at the IHSC facility. The ISOU Unit Chief obtains input from the IHSC clinic director and from the U.S. Coast Guard when conducting performance evaluations. Recurring assignments are not accompanied by instructions; however, objectives, priorities and deadlines are provided on new assignments. The incumbent plans and organized his/her own work, determine the sequence of assignments, selection and development methods, and seeks assistance from experts rarely. The incumbent works ,
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