INTRODUCTION:
The ICE Health Services Corps (IHSC) exists within the organizational structure of the United States Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO) under the supervision of the Department of Homeland Security (DHS). The United States
Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. IHSC serves as the medical experts for ICE for detainee health care.

MISSION:
IHSC’s mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system, based on nationally recognized correctional, detention and residential health care standards. The Agency is committed to providing healthcare services to protect the nation’s health, reduce global disease and provide medical support for the law enforcement mission of the safe apprehension, enforcement and
removal of detained individuals involved in immigration proceedings. IHSC is committed to ensuring a system of care that is ethical, responsible, and accountable through rigorous surveillance and monitoring activities.

MAJOR DUTIES & RESPONSIBILITIES:

1. Provides direct care to patients within discipline Scope of Practice and performs functions in accordance with current accepted practice, licensure, certification, credentialing and or granted privileges.
2. Provides treatment of persons throughout the life span as appropriate to discipline and facility setting.
3. May be expected to respond to and or coordinate response to medical emergencies.
4. May be required to see patients outside of his/her expertise but within his/her scope of practice.
5. Completes age appropriate history and physical assessment for routine, acute, chronic and complex medical conditions.
6. Performs physical assessments on patients, to include but not limited to gynecologic, EKGs, and/or neurological exams.
7. Assess, treat and evaluate patients who represent with medical complaints during sick call, walk-ins and/or chronic care clinics.
8. Provides emergency and First Aid treatment to include but not limited to suturing, when required.
9. Performs minor surgical procedures as needed.
10. Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
11. On a weekly or as needed basis, reviews/re-evaluates cases requiring ongoing medical/pharmaceutical intervention.
12. Complete orders recommended/authorized by the physician.
13. Plant and reads tuberculin skin test (purified protein derivative – PPD) and provides Direct Observation Therapy (DOT) of INH/B6 to those residents requiring it.
14. Provides relevant patient health education to residents verbally and/or with handouts.
15. Documents and update medical/psychiatric Problem List in the resident’s medical record and initiates a treatment plan.
16. Collaborate with the multidisciplinary team members regarding the health care needs of the residents and coordinate referrals to off-site providers as required.
17. Maintains safety when ordering/dispensing medications and is continually cognizant of the potential hazard of drug hoarding and trafficking among residents.
18. Properly disposes of all sharps to include but not limited to needles and syringes according to hazardous waste, infection control and safety guidance.
19. Assists in the disposal of biologically hazardous wastes on a regular basis as needed.
20. Collect blood, urine, sputum, culture specimens, etc. and performs laboratory analysis for early detection of communicable and/or other contagious diseases.
21. Orders and interprets diagnostic and therapeutic tests relative to the resident’s age-specific needs.
22. Initiate direct and indirect action to isolate and quarantine cases and provide health, safety and treatment/management for all employees and patients at the facility when
contagious/communicable illnesses have been identified.
23. If a Short Stay Medical Health Unit is onsite, incumbent may do daily rounds on patients and notify the Clinical Director, Staff Physician, or Clinical Services Manager of any abnormal findings.
24. May assist with providing radiological services according to the scope of practice in the state licensed. These services will be primarily to conduct tuberculosis surveillance i.e. digital single view chest x-rays.
25. Consult with Clinical Services Manage, Clinical Director or staff physician for management of complex medical conditions.
26. Performs record keeping functions in accordance with program policies and position.
27. Maintains functional proficiency and ease of use utilizing electronic health records as required by, and appropriate to, position.
28. Completes and passes all discipline specific competencies testing, initially and annually.
29. Completes all initial, annual and ad hoc training as required/assigned.
30. Maintains patient confidentiality, and confidentiality of medical records, in compliance with the Privacy Act and HIPAA regulations in all work activities.
31. Adheres to, and maintains awareness of, IHSC Policies, Procedures, Directives, Operational Memoranda and accreditation standards as prescribed by ICE/IHSC.

DUTY HOURS/ON-CALL REQUIREMENTS:
IHSC operates 365/24/7 you may be required to respond telephonically during emergency call back roster activation.
1. This full time position is required to provide rotational on-call coverage and may need to return to the facility during non-core hours to provide care.
2. This full time position requires availability to work day and evening shifts.

Skills

REQUIRED EDUCATION AND EXPERIENCE:
Degree issuing institution and or program must be accredited by an entity recognized by the U.S. Department of Education
1. Graduate from an accredited Physician Assistant program located in a State, the District of Columbia, or a U.S. territory. Must be accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessors.
2. Must have a minimum of six months of clinical provider experience in direct patient care as a licensed Physician Assistant, or the approval of IHSC’s Medical Director based on the receiving sites ability to mentor and teach the newly licensed provider.

REQUIRED LICENSURE/CERTIFICATION:
1. Must have an unrestricted, current Physician Assistant license in the state in which the duty station is located. Any changes to license must be reported to employer immediately.
2. Board Certification as a Physician Assistant by the American Board of Medical Specialties (ABMS) or National Commission on Certification of Physician Assistants (NCCPA).
• Candidates not board certified at the time of hiring must be presented to the IHSC Medical Director for concurrence.
• Physician Assistants not completing board certification within 18 months of hire will not be considered qualified.
3. This position does not require privileging by IHSC.
4. Maintains BLS for Healthcare Providers® certification through the American Heart Association.


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