Advanced Practice Provider (O-3/O-4/O-5 Position Grade) Non-supervisory

Immigration and Customs Enforcement

Tacoma, WA

JobSummary

The Physician Assistant (PA) or Nurse Practitioner (NP) provides direct detainee care, including evaluations, minor procedures, and medication prescriptions. Coordinates referrals, ensures policy compliance, and mentors APPs. Requires licensure and certification. The incumbent reports directly to the Supervisory APP. If no Supervisory APP is on-site, the incumbent reports to the facility Clinical Director. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.

LowGrade

HighGrade

PromotionPotential

None

SubAgencyName

ICE Health Service Corps (IHSC)

OrganizationCodes

HS/HSBB

Relocation

True

HiringPath

public

MCOTags

TotalOpenings

AgencyMarketingStatement

The Department of Homeland Security (DHS) is calling on those who want to help protect American interests and secure our Nation. DHS components work collectively to prevent terrorism; secure borders and our transportation systems; protect the President and other dignitaries; enforce and administer immigration laws, safeguard cyberspace; and ensure resilience to disasters. We achieve these vital missions through a comprehensive workforce spanning hundreds of occupations. Make an impact; join DHS. The mission of U.S. Immigration and Customs Enforcement (ICE) is to protect America from the cross-border crime and illegal immigration that threaten national security and public safety. ICE focuses on smart immigration enforcement, preventing terrorism, and combating the illegal movement of people and goods. ICE is the principal investigative arm of DHS and the second largest investigative agency in the federal government. Created in 2003, through a merger of the investigative and interior enforcement elements of the U.S. Customs Service and the Immigration and Naturalization Service, ICE has more than 20,000 employees in more than 400 offices in the United States and around the world. ICE is a key component of the DHS layered approach to protecting our nation from a wide range of threats. For additional information about ICE and career opportunities, please visit www.ice.gov.

TravelCode

ApplyOnlineUrl

https://apply.usastaffing.gov/Application/Apply

DetailStatusUrl

https://apply.usastaffing.gov/Application/ApplicationStatus

MajorDuties

DUTIES AND RESPONSIBILITIES: DUTIES AND RESPONSIBILITIES (O-3 & O-4 Billet): A physician assistant or nurse practitioner who practices in conformance with established criteria, guidelines, and agency procedures. Efforts are directed toward the enhancement of the physical, emotional, and social well-being of individuals. Judgmental failure could seriously affect the health status of one or more individuals. Decisions are reviewed as needed with medical officers or other advanced practice providers. Provides health care of a scope, quality, and quantity consistent with agency and PHS policies. Primary contact is with persons outside the immediate work environment, but within the agency. This includes the general public and patients. The primary mission is to meet their health care needs, obtain and provide information, present reports, and further the goals and objectives of the PHS and the agency. 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. Coordinates health care needs of detainees including referrals to off-site consultants. Takes appropriate infection control actions in accordance with IHSC policy and guidance. Completes all training as required/assigned. Attends on-site, regional, and national meetings as required. O-4 level participates in the APP Peer Review process. Performs other duties and responsibilities as assigned. DUTIES AND RESPONSIBILITIES (O-5 Billet): 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 2 3/6/2019 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, in compliance 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.

Education

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-3 & O-4 Billet): Individuals applying for an O-3 billet / GS equivalent are a new graduate or have no clinical experience. Upgrade to O-4 is dependent upon adequate performance. Individuals applying for O-4 / GS equivalent have one year of clinical experience as a PA or NP, are officers currently in an O-4 billet, or approved by the Deputy Medical Director. Meet the minimum education and certification requirements for either a nurse practitioner or physician assistant. Nurse practitioner. Requires unrestricted Family Nurse Practitioner or Adult-Gerontology Nurse Practitioner state license, national board certification through the American Academy of Nurse Practitioners (AANP) or the American Nurse Credentialing Center (ANCC). Current licensure as a Nurse Practitioner - Certified by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Certified advance practice nurse practitioner degree from a graduate school of training program approved for this qualifying degree. Knowledge of the Nurse Practice Act for the licensing state and/or the state in which one practices nursing. Physician assistant. Must possess an accredited bachelor's, or master's degree, and completed a physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), national certification through the National Commission on Certification of Physician Assistants (NCCPA), and an unrestricted physician assistant state license. 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. If applicable, 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: Experience in correctional health care Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. Knowledge of public health preparedness, infection control and TB management ACLS certification DEA Buprenorphine X Waiver certification REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-5 Billet): Requires more than 4 years of full-time clinical experience as a PA or NP or approval of the IHSC Medical Director. Team lead or supervisory experience. 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 or Adult-Gerontology Nurse Practitioner state license, national board certification through the American Academy of Nurse Practitioners (AANP) or the American Nurse Credentialing Center (ANCC)." Current licensure as a Nurse Practitioner - Certified by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Certified advance practice nurse practitioner degree from a graduate school of training program approved for this qualifying degree. Knowledge of the Nurse Practice Act for the licensing state and/or the state in which one practices nursing. 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. 3 3/6/2019 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

Requirements

Evaluations

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.

HowToApply

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 09/30/2026. 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.

WhatToExpectNext

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.

RequiredDocuments

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 Cover Letter/Letter of Interest. Degrees. (Place under "Diploma/GED") Professional license. (If applicable) Additional professional certificates. (If applicable) Three professional references. (i.e., name, title and contact information) Official USPHS Promotion CV - e.g., relevant experience, education, training. (Place under "USPHS Promotion CV") You may provide a civilian resume in addition to the USPHS Promotion CV to capture all relevant work experience. A copy of your Certificate of Investigation (located in your eOPF). *Three most recent Commissioned Officer Effectiveness Reports (COER). (Place under "Performance Appraisal") For IHSC USPHS officers only, a copy of your current Service Remaining Requirements Agreement. 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 Cover letter/Letter of Interest. Please include location preference here. Degrees. (Place under "Diploma/GED") Professional license. (If applicable) Additional professional certificates. (If applicable) Three professional references (i.e., name, title, and contact information) CV - e.g., relevant experience, education, training. (Place under "USPHS Promotion CV") U.S. Public Health Service - Appointment Board Decision Letter/Email or a screenshot of AES dashboard to the United States Public Health Service

Benefits

BenefitsUrl

https://www.usphs.gov/salary-and-benefits

OtherInformation

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), Office of Deputy Assistant Director of Clinical Services. This is a non-supervisory position. O-3 & O-4 Billet 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), Office of Deputy Assistant Director of Clinical Services. The incumbent reports directly to the supervisory advanced practice provider. If no supervisory advanced practice provider is on-site, the incumbent reports to the facility clinical director. The regional advanced practice provider serves as the incumbent's reviewing official. O-5 Billet 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), Office of Deputy Assistant Director of Clinical Services. The incumbent reports directly to the Supervisory Advanced Practice Provider. If no Supervisory Advanced Practice Provider is on-site, the incumbent reports directly to the facility Clinical Director. This is a non-supervisory position. The Regional Advanced Practice Provider serves as the incumbent's reviewing official. IHSC has a multi-sector, multidisciplinary workforce of more than 1400 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 23 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. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground and at sea. DHS SUPERVISORY CONTROLS: DHS ICE ERO HHS SUPERVISORY CONTROLS: DHHS USPHS CC SUPERVISORY CONTROLS: The Physician Assistant or Nurse Practitioner works under the general administrative supervision of the Health Services Administrator (HSA) with clinical oversight provided by the Clinical Director or designee. ???????Incumbent plans and carries out the successive steps and handle problems and deviations in work assignments in accordance with guidance and USPHS instructions and policies or by accepted standards of care. Work is reviewed for professional judgment and attainment of objectives.

KeyRequirements

WithinArea

False

CommuteDistance

ServiceType

AnnouncementClosingType

AgencyContactEmail

IHSCrecruiting@ice.dhs.gov

SecurityClearance

Other

DrugTestRequired

True