Summary 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). The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is a non-supervisory position. This position is only open to current USPHS officers. USPHS Call to Active Duty (CAD) candidates are not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: Serve as the medical subject matter expert (SME) for reviewing, monitoring, and reporting on serious medical illness cases for ICE noncitizens in custody. Provide guidance and consultation on medical conditions for noncitizens with significant clinical illnesses. Perform health record reviews, medical case monitoring, follow up, and provide written reports, placement coordination, and ensure continuity of care to critically ill noncitizens on the IHSC serious detainee illness (SDI) list. Manage the additions and removal for the IHSC SDI list. Communicate and meet regularly with the IHSC Regional Clinical Directors (RCDs) for ICE noncitizens\' health record screenings, reviews, and summations for significant medical cases requiring referrals and clinical transfers. Perform medical case monitoring on all medical hospitalizations of significantly ill (IHSC/ICE) noncitizens. Collaborate with internal and external stakeholders for complex medical cases from admission, throughout detention ensuring appropriate handoffs for releases and repatriation. Assist with identification of long-term placement and clinical services handoffs for serious medical cases. Coordinate safe release planning for serious clinical cases and special vulnerabilities as appropriate prior to release and removal for noncitizens who are determined to be incompetent by an Immigration Judge. Serve as primary point of contact (POC) for noncitizen hunger strikes, transgender, elderly and pregnancy noncitizens. Monitor and provide reports on noncitizens with medical concerns who are in segregation. Recommend and assist RCDs with alternative placement option transfers from detention facilities, hospitals and/or state and local facilities. Represent and provide medical updates for the clinical services division (CSD) at segregation (SEG) meetings, SDI meetings, multidisciplinary treatment team (MDTT) and other designated meetings providing written and verbal reports as needed. Utilize Milliman Care Guidelines (MCG) for referral reviews for adequacy/completeness guideline adherence communicating with RCDs for community referrals. Collaborate with Health Plan Management Unit for all hospitalization concurrent visits monitoring. Utilize unified patient tracking system (UPTS) for tracking and reporting serious clinical cases. Utilize IHSC electronic health record for IHSC noncitizen patients. Review, prioritize, initiate, assign and disseminate all serious clinically significant event notifications (SENs) for IHSC and non-IHSC facilities. Serve asthe intake officer for all clinical SENs. Act as POC for conducting research on the availability of health care services in the country of origin for noncitizen individuals upon request to assist in the repatriation process. Review and prepare responses to taskers from the IHSC Taskings Unit, stakeholder inquiries, investigative inquiries, or Congressional inquiries. Prepare, analyze and report data for serious clinical cases for the IHSC Clinical Leadership. Prepare and provide education to various audiences on selected clinical topics. Assist with coordination of air transport (air ambulance) for significantly ill noncitizensfor transfer and/or removal as needed. Collaborate with Behavioral Health Case Managers, Behavioral Health Clinical Consultants, Field Medical Coordinators, Utilization and Referral Coordinators, and others involved with complex clinical cases in ICE Custody. Contribute to IHSC policy, Clinical Practice Guidelines (CPGs), job aids, Standard Operating Procedures (SOP)s. Follow supervisory chain of command. Provide coverage and support to other MCMPC and MCMPM as needed (e.g., annual leave, TDY assignments, illness). Maintain clinical skills. Provide clinical care support at IHSC-staffed detention facilities with critical staffing needs through the IHSC Temporary Duty Assignment (TDY) On-Call Schedule (ITOS). Travel required-minimal (10%). Other duties as assigned. Requirements Conditions of Employment Qualifications PHYSICAL DEMANDS: Must be able to perform duties in a fast-paced environment without physical limitations. Sitting and/or standing for extended periods of time [6-8 Hours]. Performing repeated bending motion. Average manual dexterity for computer operation. Phone/laptop use for telephonic/virtual meetings for extended periods of time. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Must be a Registered Nurse, Advanced Practice Registered Nurse or Physician Assistant/Associate with clinical and case management experience. Minimum four years of clinical experience and two years of case management. If the incumbent holds a clinical license, it is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain current status. This position will require performance of clinical activities with the scope of clinical license. Continuing education requirements must be met as required for licensing and board certification maintenance. If a clinician, you will be placed on a rotational internal TDY schedule to assist with field clinical operations and obtain clinical hours. Performing clinical duties at an IHSC facility may require working any shift (morning, evening, nights) to include weekends or holidays. Ability to collaborate and work with effectively with multiple internal agency units, internal and external stakeholders as required, that may include working with agency attorneys and/or agency investigators. Maintains basic readiness status including CPR/BLS certification Strong communication skills with demonstrated ability to clearly and effectively communicate both orally and in writing. Demonstrated ability to maintain confidentiality of information; exercise judgment and discretion in handling and disseminating information. Ability to grasp conceptual ideas and use critical thinking skills in situations where consultation and evaluation are needed to offer sound suggestions/guidance; provide guidance/suggestions potentially with short notice. Demonstrated initiative, ability to function with high degree of independence, and follow through on taskings, projects and other work commitments. Demonstrated evidence of leadership skills Professional background in health care with direct patient care experience, preferably within a correctional/detention setting. Achieves and maintains nursing case management certification or nursing case management board certification through the American Nurses Credentialing Center ANCC or a Certified Case Manager through the Commission for Case Manager Certification within two years. Certification as a Correctional Health Professional preferred. Ability to plan and organize her/his own workload and travel schedule utilizing the IHSC policies. Flexibility and adaptability to sudden changes in schedules and work requirements. Knowledge and skill in all Microsoft Office programs. 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), Office of Deputy Assistant Director for Clinical Services IHSC Clinical Services Support Unit. The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is a non-supervisory position. As the Medical Case Management Program Coordinator (MCMPC), the incumbent will coordinate continuity of clinical services inclusive of medical and mental health care, for individuals in ICE custody, provide case coordination, monitoring and reporting on significantly ill noncitizens and long-term care noncitizens in custody at IHSC facilities and non-IHSC facilities pursuant to the IHSC national policies and procedures. The incumbent will liaise between ICE, IHSC and other designated stakeholders. SUPERVISORY CONTROLS: The incumbent reports to and works under the supervision of the Medical Case Management Program Manager. The employee receives general direction from the MCMPM and supervisory chain who outlines assignments and projects, establishes timeframes, and provides guidelines for scope of the assignment and possible approaches for completion of work. The employee independently develops work plans for the accomplishment of assigned objectives, carries out, assignments and advises the supervisor of changes, precedent setting, or controversial issue. The employee plans and organizes his/her own work, determines the sequence of assignments, selects, and develops methods, and seeks assistance from experts only rarely; works independently to resolve complex and unusual issues, through research, analysis and action; assists with development of conclusions and recommendations necessary to implement the objectives and policies. The incumbent uses initiative in carrying out assignments and independently develops solutions to deviations, problems, or unusual situations. The incumbent assignments are usually long-term, recurring, or broadly defined. The supervisor reviews completed work for soundness of overall approach, effectiveness in meeting requirements or producing expected results, the feasibility of recommendations, and adherence to requirements, and compliance with policies pertinent regulations, civilian accreditation agency requirements and standing operating procedures. May be required to collaborate and work effectively with internal agency stakeholders ICE/ERO/local custody as required, in order to explain, coordinate, interpret and seek support for policies, procedures, programs, plans or individual actions (often of a controversial and complex nature) in which an extensive amount of explanation and tact is required. Assignments are usually of a long-term, recurring or broadly defined nature. Officer plans, and organizes own work, determines sequence of assignments, selects and develops methods and seeks assistance from experts only rarely. Work is reviewed for attainment of objectives. Guidelines may be applicable to some but not all parts of assignment and may contain some inconsistencies and be partially unconfirmed. Selection and adaptation from available possibilities involving a moderate amount of modification and innovation is required. The officer uses judgment in interpreting and adapting guidelines such as PHS policies, regulations, precedents and work direction for application to specific cases.
