This Position is Contingent on Contract Award. Under the direction of the National Medical Director, physician supervisors, and advanced practice providers and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP), contracted Certified Medical Assistants deliver healthcare services to persons in custody in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS) directives for the delivery of healthcare services to persons in custody.  Certified Medical Assistants work to assure delivery of quality healthcare services in accordance with the SOW for the medical services contract within medical units at U.S. Customs and Border Protection sites including, Office of Field Operations (OFO) ports of entry, U.S. Border Patrol Border (USBP) Stations. Performs the clinical responsibilities as agreed upon by the National Program Director.  Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females. MISSION  CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004). This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners) and support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed.Duties and ResponsibilitiesInitiates and maintains compliance with DHS and CBP policies, federal regulations and any overriding accreditation standards that may apply.  Maintains compliance with standard operating procedures and protocols.  Maintains patient confidentiality and privacy of medical records.  Performs record keeping functions in accordance with program policies and the system of records management.  Utilizes the electronic medical record and must maintain an “active status” for use and complete all required trainings.  Utilizes the electronic medical records system for all documentation, to include, but not limited to all patient care, monitoring, medication administration/observation documentation, and input or scanning of any paper records as applicable.  Maintains non-involvement in the security aspect of patient care and custody.  Attends general staff meetings and participates with medical quality management initiatives and reviews as applicable.  Assures a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis.  Performs quality control of laboratory reagents, collects specimens, and performs CLIA waived testing.  Completes all annual training as directed.  May be required to travel.  May be required to serve at various medical units within sector/region.  Provides care and treatment of patients throughout the life span as appropriate to discipline and medical unit setting.  Is expected to respond to medical emergencies for persons in custody, visitors or employees within the scope of their license and certifications until emergency services arrive.  Obtains medical history, performs interviews, and completes all necessary charting requirements including vital signs on patients entering the facility. Any medical concerns or questions are referred to the Advanced Practice Provider (APP), Physician, or EMT.  Assists with gathering patient information or data during routine medical care.  Assists with minor care, treatments, or procedures under the guidance of the APP, Physician, or in assistance of a EMT, or Paramedic. Performs care through consultation with covering physician or APP to work within the guidance of Standing Orders or Protocols set in place by a physician.  Participates as a member of the healthcare team to ensure that needed equipment, supplies, and logs are available, clean, functional, maintained, completed, and up to date as applicable.  Completes and passes all discipline specific competencies testing, initially, annually, and as required. Works within the scope of their license and certifications performing direct patient care as directed or indicated.  Provides direct care to patients that may include:  Assistance with feeding and/or meal set up  Assistance with basic hygienic measures and/or activities of daily living  Assistance with ambulation or transfer for those injured of with disabilities  Vital signs and interview  Participates with Medical Quality Management initiatives, processes, audits, studies, or committees as required.  Performs other duties and responsibilities as assigned within the scope of their license and certifications. This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.
