Senior Clinical Nurse, Medical Asset Support Team (O-5 Billet) Non-Supervisory at Immigration and Customs Enforcement

Senior Clinical Nurse, MAST provides direct nursing care during TDY assignments at IHSC-staffed facilities and supports nursing operations, training, policy, quality assurance, and clinical improvement projects. Requires RN licensure, BLS/CPR, 5+ years clinical/nursing management experience, readiness to travel, strong leadership, documentation, and communication skills. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.

Major duties

• DUTIES AND RESPONSIBILITIES: Clinical Care and Support o Provides direct patient care to non-citizens at IHSC-staffed facilities on temporary duty (TDY) assignments. Travel is a critical component of this position. While travel is generally expected to comprise approximately 50% of the incumbent's duty time, additional travel, including emergency and short notice assignments, may be required to support IHSC mission needs. Assignments may involve both domestic and international destinations based on operational priorities. Candidates must be prepared to travel on short notice and for extended periods, including overnight stays, and to work outside standard business hours as needed during travel. All travel will be conducted in accordance with agency policies and procedures. o Practices nursing in accordance with national, state, and local laws and regulations, IHSC policies, directives, guidelines, and accreditation standards. o Practices in accordance with IHSC Nursing Services Unit (NSU) Clinical Nursing Scope and Standards of Practice and Code of Ethics, nursing competencies, orientation/training, and nursing post orders. o Maintains clinical professional skills through continuing education and daily practice; demonstrates proficiency in a wide range of nursing concepts, including correctional health, mental health, medical-surgical, ambulatory, and emergency care. o Conducts nursing assessments, obtains medical histories, performs triage, and provides direct nursing care and procedures as ordered, including medication administration, immunizations, laboratory specimen collection, etc. in accordance with Lippincott Procedures Manual. o Performs comprehensive and holistic assessments, applied evidence-based analysis to prioritize patient needs, and refers patients to higher levels of care as needed. o Documents all patient encounters accurately and timely in accordance with IHSC policy, using S.O.A.P.E. format and electronic health records. o Responds to emergency medical calls and provides emergency treatment as required. o Provides patient teaching and health education, utilizing interpretation and translation services as needed. o May serve as clinic coordinator, acting nurse manager (NM) or charge nurse during TDY assignments, providing guidance and oversight to federal and contract nursing staff (RNs, LVNs/LPNs, CNAs). o Assists health services administrators (HSA) and NMs in oversight of contract nursing staff, training, and completion of onsite review of nursing competencies during TDY assignments. o May serve as a medical escort for detainees during domestic or overseas travel under the direction of the IHSC Special Operations Unit. o Performs other clinical duties as assigned. Program and Administrative Support o Supports assigned programs and projects within the clinical services division when not engaged in direct clinical care. o Participates with NSU in the development, review, and implementation of nursing policies, procedures, and corrective action plans to resolve issues related to the delivery of nursing care. o Assists with orientation, training, and competency review for new nursing staff; develops and delivers nursing education in-services and training modules. o May function as a consultant for clinical advisory tasks, policy guidance, and quality measures as required by IHSC leadership. o Collaborates with the NSU leadership and NMs when TDY to assess and improve the effectiveness of orientation and training processes. o Ensures proper utilization and documentation of translation services in the medical record and provides corrective actions as necessary. o Monitors compliance with IHSC policy, accreditation standards, and documentation requirements; participates in internal assessments and implements process improvements as needed in collaboration with NSU leadership. Collaboration and Communication o During TDY assignments, collaborates with site leadership, including HSA, NM, Clinical Director (CD), and multidisciplinary teams to establish and maintain processes and procedures that meet all applicable medical and operational standards. o May serve as a member of the local leadership team (TRIAD) in the absence of the NM, working in partnership with NSU leadership and the local HSA and CD to support clinic operations and nursing standards. o Communicates nursing operational and quality issues to site NM, Regional Nurse Manager (RNM), or Chief Nurse (CN) and participates in NSU hosted meetings, as needed. o Provides input into nursing treatment plans, assists with identification of special needs accommodations, and follows up on care as needed. o Maintains collaborative relationships with other healthcare disciplines and outside agencies (e.g., CDC, state/local health departments). Job duties continue in additional information section below

Qualifications

PHYSICAL DEMANDS: Must be able to perform duties in a fast-paced environment without physical limitations. Requires physical exertion such as lifting objects greater than 30 pounds. Must have the ability to assist sick, injured, or aging detainees or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self). The work may necessitate some physical demands that will be required when responding to an emergency, such as running short distances, prolonged standing, and working in an austere environment. Sitting and/or standing for extended periods of time (6-8 hours). Required to perform CPR/emergency care standing or kneeling.