The Supervisory Advanced Practice Provider oversees Physician Assistants and Nurse Practitioners at the DHS IHSC facility, training, and schedules. Provides direct detainee care, performs evaluations, and prescribes medications. Requires licensure, certification, and 6+ years clinical experience. The Supervisory APP reports directly to the facility Clinical Director.
This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible for this position.
DUTIES AND RESPONSIBILITIES:
- Serves as the direct supervisor and rater to federal Advanced Practice Providers (APP) to include both Physician Assistants and/or Nurse Practitioner at IHSC sites.
- Provides leadership and oversight of APP onboarding and training.
- Participates in national APP training initiatives as required.
- Assist as required in the credentialing and privileging processes.
- Oversees the APP peer review processes.
- Augments clinical leadership in collaboration with the clinical director.
- Coordinates APP work schedule at the IHSC sites.
- Coordinates regular on-site APP meetings and in-service training as required.
- Serves as Acting Regional APP or Acting Chief APP as required.
- Provides direct care to detainees via scheduled appointments, emergency or urgent care visits.
- Works within and performs functions as outlined in the IHSC Advanced Practice Provider (APP) Collaborative Practice and Prescriptive Authority Agreement. (CP/PAA).
- 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 detainee medical complaint.
- 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.
- 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.
- Maintains basic readiness for duty.
- Maintains current CPR/BLS certification.
- Maintains clinical professional skills via continuing education opportunities.
- Completes all training as required/assigned.
- Maintains flexibility and adaptability to sudden changes in schedules and work requirements.
- Performs other duties and responsibilities as assigned.
- You must be a U.S. citizen to apply for this position.
- You must successfully pass a background investigation.
- You must successfully pass a drug screen.
- Males born after 12/31/59 must certify registration with Selective Service.
- Requirements by Closing Date: Unless otherwise noted, you must meet all requirements by the closing date of the announcement.
- Service Remaining Requirement Agreement: Upon appointment to this position, officers will be required to serve an 18 to 24-month commitment to IHSC.
- ASSIGNMENT PAY AGREEMENT: You must not have a current Assignment Pay Agreement. However, if you have a current Assignment Pay Agreement, it must be fulfilled within 90 days of your application submission.
- Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible for this position.
- PHS officers must participate in IHSC TDY On-Call Schedule (ITOS.) ITOS is either an entire month or two 16-day periods a year where, depending on the needs of the agency, the officer is required to be available to serve.
COMPETENCIES:
- Superior oral/written communication skills.
- Analytical Skills and ability to navigate complex system.
- Strong interpersonal and active listening skills.
- Strong organizational and time management skills.
- Demonstrates strong problem solving, judgment and decision-making skills.
- Demonstrates Integrity/Honesty and Cultural Competency.
- Requires physical exertion such as lifting objects greater than 30 pounds.
- Required to perform CPR/emergency care standing or kneeling.
- 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 characteristics that will be required when responding to an emergency situation, such as running a short distance, prolonged standing and working in an austere environment.
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:
- Physician Assistant - Requires unrestricted Physician Assistant state license, national board certification through the National Commission on Certification of Physician Assistants (NCCPA).
- Current Licensure as a Physician Assistant - Certified by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States.
- Graduate from a Physician Assistant Program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Certified as a PA-C by 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.
- Requires more than six years of full-time clinical experience as a PA or NP or approval of the IHSC Chief Advanced Practice Provider.
- Team lead or supervisory experience of more than two years.
- Fulfills the obligation(s) of their licensing or certifying body to maintain currency.
- Maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications.
- Experience in IHSC health system.
- Correctional Healthcare experience.
- 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
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 will report directly to the site Clinical Director. This is a supervisory position. The Regional Advanced Practice Provider serves as the incumbent's reviewing official.
IHSC has a multi-sector, multidisciplinary workforce of more than 1600 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 20 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:
HHS SUPERVISORY CONTROLS:
SUPERVISORY CONTROLS:
The Supervisory Physician Assistant or Nurse Practitioner works under the supervision of the Clinical Director.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
You will be evaluated for this job based on how well you meet the qualifications above.
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.
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
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
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.
IHSC Recruiting
Email
IHSCrecruiting@ice.dhs.gov
Address
ERO-DRO-IHSC Public Health Service
500 12th Street SW
Washington, DC 20536
US
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.
Accepting applications
Open & closing dates
10/04/2025 to 09/30/2026
Salary
$1 to - $150,000 per year
Please note that the salary is dependent on the officer's rank, years in service, and location of duty station.
Location
1 vacancy in the following location:
Travel Required
25% or less - You may be expected to travel for this position.
Relocation expenses reimbursed
Yes—You may qualify for reimbursement of relocation expenses in accordance with agency policy.
Appointment type
Permanent
Job family (Series)
- 0603 Physician Assistant
- 0610 Nurse
Position sensitivity and risk
Critical-Sensitive (CS)/High Risk
Trust determination process
- Credentialing
- Suitability/Fitness
Bargaining unit status
No
Announcement number
IHSC-APP-TWA-O5-S-2026
