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), Office of the Deputy Assistant Director of Health Systems Support, Health Operations Unit. This is a 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: Serves as the supporting Responsible Health Authority (RHA), overseeing the day-to-day operations of the healthcare services mission within the facility. Ensures the organization and delivery of health care in the facility maintains compliance with all applicable policies, accreditation standards, laws, and regulations. Collaborates with the RHA, Clinical Director, and Nurse Manager, as a function of the leadership Triad, to establish necessary processes and procedures ensuring provision of consistent, high-quality standards of care are equally accessible by all detainees. Assists HSA in role as final approving authority for the facility schedule to support the mission. Maintains a collaborative working relationship with ICE-ERO, Custody, and outside agencies as applicable. Performs supervisory responsibilities to government employees within their rating chain and manages personnel issues, and potential resolutions when applicable. Provides training and mentoring of the Facility Healthcare Program Manager (FHPM). Assists HSA in addressing all other government personnel issues through their respective supervisory chain of command. Assists HSA in maintaining full responsibility for planning, directing, organizing, coordinating, and controlling overall administrative operations through supporting managers who possess technical expertise in their respective areas. Collaborates with the HSA, RHSA and Chief of Health Operations regarding complex personnel and operational issues, providing potential resolutions. Employs high level judgment, analysis and decision-making skills when delegating tasks and responsibilities to the multidisciplinary workforce. Assists HSA in providing program direction to supporting managers in various administrative areas for necessary mission accomplishment and accreditation standards. Serves as alternate Government Technical Monitor (GTM) for all contracted services at the facility, to include: personnel/staffing services, translation services, laboratory services, biological and hazardous waste disposal services, air management services, medical and dental equipment inspection and recalibration services, radiology services. Assists HSA in monitoring on-site contracts to ensure services rendered are consistent with the contract. Assists HSA in reviewing all invoices and vouchers for accuracy in a timely manner in accordance with the Prompt Payment Act. Identifies and addresses discrepancies prior to validation. In conjunction with the HSA, collaborates with the headquarters contracting officer representative (COR) to ensure compliance with Federal Acquisition Regulations (FAR) policy for purchasing and procurement, and appropriate implementations of all contracts. Administer and monitor policies and procedures and identified objectives of all programs established by IHSC to include: staffing, training, records management, clinical services, nursing services, behavioral health services, pharmacy services, dental services, medical records, and administration; quality assurance programs, safety and security standards, public health, environmental control standards. Develop and implement policies and procedures at the local level that are coordinated with and supportive of clinic activities. Monitor compliance of all required elements within DHS/ICE/IHSC policies, regulations, and the rules of all associated accrediting bodies (ACA, NCCHC, PBNDS, FDS) by monitoring operations, performing internal assessments, and initiating changes where required. Monitors and directs all required programs, documentation, reports, and mission related data in accordance with established timelines, policy, and accreditation standards. Monitors incidents, sentinel events and potential litigation situations, providing documentation of corrective actions accordingly, to include developing, evaluating, and adjusting local operating processes and procedures. Ensures all required meetings are held and documented in compliance with established policies and accreditation standards. Ensures fiscal responsibility through appropriate management of the clinic budget. Ensures government furnished property and supplies which includes medical equipment and administrative supplies are properly accounted for and in good condition sufficient to meet mission requirements. Oversees the local government purchase program (P-Card) ensuring the proper level of medical equipment and supplies are available and accessible for full clinic operations. Effectively communicates resource and funding needs to the proper agency authorities with all required supporting documentation. Travel required up to 25% as directed by the Unit Chief of Health Operations. Requirements Conditions of Employment Qualifications PHYSICAL DEMANDS: This position is considered hazardous duty in a detention setting. Required to walk unaided at a normal pace for up to 5 minutes and maintain balance. Required to jog/fast walk up to ¼ mile. 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). Must be able to see, hear and smell with aids if necessary. Must be able to lift, push, or carry 30 pounds. Must perform the duties of my job in a stressful and often austere environment without physical limitations. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Minimum of a bachelor's degree in Healthcare Administration or related field of study preferred. Must have two years management experience as a uniformed service officer or a minimum of one year experience in health care administration as a uniformed service officer. 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 status. This position may be required to perform clinical activities with the scope of clinical license in times of critical needs within the agency. Obtains level II Contracting Officer Representative (COR) Certification within 12 months of hire. Maintains clinical and administrative professional skills via continuing education opportunities and completion of competencies to aid in support of TDY as needed. Correctional Health experience preferred. Knowledge of issues confronting the health care delivery system, including specific problems and concerns of special population groups. Flexibility and ability to adapt to sudden changes in schedules and work-related requirements. High degree of independence, initiative, and follow-through on a wide range of sensitive, complex, and program issues. Proven ability to respond 24/7 to staff for consultation. Maintains basic readiness status. Maintains current CPR/BLS certification. Additional Information The Assistant Health Services Administrator (AHSA) will report directly to the Health Services Administrator (HSA) with the Regional Health Services Administrator (RHSA) as reviewing official. The Assistant Health Services Administrator, as the supporting responsible health authority, serves as the alternate chair of the local leadership team (TRIAD) working in collaboration with the HSA, Clinical Director (CD) and Nurse Manager (NM). This is a supervisory position. Incumbent serves as the Assistant Health Services Administrator for one of the ICE Health Service Corps (IHSC) medium to large health care facilities or medium to large staging facilities located across the nation. A medium to large facility and a medium to large staging facility are defined as greater than 400 beds, generally houses complex medical patients, and has medical housing unit (sub-acute inpatient) capacity. Staffing is a complement of Public Health Services (PHS) Officers, federal General Schedule (GS) employees, and contractors totaling 41 or more for medium to large facility and 71 or more for medium to large staging facility. The AHSA supervises the Facility Healthcare Program Manager, GS Medical Records Technicians (MRT) and GS Radiology Technicians (RT). The AHSA serves as the alternate Government Technical Monitor (GTM) for all contract personnel and collaborates with the HSA, CD, and NM in monitoring all federal staff. IHSC provides direct care daily to approximately 15,300 detainees housed at 20 designated facilities throughout the nation. The health care provided includes medical, dental, and mental health care, and public health services. IHSC provides medical case management and oversight for an additional 22,600 detainees housed at approximately 112 non-IHSC staffed detention facilities daily across the country. In addition, IHSC oversees the financial authorization and payment for off-site specialty and emergency care services for detainees in ICE custody. The ICE detainee population is approximately 34,000 detainees daily, with an average length of stay of approximately 30 days, surpassing 400,000 detainees annually. IHSC provides medical support during ICE enforcement operations in the air, on the ground and at sea. SUPERVISORY CONTROLS: Incumbent reports to the Health Services Administrator. 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 policies, regulations, accreditation standards, precedents, and work direction for application to specific situations and work products. The officer analyzes requirements and recommends changes in guidelines and program policies. Innovations and modifications to accepted procedures must be approved and clearly documented. The officer keeps the supervisor informed of the status on projects and consults with him/her on any significant problems encountered.
