Clinical Nurse Manager (O-6 Billet) Supervisory

Summary

The Clinical Nurse Manager oversees nursing services at ICE facilities, ensuring compliance with laws, regulations, and standards. Responsibilities include supervising staff, managing operations, and conducting training. The role requires advanced nursing expertise, leadership, and adaptability in high-tempo environments, including detention & staging facilities.

This position is only open to current USPHS officers.

USPHS Call to Active Duty (CAD) candidates are not eligible for this position.

Duties

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PROFESSIONAL DUTIES AND RESPONSIBILITIES:

1. Understanding theories, concepts, principles, and their relationships underlying the practices of professional nursing to improve the efficiency and quality of work performed or to protect the quality of life or healthcare services.
2. Applying a range and depth of knowledge acquired specifically through an intensive learning regimen of the phenomena, theories, and concepts of a scientific body of nursing knowledge.
3. Creating, exploring, evaluating, designing, and sharing solutions and the validity of their predicted performance to resolve problems, conditions, and issues.
4. Identifying, analyzing, advising, consulting, and reporting on nursing, theoretical, and factual data, conditions, and problems, as evidenced by demonstrating strong oral/written communication and interpersonal skills.
5. Staying abreast of, and evaluating nursing subjects, analyses, and proposals in professional literature.
6. Assessing, resolving, and predicting the relationships and interactions of data and findings under varying conditions.
7. Reasoning from existing knowledge and assumptions in the nursing field to unexplored areas and phenomena.
8. Nurses collaborate with physicians and other healthcare professionals to develop the nursing care patient plan and determine how best to serve the nursing needs of particular patients or groups of patients.
9. Nurses evaluate execution of nursing-care plans to determine whether they are effectively meeting their goals. Based on those evaluations, they may recommend to nursing leadership any changes they believe necessary to advocate for the health and wellbeing of patients.
10. Nurses may function as consultants providing clinical advisory tasks related to such functions as developing and assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted by State or Federal health facility surveyors and in collaboration with IHSC Medical Quality Management Unit.

Requirements

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Conditions of employment

• 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.
  USPHS Call to Active Duty (CAD) candidates are not eligible for this position.
  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.

Qualifications

TECHNICAL HEALTHCARE DUTIES AND RESPONSIBILITIES:

1. Using and/or carrying out standard procedures for a specialized healthcare field.
   
   • Conducts interviews on newly admitted detainees with empathy to accurately identify needs and minimize and alleviate fears and anxieties.
   • Communicates and explains the institution's treatment programs to newly arrived detainees.
   • May serve as medical escort of detainees as needed for domestic/overseas travel under the direction of the IHSC Special Operations Unit.
   • Performs multiple complex tasks requiring advanced level of proficiency/independent functioning.
2. Applying basic nursing knowledge acquired through practical experience and on-the-job activities of accepted processes, standards, methods, and their corresponding scientific principles and results.
   
   • Plans and/or collaborates patient care interventions with other health care professionals using in-depth knowledge of the specific patient's status, anticipating physiological and/or psychological appropriate or adverse responses.
   • Maintains patient and health record confidentiality.
   • Demonstrates ability to work collaboratively, efficiently, and effectively with multidisciplinary healthcare team as evidence by improved patient outcomes and improved staff satisfaction.
   • In addition to contacts with patients and patients' families in a clinical setting, and within immediate work environment, communicates and collaborates with outside the immediate work environment with the department, and other federal departments or outside the federal government (e.g., CDC, TB Net, state/local health department and other federal partners. Requires face to face contact and telephone dialogue on a routine basis. Work purpose is primarily to collaborate; supply advice; explain, interpret, and seek support for methods, policies and programs; or render a service of a moderately complex nature requiring a moderate amount of explanation and tact.
3. Understanding and skill in applying predetermined procedures, methods, and standardized practices in a narrowly specialized healthcare field (nursing), or science, or in performing technical work requiring originality, initiative, and practical judgment in using and adapting standardized medical techniques and methods.
   
   • Maintains non-involvement in correctional security/custody responsibilities.
   • Coordinates the treatment and transport, if necessary, of acutely ill or injured patients with healthcare team; coordinates referrals to off-site providers as required.
   • Reviews nursing documentation in identified patient records to assess treatment progress, adequacy of record keeping, and implementation of appropriate clinical nursing guidelines/documentation on on-going basis.
4. Carrying out tasks, methods, procedures, and computations based on oral or written instructions and/or precedents, guidelines, and standards.
   
   • Provides nursing services of a scope, quality, and quantity consistent with IHSC policies.
   • Maintains security when administering medications; maintains cognizance at all times of the potential hazard of drug hoarding and trafficking among detainees.
5. Collecting, observing, testing, and recording factual and scientific data to monitor care of patients:
   
   • Differentiates between normal/abnormal findings, making appropriate notifications to higher level providers, and implementing appropriate interventions.
   • Applies knowledge of treatments and drug actions when making observations/ reporting patient response to treatments.
6. Foreseeing the effects of procedural changes or appraising the validity of results on the basis of experience and practical reasoning.
   
   • Collaborates with CD and HSA in identifying/recommending needed modifications/improvements to multiple and complex clinical programs for improved efficiency of patient care.
   • Collaborates with CD and HSA with developing new operating procedures or program plans.
7. Staying abreast of existing and new practical methods and applications through on-the-job and classroom training.
   
   • Serves as a team member for analyzing established protocol practices and identifying areas for improvement.
   • Reviews newly issued national directives and guides to identify updates in nursing practice; and implements training and education needed for employing the required process changes.
   • Knowledge of computerized data base, sources, and reporting methodologies.

PHYSICAL DEMANDS:

1. This position is considered hazardous duty in a detention setting.
2. Requires physical exertion such as lifting objects greater than 30 pounds.
3. 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).
4. The work may necessitate some physical characteristics that will be required when responding to an emergency situation, such as running short distance, prolonged standing and working in an austere environment.
5. Required to perform CPR/emergency care standing or kneeling.

Education

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

1. Competencies required:
   
   • Professional clinical nursing experience: 9 years
     
     • 4 years in a specialty area (experience in correctional health care preferred)
     • 4 years direct clinical patient care (e.g. inpatient) nursing experience preferred.
   • Administrative experience in a supervisory capacity: 3 or more years.
   • Maintains CPR/BLS certification.
   • Obtain CCHP-RN within 2 years of assignment.
   • Complete ICE Supervisory Leadership Training within 1 year of assignment and Advanced ICE Supervisory Leadership Training within 2 years of assignment.
   • Cultural competency maintained through agency/other training.
2. Qualifications-Degrees Required:
   
   • Baccalaureate Degree in Nursing.
     
     • Master's Degree in Nursing or related field preferred.
3. Qualifications-Licenses and Certifications Required:
   
   • Nursing License- Must be a Registered Nurse (RN).
     
     • Maintains current/documented professional licensure. (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position may be required to perform clinical activities with the scope of clinical license in times of critical needs within and at the direction of the agency.)
     • Professional credentials/certification appropriate to current job specialty.
4. Graduate of a professional nursing school approved by the appropriate State accrediting agency.
5. Knowledge of the Nurse Practice Act for the licensing state and the state in which one practices nursing.
6. Knowledge of a wide range of complex nursing concepts, principles, and practices to perform nursing assessments of considerable diversity to include mental health, medical/surgical, ambulatory, and emergency nursing care.
7. Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills, thereby requiring continuing professional clinical support.
8. Knowledge of correctional nursing concepts and principles.
9. Demonstrated evidence of knowledge of nursing management and leadership skills.
10. Knowledge of team building principles.
11. Knowledge of staff development and basic adult learner teaching skills.
12. Flexibility and ability to adapt to sudden changes in schedules and work requirements.
13. Follows supervisory chain of command.
14. Performs other duties and responsibilities as assigned.
15. Some travel may be required.

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 of Clinical Services (DAD-CSU). The Nurse Manager (NM) will report directly to the Regional Nurse Manager (RNM) with the Chief Nurse (CN) as reviewing official. The Nurse Manager serves as part of the local leadership team (TRIAD) the responsible health authority in collaboration with the clinical director and health service administrator. This is a supervisory position.

The nurse manager (Chief, Complex Unit) is stationed at a complex larger IHSC facility usually having over 500 beds and/or may have more complex medical housing units (sub-acute inpatient) and/or sustained increased operational tempo due to large staging mission or staging large enforcement and removal flights with global public health impact. The Nurse Manager (NM) oversees all nursing services and ensures that nursing practice, principles, and procedures are implemented in accordance with national, state, and local nursing laws and regulations. The nurse manager supervises the assistant nurse manager, serves as reviewing official for federal nursing staff at their respective facility, and serves as technical monitor for all contract nursing personnel.

SUPERVISORY CONTROLS:

The Nurse Manager will be supervised by the Regional Nurse Manager with Chief Nurse as reviewing official. The Nurse Manager serves as part of the local leadership team (TRIAD) the responsible health authority in collaboration with the clinical director and health service administrator.

The incumbent functions independently to ensure planning, development, implementation, and evaluation of entire projects or provision of complete services; may supervise programs or services that encompass several professional fields. Impact of error can cause impairment of a departmental level service or program.

The incumbent plans and organizes his/her own work, determines the sequence of assignments, selects and develops methods, and seeks assistance from experts only rarely. Assignments are usually long-term, recurring, or broadly defined. Work is reviewed for feasibility, compatibility with other work, and effectiveness in meeting requirements or expected results.

An extensive number of well-defined guides, methods, theories, and precedents are available. Situations to which existing guid