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Psychiatric Nurse Practitioner- Immigration Health
at STG International
STG International is currently seeking Psychiatric Mental Health Nurse Practitioners to work full-time providing medical care to detainees in custody in support of ICE Health Service Corps at the Immigration and Customs Enforcement Medical Facility.
The ICE Health Services Corps (IHSC) exists within the organizational structure of the United States Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO) under the supervision of the Department of Homeland Security (DHS). The United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services. IHSC serves as the medical experts for ICE detainee health care.
IHSC’s mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system, based on nationally recognized correctional, detention and residential health care standards. IHSC is committed to providing health care services to protect the nation’s health, reduce global disease and provide medical support for the law enforcement mission of the safe apprehension, enforcement and removal of detained individuals involved in immigration proceedings. IHSC is committed to ensuring a system of care that is ethical, responsible, and accountable through rigorous surveillance and monitoring activities.
ATTRIBUTES AND PROFESSIONAL QUALITIES
- Strong oral and written communication skills.
- Excellent interpersonal skills.
- Critical thinking skills.
- Cultural competency.
- Integrity and honesty.
- Verbal and written proficiency in Spanish (preferred, not required).
REQUIRED EDUCATION AND EXPERIENCE
- Graduate from an accredited Psychiatric Mental Health Nurse Practitioner (PMHNP) program located in the United States the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S.
- Department of Education.
- A minimum of one year of clinical provider experience in direct patient care as a board certified PMHNP. The government may waive the one year experience requirement based on the receiving site’s ability to mentor and teach the newly licensed provider.
- Experience in a detention/correctional or residential health care setting (preferred, not required).
- Maintains current board certification as PMHNP by the American Nurse Credentialing
- Center (ANCC) or the American Association of Nurse Practitioners (AANP).
- Must have an unrestricted, current RN and Advanced Practice Registered Nurse license in the state in which the duty station is located. Any changes to license must be reported to employer immediately.
- Must have an unrestricted DEA license in the state in which the duty station is located.
- Maintains BLS for Healthcare Providers® certification through the American Heart
- This position does not require privileging by IHSC.
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
- Knowledge of and ability to apply professional nursing principles, procedures, and techniques to patient care.
- Knowledge of drugs and therapeutics when prescribing and dispensing medication.
- Practical knowledge of laboratory procedures and guidelines.
- Ability to properly use equipment, materials and supplies in simple diagnostic and treatment procedures.
- Ability to utilize telephonic interpreter/translation services to complete assigned duties if not fluent in a language the detainee understands.
- Ability to adapt to sudden changes in schedules and flexibility in work requirements.
- Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers, and other stakeholders.
- Ability to establish and maintain positive working relationships in a multidisciplinary and multi-lingual environment.
- Ability to navigate in an electronic work environment including electronic health records, web based training and communications.
- Knowledge of, and moderate proficiency in, common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook and SharePoint.
- Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII).
- Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills.
- Knowledge of forensic psychiatry and nursing concepts and principles – preferred
MAJOR DUTIES AND RESPONSIBILITIES
- The PMHNP functions within the scope of his/her specialty under the clinical oversight of the Chief of Psychiatry, the Clinical Director (or designee), a designated consulting psychiatrist, and in accordance with a completed IHSC Scope of Practice agreement.
- The PMHNP operates under well-accepted practices and principles of psychiatric and medical care providers and in accordance with the IHSC Scope of Practice and as outlined in
- IHSC Policy. The incumbent consults with the Clinical Director (or designee), Psychiatrist, and other behavioral health providers for management of complex psychiatric conditions and in accordance with IHSC policy.
- The PMHNP works as a member of a multi-disciplinary team. The incumbent coordinates mental health patient care, and collaborative duties through scheduled appointments, sick call, or walk-ins.
- The PMHNP diagnoses and treats acute and chronic psychiatric disorders. This includes providing counseling, support, and prescribing various medications in accordance with the approved IHSC Scope of Practice and in accordance with IHSC policy. The incumbent coordinates off-site care as required
- Maintains safety when dispensing medications and is continually cognizant of the potential hazard of drug hoarding and trafficking among detainees
- Provides urgent or emergent mental health evaluation and initiates appropriate action based upon IHSC operating memorandums and policies, to include emergent use of involuntary chemical restraint.
- Follows IHSC policies in the management of significant mental illness including prevention of homicidal/suicidal ideation, plan or intent.
- Provides tele-psychiatry services in accordance with IHSC policy for patients at other IHSC facilities as required, and in all jurisdictions authorized to provide such services, to include:
- Working with the patient’s local primary care provider (PCP) to coordinate care for any identified medical concerns.
- Using IHSC video teleconferencing equipment and electronic medical records (EMR) software to examine and record the patient’s plan of care.
- If a Medical Housing Unit is onsite, may admit, discharge, and perform daily rounds on patients and notify Clinical Director (or designee) of any abnormal findings.
- Carries out orders authorized by the physician.
- Provides relevant health education to detainees verbally and/or with handouts.
- Completes all initial, annual and ad hoc training as required/assigned.
- Completes and passes all discipline specific competencies testing, initially and annually.
- Assists in the orientation and training of medical and mental health personnel in mental health policy and procedures.
- Maintains functional proficiency and ease of use utilizing electronic health records as required by, and appropriate to, the position.
- Performs record keeping functions in accordance with program policies and position.
- Documents all detainee encounters using the SOAP note format and signs/name stamps note
- Utilizes designated medical record system or electronic health record.
- Documents psychiatric problems on the problem list in the detainee medical record.
- Solicits and reviews mental health records for detainees.
- Maintains patient confidentiality, and confidentiality of medical records, in compliance with the Privacy Act and HIPAA regulations in all work activities.
- Adheres to, and maintains awareness of, IHSC Policies, Procedures, Directives, Operational Memoranda and accreditation standards as prescribed by ICE/IHSC.
- Assists with preparation for accreditation and ongoing compliance with standards as assigned.
- Adheres to IHSC’s Safety, Prevention, Infection and Control, Quality Improvement, Patient Education and other programs and collateral duties as appropriate to position. Participates in quality assurance/quality improvement activities as assigned.
- Attends general/mental health staff meetings
- Performs other duties as assigned.
DUTY HOURS / ON-CALL REQUIREMENTS
- IHSC operates 24/7/365; this position is required to respond during an emergency activation.
- This full time position is required to provide rotational on-call coverage and may need to return to the facility to provide care during the coverage period.
- This position requires availability to work day and evening shifts. Availability during weekends and holidays is also required.
- The incumbent will be required to provide on-call mental health duty coverage as needed after regular work hours and may need to return to the facility outside of normal work hours for urgent mental health needs.
- The Department of Homeland Security’s Personnel Security Unit (PSU) must render an Initial Preliminary Favorable Fitness for Duty Determination to be considered a qualified candidate.
- A Complete Favorable Fitness Determination must be rendered by PSU upon completion of initial, and between, subsequent background investigations to meet the requirements of this position.
- Required to walk unaided at a normal pace for up to 10 minutes and maintain balance.
- Required to respond to any medical emergency within 4 minutes, where a fast walk or jog may be necessary to provide assistance.
- 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 during an emergency (may require lifting, dragging, wheeling or carrying someone who weighs significantly more than self).
- Must be able to see, hear and smell with or without the use of aides if necessary (exceptions on a case by case basis).
- Must easily alternate between kneeling and standing.
- Must be able to lift, push, or carry 30 pounds.
- Must perform the duties in a stressful and often austere environment without physical limitations.
- Must be capable of standing on hard services (cement floors) for long periods of time.
This is a contract position and supervisory controls will be set forth by the contract vendor.
Technical oversight will be provided by the Government Technical Monitor (GTM).
STG International, Inc (STGi) is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients. Our services and solutions help our clients sustain and enhance their operations to better accomplish their mission.
STGi offers a competitive benefits package which includes Medical, Dental, Vision, 401k with company match and a generous PTO policy.