Hybrid Remote Medical Case Management Program Coordinator (O-5 Billet) Non-Supervisory (RN, APRN, PA-C)

Job Overview

  • Clinical License RN, APRN, PA-C
  • State(s) Nationwide


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). The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is a non-supervisory position.

This position is only open to current USPHS officers.
USPHS Call to Active Duty (CAD) candidates are not eligible for this position.




  1. Serve as the medical subject matter expert (SME) for reviewing, monitoring, and reporting on serious medical illness cases for ICE noncitizens in custody. Provide guidance and consultation on medical conditions for noncitizens with significant clinical illnesses.
  2. Perform health record reviews, medical case monitoring, follow up, and provide written reports, placement coordination, and ensure continuity of care to critically ill noncitizens on the IHSC serious detainee illness (SDI) list. Manage the additions and removal for the IHSC SDI list.
  3. Communicate and meet regularly with the IHSC Regional Clinical Directors (RCDs) for ICE noncitizens’ health record screenings, reviews, and summations for significant medical cases requiring referrals and clinical transfers.
  4. Perform medical case monitoring on all medical hospitalizations of significantly ill (IHSC/ICE) noncitizens.
  5. Collaborate with internal and external stakeholders for complex medical cases from admission, throughout detention ensuring appropriate handoffs for releases and repatriation.
  6. Assist with identification of long-term placement and clinical services handoffs for serious medical cases.
  7. Coordinate safe release planning for serious clinical cases and special vulnerabilities as appropriate prior to release and removal for noncitizens who are determined to be incompetent by an Immigration Judge.
  8. Serve as primary point of contact (POC) for noncitizen hunger strikes, transgender, elderly and pregnancy noncitizens.
  9. Monitor and provide reports on noncitizens with medical concerns who are in segregation.
  10. Recommend and assist RCDs with alternative placement option transfers from detention facilities, hospitals and/or state and local facilities.
  11. Represent and provide medical updates for the clinical services division (CSD) at segregation (SEG) meetings, SDI meetings, multidisciplinary treatment team (MDTT) and other designated meetings providing written and verbal reports as needed.
  12. Utilize Milliman Care Guidelines (MCG) for referral reviews for adequacy/completeness guideline adherence communicating with RCDs for community referrals. Collaborate with Health Plan Management Unit for all hospitalization concurrent visits monitoring.
  13. Utilize unified patient tracking system (UPTS) for tracking and reporting serious clinical cases.
  14. Utilize IHSC electronic health record for IHSC noncitizen patients.
  15. Review, prioritize, initiate, assign and disseminate all serious clinically significant event notifications (SENs) for IHSC and non-IHSC facilities. Serve asthe intake officer for all clinical SENs.
  16. Act as POC for conducting research on the availability of health care services in the country of origin for noncitizen individuals upon request to assist in the repatriation process.
  17. Review and prepare responses to taskers from the IHSC Taskings Unit, stakeholder inquiries, investigative inquiries, or Congressional inquiries.
  18. Prepare, analyze and report data for serious clinical cases for the IHSC Clinical Leadership.
  19. Prepare and provide education to various audiences on selected clinical topics.
  20. Assist with coordination of air transport (air ambulance) for significantly ill noncitizensfor transfer and/or removal as needed.
  21. Collaborate with Behavioral Health Case Managers, Behavioral Health Clinical Consultants, Field Medical Coordinators, Utilization and Referral Coordinators, and others involved with complex clinical cases in ICE Custody.
  22. Contribute to IHSC policy, Clinical Practice Guidelines (CPGs), job aids, Standard Operating Procedures (SOP)s.
  23. Follow supervisory chain of command.
  24. Provide coverage and support to other MCMPC and MCMPM as needed (e.g., annual leave, TDY assignments, illness).
  25. Maintain clinical skills.
  26. Provide clinical care support at IHSC-staffed detention facilities with critical staffing needs through the IHSC Temporary Duty Assignment (TDY) On-Call Schedule (ITOS).
  27. Travel required-minimal (10%).
  28. Other duties as assigned.



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.
  • 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.



  1. . Must be able to perform duties in a fast-paced environment without physical limitations.
  2. Sitting and/or standing for extended periods of time [6-8 Hours].
  3. Performing repeated bending motion.
  4. Average manual dexterity for computer operation.
  5. Phone/laptop use for telephonic/virtual meetings for extended periods of time



  1. Must be a Registered Nurse, Advanced Practice Registered Nurse or Physician Assistant/Associate with clinical and case management experience. Minimum four years of clinical experience and two years of case management.
  2. 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 current status. This position will require performance of clinical activities with the scope of clinical license.
  3. Continuing education requirements must be met as required for licensing and board certification maintenance.
  4. If a clinician, you will be placed on a rotational internal TDY schedule to assist with field clinical operations and obtain clinical hours. Performing clinical duties at an IHSC facility may require working any shift (morning, evening, nights) to include weekends or holidays.
  5. Ability to collaborate and work with effectively with multiple internal agency units, internal and external stakeholders as required, that may include working with agency attorneys and/or agency investigators.
  6. Maintains basic readiness status including CPR/BLS certification
  7. Strong communication skills with demonstrated ability to clearly and effectively communicate both orally and in writing.
  8. Demonstrated ability to maintain confidentiality of information; exercise judgment and discretion in handling and disseminating information.
  9. Ability to grasp conceptual ideas and use critical thinking skills in situations where consultation and evaluation are needed to offer sound suggestions/guidance; provide guidance/suggestions potentially with short notice.
  10. Demonstrated initiative, ability to function with high degree of independence, and follow through on taskings, projects and other work commitments.
  11. Demonstrated evidence of leadership skills
  12. Professional background in health care with direct patient care experience, preferably within a correctional/detention setting.
  13. Achieves and maintains nursing case management certification or nursing case management board certification through the American Nurses Credentialing Center ANCC or a Certified Case Manager through the Commission for Case Manager Certification within two years.
  14. Certification as a Correctional Health Professional preferred.
  15. Ability to plan and organize her/his own workload and travel schedule utilizing the IHSC policies.
  16. Flexibility and adaptability to sudden changes in schedules and work requirements.
  17. Knowledge and skill in all Microsoft Office programs.


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 for Clinical Services IHSC Clinical Services Support Unit. The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is a non-supervisory position.

As the Medical Case Management Program Coordinator (MCMPC), the incumbent will coordinate continuity of clinical services inclusive of medical and mental health care, for individuals in ICE custody, provide case coordination, monitoring and reporting on significantly ill noncitizens and long-term care noncitizens in custody at IHSC facilities and non-IHSC facilities pursuant to the IHSC national policies and procedures. The incumbent will liaise between ICE, IHSC and other designated stakeholders.

The incumbent reports to and works under the supervision of the Medical Case Management Program Manager. The employee receives general direction from the MCMPM and supervisory chain who outlines assignments and projects, establishes timeframes, and provides guidelines for scope of the assignment and possible approaches for completion of work. The employee independently develops work plans for the accomplishment of assigned objectives, carries out, assignments and advises the supervisor of changes, precedent setting, or controversial issue.

The employee plans and organizes his/her own work, determines the sequence of assignments, selects, and develops methods, and seeks assistance from experts only rarely; works independently to resolve complex and unusual issues, through research, analysis and action; assists with development of conclusions and recommendations necessary to implement the objectives and policies. The incumbent uses initiative in carrying out assignments and independently develops solutions to deviations, problems, or unusual situations. The incumbent assignments are usually long-term, recurring, or broadly defined. The supervisor reviews completed work for soundness of overall approach, effectiveness in meeting requirements or producing expected results, the feasibility of recommendations, and adherence to requirements, and compliance with policies pertinent regulations, civilian accreditation agency requirements and standing operating procedures.

May be required to collaborate and work effectively with internal agency stakeholders ICE/ERO/local custody as required, in order to explain, coordinate, interpret and seek support for policies, procedures, programs, plans or individual actions (often of a controversial and complex nature) in which an extensive amount of explanation and tact is required.

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 PHS policies, regulations, precedents and work direction for application to specific cases.


How You Will Be Evaluated

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.



Required Documents

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

  1. Cover Letter/Letter of Interest. Please include location preference here.
  2. Degrees. (Place under “Diploma/GED”)
  3. Professional license. (If applicable)
  4. Additional professional certificates. (If applicable)
  5. Three professional references. (i.e., name, title and contact information)
  6. Official USPHS Promotion CV – e.g., relevant experience, education, training. (Place under “Resume”)
  7. A copy of your Certificate of Investigation (located in your eOPF).
  8. *Three most recent Commissioned Officer Effectiveness Reports (COER). (Place under “Performance Appraisal”)
  9. For current IHSC PHS officers, IHSC Recruiting requires applicants to provide a copy of your current Service Remaining Requirements Agreement.
  10. Indicate if you have an Assignment Pay (AP) Agreement and the date of the end of your AP Agreement.




How to Apply

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 07/15/2024.

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.



Next steps

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.




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