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Immigration and Customs Enforcement

ISOU Flight Advanced Practice Provider (O-5 Billet) Non-Supervisory

Mesa, Arizona, United States · Miami, Florida, United States · Alexandria, Louisiana, United States · El Paso, Texas, United States · Harlingen, Texas, United States

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hirly's read of this role

Seniority
Mid level
Country
US
Work mode
On-site / unstated
First seen by hirly
5 Oct 2026

Derived automatically from the posting. Upload your resume above to see how the role scores against it.

the posting

Summary

Serve as an ISOU Flight Advanced Practice Provider and Medical Aircrew Member supporting ICE removal missions and DHS operations. Provide emergency and routine care in air, ground, and maritime environments; manage program activities; support IHSC clinics as needed; and deploy domestically and internationally on short notice. Frequent travel required. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.

Duties

DUTIES AND RESPONSIBILITIES: Incumbent's primary duty is to serve as either a physician assistant or family nurse practitioner on a national level, with responsibilities for performing a variety of unusual and complex professional tasks without the benefit of close guidance. The incumbent's primary duties are to provide direct patient care to migrants as identified in the Alien Migrant Interdiction Operations and provide emergency medical care to U.S. Coast Guard staff in accordance with agency procedures and guidelines. Incumbent serves as a flight advanced practice provider and a program manager. Incumbent status is on-call and must respond within 24 to 48 hours' notice. A special operations advanced practice provider (i.e., nurse practitioner or physician assistant) officer may cover incumbent's on-call status as necessary. The incumbent works aboard U.S. Coast Guard cutters and deploys to the cutters via inflatable boats, small cutters, or helicopters. Transfers may take place on ground vehicles or boats to aircraft. Impact of error can cause serious impairment to program, agency and division. As a provider, collaborates with persons outside the department, high level (i.e., diplomatic), serves as official representation of U.S. government while overseas. Work purpose is basic collaboration to meet the health care needs in agency mission. Operate as a Medical Aircrew Member and First Responder during ICE removal missions and provide direct patient care for individuals in ICE custody, IHSC clinics, or during DHS missions in accordance with agency procedures, clinical nursing guidelines, and/or clinical protocols. Serve as a medical aircrew member on a national level, with responsibilities of performing a variety of unusual and complex professional tasks without the benefit of close guidance in remote and austere conditions. The incumbent works in small aircrafts, business jets, large airliners, or helicopters, which may be civilian, military and U.S. government local, state, or federal assets. The operations may also include care and transfers on ground vehicles, as well as on sea vessels in inclement weather. Incumbent will be in frequent contact with individuals outside the department and high-level personnel (i.e., diplomatic), Represent the US government as an ICE health official while overseas and with other federal agencies, military, and law enforcement when necessary. Must be able to travel 50% of the time, as needed. Capable of performing short- or long-term deployment with short notice. Accept responsibilities and perform duties above the journeyman level. Serve as 24/7 on call medical consultant to IAO for one week or more rotations as needed. Assume responsibility for providing care to patients with complex physical, mental, or social needs. Develop and implement a comprehensive plan for meeting actual and anticipated patient needs. Manage ISOU specific program objectives to ensure their sustainability and growth. In addition, program managers serve as local and national program subject matter experts, coordinate activities related to policy development, research updates, program implementation and evaluation subject to regulations, policies, procedures, and pertinent laws. Advise local and department level officials regarding policy development, review reports, identify and analyze problems, provide formal written analysis or reports and presentations; participate in the design and development of procedures to follow up on reports. Perform specialized or complex professional tasks without benefit of detailed guidelines, independently establish criteria, formulate approaches and evaluation efforts. Active participation in conferences, meetings, or presentations involving problems or issues of maximum consequences or importance. When primary and secondary duties as AMIO provider, flight APP and program manager are met, incumbent may serve as a clinical APP in a facility in support of IHSC as needed. The incumbent supports ICE/ERO Field Offices by providing medical guidance, delivering patient care to individuals in ICE custody, and participating in planning efforts. The incumbent also serves as a credentialed Federal Emergency Response Official and responds to agency emergency needs as requested. Performs complex tasks, technical skills, and procedures on patients utilizing sophisticated equipment and advanced practice techniques effectively and efficiently without the benefit of close guidance. Judgmental failure could seriously affect the health status of one or more individuals. Perform other program duties and responsibilities as assigned. The incumbent will complete and comply with all mandatory training to competently support austere operations, or other trainings as assigned. The incumbent will be specifically trained to operate safely during ground and flight operations of the aircraft and is proficient with onboard emergency procedures/equipment

Qualifications

COMPETENCIES: Treats others with courtesy, sensitivity, and respect. Considers and responds appropriately to the needs and feelings of different people in different situations. Demonstrates strong critical thinking, independent problem-solving skills, and prudent judgement skills. Makes rapid decisions, based upon limited clinical information, frequently under time constraints and with sensitivity to cultural and international relations. Strong emotional intelligence ability. Makes clear and convincing oral presentations. Listens effectively; clarifies information as needed. Behave in an honest, fair, and ethical manner. Shows consistency in words and actions. Exhibits high standards of ethics. Writes in a clear, concise, organized, and convincing manner for the intended audience. Knowledge of teaching, training, research, making presentations, lecturing, testing, and other instructional methods. Inspires and fosters team commitment, spirit, pride, and trust. Facilitates cooperation and motivates team members to accomplish group goals. Ability to interface within other uniformed services components, federal law enforcement agencies and NGOs. Deals effectively with pressure; remains optimistic and persistent, even under adversity. Recovers quickly from setbacks. Demonstrate strong diplomatic skills in adversity. Demonstrates strong organizational and time management skills. It is open to change and new information; rapidly adapts to new information, changing conditions, or unexpected obstacles. PHYSICAL DEMANDS: Hazardous duty position requiring extended flying time, extended sea operations, and frequent foreign country travel. Required to perform CPR or emergency care standing and kneeling positions at times in confined spaces. Must have the ability to assist sick, injured, or other during ingress and egress (e.g., may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than oneself). Must be able to lift and carry 50 lbs. of medical equipment 100 yds. without assistance. Incumbent carries equipment when boarding and disembarking the vessels. Must be able to see, hear, and smell with aids if necessary. Must be able to don full face mask, breathing apparatus or emergency fire escape mask or hood without difficulty for prolong periods. Must easily alternate between kneeling, standing and walking in the confined space of small aircraft. Phone and computer use for extended periods of time. Sitting and/or standing for extended periods of time (8 Hours or more). Must be able to perform the

Original posting on Immigration and Customs Enforcement's site ↗

Listed on hirly, a job board. hirly is not the employer: Immigration and Customs Enforcement is hiring for this role.

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