Job Overview


NOTE: This position is in the U.S. Public Health Service (USPHS) Commissioned Corps and you will be referred as a Commissioned Corps personnel and not as a candidate to a permanent GS career or career-conditional appointment. This USPHS position is being filled at the rank of Lieutenant Commander (O-4).


Do you desire to protect American interests and secure our Nation while building a meaningful and rewarding career? If so, the Department of Homeland Security (DHS) is calling. DHS components work collectively to prevent terrorism, secure borders, enforce and administer immigration laws, safeguard cyberspace and ensure resilience to disasters. The vitality and magnitude of this mission is achieved by a diverse workforce spanning hundreds of occupations. Make an impact; join DHS.

This is a key position within the Immigration and Customs Enforcement (ICE). ICE utilizes the government's second largest cadre of law enforcement officers to ensure our nation's economic, transportation and infrastructure security. ICE enforces immigration and customs laws. Our talented and courageous workforce identifies criminal activities and eliminates vulnerabilities that pose a threat to our nation's borders.

ICE is the primary investigative arm of the Department of Homeland Security. With more than 19,000 employees in 400 offices around the world, ICE is a key component of the DHS layered defense approach to protecting our nation. For additional information about ICE and career opportunities go to

The ICE Health Service Corps (IHSC) exists within the organizational structure of the Immigrations 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.

The incumbent serves as the Field Medical Coordinator for the ICE Health Services Corps (IHSC) in Immigration and Custom Enforcement (ICE) custody. IHSC serves as ICE’s medical authority on detention health care.

The incumbent will coordinate medical, mental health, dental and durable medical equipment (DME) services for individuals in the custody of ICE; provide case coordination and monitoring on high risk and problem prone cases and inter-facility admissions to Short Stay Units (SSUs) pursuant to the IHSC National Policies and Procedures. The incumbent will also provide medical consultation services and screening of individuals in ICE custody to the incumbent’s assigned Field Office Director and staff. The incumbent will also be expected to conduct routine and ad hoc visits to ICE-designated facilities within the Field Officer Director’s Area of Responsibility (AOR). The incumbent will serve as the medical subject matter expert (SME) for the Field Office Director and will serve as the liaison between the FOD and the IHSC.

IHSC protects America by providing health care and public health services in support of immigration and customs law enforcement. This is accomplished through maintaining a committed, effective and efficient workforce who provides evidenced based appropriate health care in a cost effective manner. COMPETENCIES:
  1. 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 currency. This position may be required to perform clinical activities with the scope of clinical license in times of critical needs within the agency.
  2. Must be at a minimum a Registered Nurse or Mid-Level practitioner.
  3. Maintains clinical professional skills via continuing education opportunities.
  4. Maintains basic readiness status.
  5. Maintains CPR/BLS certification.
  6. Maintains competency in ICE National Detention Standards and Performance-Based National Detention Standards.
  7. Case Management and utilization review experience preferred.
  8. IHSC clinic experience strongly recommended.
  9. Strong Interpersonal Skills.
  10. Strong Oral/Written Communication Skills.



  1. Interpretation and translation activities within the scope of the employees’ duties.
  2. Assess these employees’ language abilities to ensure their competency to perform language services for particular duties; and describe plans for enhancing employees’ language abilities.
  3. Recommends and assists with alternative placement options and detainee transfers from detention facilities.
  4. Refers all denied medical services to the Medical Director, or designee, for final review and determination.
  5. Performs health record reviews, as needed, within the assigned AOR.
  6. Perform case monitoring on all hospitalizations within the assigned AOR.
  7. Responsible for reporting suicide attempts, hunger strikes and self-mutilations.
  8. Submits on-going weekly activity reports to the Regional Medical Coordinator Manager (RMCM)/designee to include significant accomplishments, issues, problems, and workload activity.
  9. Respond to ad hoc and non-routine report(s) requested by FOD with approval from IHSC Office of the Director.
  10. Provides support, recommendations and assistance to ICE in placing detainees with special medical and mental health needs in appropriate facilities.
  11. Conducts site visits to non-IHSC staffed detention facilities where ICE detainees are housed.
  12. Provides orientation and guidance to the respective custody and medical staff members of facilities in which ICE detainees are held regarding IHSC policies and procedures.
  13. Provides coverage and support to other Field Case Managers and the Regional Medical Coordinator Manager as needed (e.g., annual leave, TDY assignments, illness).
  14. Assist ICE officers with post intake screening of detainees who have significant health issues as needed.
  15. Assist with the review of ICE medical Performance Based National Detention Standards (PBNDS) compliance at local and county IGSAs within the incumbent’s AOR and submits findings to applicable Detention Service Monitors (DSMs).
  16. Conduct independent medical review as requested by FOD with approval from IHSC Office of the Director.
  17. Ensure appropriate plan for continuity of care is established prior to release and removal of ICE detainees.
  18. Serve as liaison with local health departments for infectious diseases.
  19. Follows supervisory chain of command.
  20. Travel required.
  21. Contractual obligation will be a minimum of 2 years for individuals or Corps officers who are currently employed within ICE Health Service Corps, and a minimum of 3 years for officers from other agencies.
  22. Other duties as assigned.