Clarification from the agency

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3.

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• Serve as the Director of Emergency Services, oversee urgent and emergent care, and to serve as a primary care clinician.
• Assign work to the Health Technicians (Emergency Room/Urgent Care) and to the Advance Practice Nurse, based on priorities and capabilities of employees. Develop and evaluate work performance. Give advice, counsel, or instruction to employes on both work and administrative matters. Interview candidates for positions, recommends appointment, promotion or reassignment to such positions. Hears and resolve complaints from employees. Effect minor disciplinary measures such as warnings and reprimands, recommending other actions in more serious cases.
• Obtains medical history, conducts physical examination, orders appropriate laboratory and x-ray procedures, interprets clinical data and convey information to patients and their families.
• Provides medical care to patients of all ages in the urgent care/emergency room, outpatient clinic, community clinic and inpatient services including obstetrical unit. Participates in the overnight and weekend coverage of the hospital.
• Develops and implements a strategic vision for the Urgent Care and Emergency Services. Develops and strengthens partnerships with outside Emergency Medicine Departments.

Conditions of employment

Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959

This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.

A one-year supervisory/managerial probationary period may be required upon selection/placement.

IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy and facility guidance.

The selected individual is required to obtain and maintain medical staff clinical privileges, including any licensure requirements. If privileges are not obtained or maintained during employment, the employee will be subject to adverse actions, up to and including removal from Federal service.

On-call hours or standby duty may be required.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.

Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process.

Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

BASIC REQUIREMENT(S):
Degree: Doctor of Medicine, Doctor of Osteopathic Medicine or equivalent from a school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association; Association of American Medical Colleges; Liaison Committee on Medical Education; Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.

Degree from Foreign Medical School: A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.

Licensure
For all grade levels and positions, applicants must possess a current, active, full, and unrestricted license or registration as a Physician from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Graduate Training
Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine degree, a candidate must have had at least 1 year of supervised experience providing direct service in a clinical setting, i.e., a 1-year internship or the first year of a residency program in a hospital or an institution accredited for such training. For purposes of this standard, graduate training programs include only those internship, residency, and fellowship programs that are approved by accrediting bodies recognized within the United States or Canada. Descriptions of such programs are described below.

• An internship program involves broadly based clinical practice in which physicians acquire experience in treating a variety of medical problems under supervision (e.g., internal medicine, surgery, general practice, obstetrics-gynecology, and pediatrics). Such programs are in hospitals or other institutions accredited for internship training by a recognized body of the Accreditation Council for Graduate Medical Education (ACGME).
• A residency program involves training in a specialized field of medicine in a hospital or an institution accredited for training in the specialty by a recognized body of the American Medical Association, (AMA) or Accreditation Council for Graduate Medical Education (ACGME).
• A fellowship program involves advanced training (beyond residency training) in a given medical specialty in either a clinical or research setting in a hospital or an institution accredited in the United States for such training.

In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below-

MINIMUM QUALIFICATIONS:
4 years of graduate training in the specialty of the position to be filled or equivalent experience and training.

Board Certification Preferred, not required.

Supervisory and Managerial Abilities: Candidates should possess proficiency or the potential to develop proficiency in these competencies prior to entry into a supervisory position.
Accountability: Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Determines objectives, sets priorities, and delegates work. Accepts responsibility for mistakes. Complies with established control systems and rules.
Customer Service: Anticipates and meets the needs of both internal and external customers. Delivers high-quality products and services; is committed to continuous improvement.
Decisiveness: Makes well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.
Flexibility: Is open to change and new information; rapidly adapts to new information, changing conditions, or unexpected obstacles.
Integrity/Honesty: Behaves in an honest, fair, and ethical manner. Shows consistency in words and actions. Models high standards of ethics.
Interpersonal Skills: Treats others with courtesy, sensitivity, and respect. Considers and responds appropriately to the needs and feelings of different people in different situations.
Oral Communication: Makes clear and convincing oral presentations. Listens effectively; clarifies information as needed.
Problem Solving: Identifies and analyzes problems; weighs relevance and accuracy of information; generates and evaluates alternative solutions; makes recommendations.
Resilience: Deals effectively with pressure; remains optimistic and persistent, even under adversity. Recovers quickly from setbacks.
Written Communication: Writes in a clear, concise, organized, and convincing manner for the intended audience.

You must meet all qualification requirements within 30 days of the closing date of the announcement.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

You will be evaluated for this job based on how well you meet the qualifications above.

Structured Resume Review: Subject matter experts (SMEs) will review your resume to determine your technical qualifications for this position based on the required competencies. SMEs will review ONLY the first two (2) pages of your resume. SMEs will not review additional information beyond your resume (e.g., cover letter, links embedded in your resume).

Below is what applicants can expect:
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1. Minimum Qualifications Review - Hurdle 1
HR reviews your resume to confirm you meet the eligibility and minimum qualifications for the position (education and/or licensure (if applicable), listed above).
Note: the first two pages of your resume and supporting documentation will be used to determine whether you meet the minimum qualifications.
If you meet eligibility and minimum qualifications, you move to the next hurdle.
2. Technical Assessment (Subject Matter Expert Resume Review) - Hurdle 2
A panel of subject matter experts (SME) will review your resume to determine whether you clearly show the required specialized experience listed below.

Specialized Experience: Create and update multi-disciplinary work flows and policies for emergency services. Upgrade equipment and provide training related to high acuity and low occurrence events. Assign work based on priorities, difficulty of assignments, and capabilities of employees. Ensure staff competency and provide trainings opportunities as needed. Mediate employee discrepancies and complaints to come to a resolution. Provide medical care based on interpretation of data obtained from assessment, interview, history review and lab values. Maintain appropriate records for the purposes of patient care and meeting accreditation standards.

This assessment is Pass/Fail.

Applicants who demonstrate the required experience will advance.

Demonstration of these specialized experience statements ascertain your competency in the following:

• Managing Human Resources
• Quality Assurance
• Technical Competence

Click here to view vacancy questions: https://apply.usastaffing.gov/ViewQuestionnaire/13034462

Additional selections may be made for similar positions across the Department of Health and Human Services (HHS) within the local commuting area(s) of the location identified in this announcement. By applying, you agree to have your application shared with interested selecting official(s) at HHS. Clearance of CTAP/ICTAP will be applied for similar positions across HHS.

This position will be filled through the Office of Personnel Management's Direct Hire Authority. Category rating and Veterans' Preference will not be considered in evaluating applicants. For more information on Direct Hire Authority, please see OPM Direct Hire Fact Sheet. Your application (resume and supporting documentation) will be evaluated to determine if you meet the minimum qualifications required as listed on the announcement under qualification requirements. To be considered well qualified for the purposes of the Career Transition Assistance Program (CTAP) and the Interagency Career Transition Assistance Program (ICTAP), you must substantively exceed the basic qualifications and meet all eligibility, physical, medical, suitability, and any other requirements.

All documents above MUST be received by 11:59 (Eastern Standard Time) of the closing date of, 10/02/2026, to be considered.