Advanced Practice Provider (O-5 Billet) Supervisory
Department of Homeland Security – Immigration and Customs Enforcement
Summary
The Supervisory Advanced Practice Provider oversees Physician Assistants and Nurse Practitioners at the DHS IHSC facility, training, and schedules. Provides direct detainee care, performs evaluations, and prescribes medications. Requires licensure, certification, and 6+ years clinical experience. The Supervisory APP reports directly to the facility Clinical Director.
This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.
Duties
DUTIES AND RESPONSIBILITIES:
- Serves as the direct supervisor and rater to federal Advanced Practice Providers (APP) to include both Physician Assistants and/or Nurse Practitioner at IHSC sites.
- Provides leadership and oversight of APP onboarding and training.
- Participates in national APP training initiatives as required.
- Assist as required in the credentialing and privileging processes.
- Oversees the APP peer review processes.
- Augments clinical leadership in collaboration with the clinical director.
- Coordinates APP work schedule at the IHSC sites.
- Coordinates regular on-site APP meetings and in-service training as required.
- Serves as Acting Regional APP or Acting Chief APP as required.
- Provides direct care to detainees via scheduled appointments, emergency or urgent care visits.
- Works within and performs functions as outlined in the IHSC Advanced Practice Provider (APP) Collaborative Practice and Prescriptive Authority Agreement. (CP/PAA).
- Consults with the physician/Clinical Director for complex medical and/or psychiatric patients and as required by IHSC policy.
- Provides infirmary care including admission, discharge, and daily rounds for detainees that require higher levels of medical care or monitoring.
- Performs comprehensive history and physical evaluations, behavioral health care, and minor outpatient surgical procedures for detainees as required by IHSC policy, or as required for detainee medical complaint.
- Applies knowledge of drugs and therapeutics when prescribing medication.
- Coordinates health care needs of detainees including referrals to off-site consultants.
- Interprets diagnostic and laboratory results.
- Interprets Tuberculin skin tests (TSTs) and diagnostic studies, manages Direct Observation Therapy (DOT) for treatment of active or latent tuberculosis.
- Takes appropriate infection control actions in accordance with IHSC policy and guidance.
- Adheres to universal precautions and properly disposes of all sharps.
- May serve as medical escort of detainees as needed, for domestic/overseas travel.
- Utilizes and documents interpretation and/or translation and/or assisted communication services as needed to ensure ability to communicate with detainees or others who are Limited English Proficient (LEP) or have a communication disability or impediment.
- Provides relevant patient health education to detainees verbally and/or with handouts.
- Documents detainee care visits in the required health record using required format, in compliance with IHSC policy and guidance.
- Maintains patient confidentiality and confidentiality of medical records.
- Maintains basic readiness for duty.
- Maintains current CPR/BLS certification.
- Maintains clinical professional skills via continuing education opportunities.
- Completes all training as required/assigned.
- Maintains flexibility and adaptability to sudden changes in schedules and work requirements.
- Performs other duties and responsibilities as assigned.
Education
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Physician Assistant – Requires unrestricted Physician Assistant state license, national board certification through the National Commission on Certification of Physician Assistants (NCCPA). Current Licensure as a Physician Assistant – Certified by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Graduate from a Physician Assistant Program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Certified as a PA-C by the National Commission on Certification of Physician Assistants (NCCPA).
Nurse Practitioner – Requires unrestricted Family Nurse Practitioner or Adult-Gerontology Nurse Practitioner state license, national board certification through the American Academy of Nurse Practitioners (AANP) or the American Nurse Credentialing Center (ANCC). Current licensure as a Nurse Practitioner – Certified by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Certified advance practice nurse practitioner degree from a graduate school of training program approved for this qualifying degree. Knowledge of the Nurse Practice Act for the licensing state and/or the state in which one practices nursing.
Requires more than six years of full-time clinical experience as a PA or NP or approval of the IHSC Chief Advanced Practice Provider. Team lead or supervisory experience of more than two years. Fulfills the obligation(s) of their licensing or certifying body to maintain currency. Maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications.
Preferred Knowledge, Skills, and Abilities: Experience in IHSC health system. Correctional Healthcare experience. Certification as Correctional Healthcare Professional (CCHP) Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. Knowledge of public health preparedness, infection control and TB management ACLS certification.
ATLS Certification.
How You Will Be Evaluated
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
- Cover Letter/Letter of Interest. Degrees.
- (Place under “Diploma/GED”) Professional license.
- (If applicable) Additional professional certificates.
- (If applicable) Three professional references.
- (i.e., name, title and contact information) Official USPHS Promotion CV – e.g., relevant experience, education, training.
- (Place under “USPHS Promotion CV”) You may provide a civilian resume in addition to the USPHS Promotion CV to capture all relevant work experience.
- A copy of your Certificate of Investigation (located in your eOPF). *Three most recent Commissioned Officer Effectiveness Reports (COER).
- (Place under “Performance Appraisal”) For IHSC USPHS officers only, a copy of your current Service Remaining Requirements Agreement.
- Indicate if you have an Assignment Pay (AP) Agreement and the date of the end of your AP Agreement.
- If you do not, please submit a memo attesting to no AP in the Assignment Pay (AP) Agreement section in the documents section of application.
- New Call to Active Duty Cover letter/Letter of Interest.
- Please include location preference here. Degrees.
- (Place under “Diploma/GED”) Professional license.
- (If applicable) Additional professional certificates.
- (If applicable) Three professional references (i.e., name, title, and contact information) CV – e.g., relevant experience, education, training.
- (Place under “USPHS Promotion CV”) U.S. Public Health Service – Appointment Board Decision Letter/Email or a screenshot of AES dashboard to the United States Public Health Service
About this role
The Advanced Practice Provider (O-5 Billet) Supervisory position with the Department of Homeland Security is based in Tacoma, Washington. The Supervisory Advanced Practice Provider oversees Physician Assistants and Nurse Practitioners at the DHS IHSC facility, training, and schedules. The role pays $1 to $150,000 per year.
Day to day, the work involves DUTIES AND RESPONSIBILITIES: Serves as the direct supervisor and rater to federal Advanced Practice Providers (APP) to include both Physician Assistants and/or Nurse Practitioner at IHSC sites. The full list of duties, conditions, and required documents appears in the official announcement linked on this page.
Who should apply
This role calls for an active, unrestricted license or required registration. Match your federal resume directly to the announcement's wording so a reviewer can confirm each requirement in writing. For this Advanced Practice Provider (O-5 Billet) Supervisory position with the Department of Homeland Security in Tacoma, Washington, confirm you meet each requirement before applying.
How competitive it is
The posted pay of $1 to $150,000 per year places this in a competitive but attainable range for qualified applicants. Because it is a supervisory or senior position, expect experienced candidates and a strong emphasis on a documented leadership and performance record. Based in Tacoma, Washington, it competes within that local market, which can mean lighter competition than major metropolitan postings. The announcement closes on September 30, 2026, and federal postings can close early once enough applications arrive, so applying promptly is wise.
This overview is general guidance from Job Army to help you understand the role. Always read the official announcement for exact duties, qualifications, and requirements before applying.