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Summary This position is located within the Department of Homeland Security (DHS), ICE, ERO, ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Health Systems Support, Health Operations Unit. The Facility Healthcare Program Manager (FHPM) will report directly to the Health Services Administrator (HSA) with the Regional Compliance Specialist (RCS) as reviewing official. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates Responsibilities DUTIES AND RESPONSIBILITIES: Health Operations Unit Administration: Works collaboratively with the Health Services Administrator as the subject matter expert and key advisor in the day-to-day management, development, implementation and monitoring of the following IHSC directed programs: Accreditation Readiness and Standards Compliance, Quality Improvement (QI), Risk Management (RM), Occupational Health, Environmental Health, Safety and Security, and All Hazards Emergency Preparedness and Response. Serves as a key member of IHSC National QI, RM, and PHSP program initiatives not limited to attending regional/national meetings. Monitors, reviews, coordinates, and ensures complete and timely reporting of compliance, incident reporting, risk management, quality improvement, environmental health, safety and security, occupational health, and all hazards emergency preparedness and response activities. Secures and maintains all files and information in accordance with all established policies, procedures, and regulations. Updates local operating procedures and forwards to HSA for approval. Serves as liaison between investigators and facility staff. Provides policy, records, or other documentation required by investigator. Arranges interviews and prepares responses to action items. Serves as an Acting HSA or AHSA when needed. Travel required up to 25% as directed by the Unit Chief of Health Operations. Accreditation: Monitors and reviews established performance indicators for compliance with national IHSC policies and applicable standards [American Correctional Association (ACA), National Commission on Correctional Health Care (NCCHC), and ICE Performance Based National Detention Standards (PBNDS), and/or Family Residential Standards (FRS)]. Collaborates with the HSA in performing assessments of the health unit for accreditation under the appropriate standards and ensures the preparation of the health unit for any accreditation that the site is expected to obtain. Prepares the facility for accreditation/re-accreditation audits, by reviewing processes, updating policy, training staff, and building folders for audit preparation, and record keeping for future re-accreditation audits. Ensures compliance standards, including updates on national and local policies and procedures, are disseminated appropriately to staff in a timely manner. Develops recommendations for improvements and success action plans (SAPs) if deficiencies are recognized during accreditation audits and health systems assessments. Training: Provides leadership, oversight, staff training and education on compliance with standards and accreditation, incident reporting, risk management/patient safety, quality improvement, environmental health, safety and security, occupational health, and all hazards emergency preparedness and response. Medical Quality Management Unit: Quality Improvement/Risk Management Provides leadership and oversight of the local QI and RM programs including develop, coordinate, implement, and monitor performance measures, associated tasks, and duties; chair local QI committee meetings; conduct data/trend analysis and implement improvement strategies establishing timeframes for continued monitoring. Assists HSA in developing, coordinating, implementing, and monitoring associated tasks and duties related to the investigation of incident reports and adverse events; preparation of facility responses to correct the identified process issue; and reporting findings/recommendations in writing through established chains of communication within specified timeframes. Public Health Safety and Preparedness Unit: Programs Provides leadership and oversight of the local environmental health, safety and security, all hazards emergency preparedness and response, and occupational health programs including develop, coordinate, implement, and monitor associated tasks and duties; conduct data/trend analysis and implement improvement strategies establishing timeframes for continued monitoring. Assists HSA in developing, coordinating, implementing, and monitoring associated tasks and duties related to environmental health, and safety and security, including conducting daily, weekly, monthly, quarterly, and annual medical clinic inspections; all hazards emergency preparedness response including fire, emergency, and mass casualty drills documenting findings, identifying and implementing corrective actions; and occupational health including recording and reporting of occupational injuries and illnesses. Requirements Conditions of Employment Qualifications PHYSICAL DEMANDS: This position is considered hazardous duty in a detention setting. Required to walk unaided at a normal pace for up to 5 minutes and maintain balance. Required to jog/fast walk up to ¼ mile. Requires physical exertion such as lifting objects greater than 30 pounds. Required to perform CPR/emergency care standing or kneeling. Must have the ability to assist sick, injured, or aging detainees or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self). Must be able to see, hear and smell with aids if necessary. Must be able to lift, push, or carry 30 pounds. Must perform the duties of my job in a stressful and often austere environment without physical limitations. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Minimum of a master's degree in a qualifying program for USPHS Commissioned Corps officers. Minimum of five years of relevant and related experience(s). 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 may be required to perform clinical activities with the scope of clinical license in times of critical needs within the agency. Ability to critically analyze situations, data and information and be able to develop and pose probing questions. Strong project management, quality management, and performance improvement skills to include the ability to plan and prioritize workload, conduct surveillance, employ research techniques, collect, and analyze data, and perform program reviews and evaluations. Ability to interact well and collaborate with all levels of personnel and management in IHSC, ERO, ICE and DHS offices, and with Federal contractors Proficiency with electronic health records and ability to quickly develop competency with IHSC's electronic health record. Demonstrates the ability to quickly develop competency in and assimilate knowledge of ICE and IHSC rules, regulations, and policies; applicable detention health care standards PBNDS, NCCHC, ACA, FRS (if applicable to the facility), U.S. Occupational Safety and Health Administration (OSHA) regulations, and National Fire Protection Association (NFPA) Life Safety Codes; and the accreditation/compliance review and auditing processes. Proficiency with Microsoft Word and Excel; ability to manage, organize, and analyze complex information using spreadsheets and other data management tools. Demonstrates high level, professional, effective written and verbal communications; executes effective teaching skills ensuring goal directed outcomes; ability to prepare reports in electronic formats. Maintains basic readiness status. Maintains current CPR/BLS certification. Additional Information Incumbent serves as the Facility Healthcare Program Manager (FHPM) for one of the ICE Health Service Corps (IHSC) for one of the ICE Health Service Corps (IHSC) small health care facilities located across the nation. A small facility is defined as less than 300 beds, generally houses non-complex medical patients, and has minimal medical housing unit (sub-acute inpatient) capacity. Staffing is a complement of Public Health Services (PHS) Officers, federal General Schedule (GS) employees, and contractors totaling 40 or less. As the Facility Healthcare Program Manager (FHPM), the incumbent is responsible to support the Health Services Administrator (HSA) in the day to day managing, assessing, planning, developing, and evaluating clinical programs that align with IHSC policy, National Commission on Correctional Health Care (NCCHC), ICE Performance Based National Detention Standards (PBNDS), American Correctional Association (ACA), and/or Family Residential Standards (FRS). Serves as the subject matter expert on the implementation and monitoring of program requirements at the local level as developed by Medical Quality Management Unit (MQMU) and Public Health Safety and Preparedness Unit (PHSP), supporting the safe, quality provision of care for the detained population, promoting an environment of safety and security for detainees, employees, and visitors, and ensuring emergency preparedness and response readiness of the local clinical team. SUPERVISORY CONTROLS: Incumbent reports to the Health Services Administrator keeping the supervisor informed on the status of projects, and consulting on successes and obstacles. Reviewing official (second line supervisor) is the Regional Compliance Specialist. Performs specialized or complex professional tasks without the benefit of close supervision or detailed guidelines; independently establishes criteria, formulates approaches, and evaluates efforts. Uses judgment in interpreting and adapting guidelines such as policies, regulations, accreditation standards, precedents, and work direction for application to specific situations and work products. Assignments are usually of a long-term, recurring or broadly defined nature and are not accompanied by instructions; however, objectives, priorities and deadlines are provided on new assignments. The incumbent selects his/her own methods and solves most normal problems arising during the course of work. Completed work is usually evaluated for technical soundness, appropriateness, and conformity to professional standards and PHS requirements. Utilizes available guides, methods, theories, and precedents. Situations to which existing guidelines cannot be applied or which require significant deviations from existing guidelines are referred to the HSA, higher authority and/or subject matter expert. Contact with persons in other federal departments or outside the federal government, such as state or local government officials. Requires face to face contact and telephone dialogue on a routine basis 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.