Direct Care Staffer Jobs in Alexandria, LA

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Summary This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. This is a non-supervisory position. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Responsibilities DUTIES AND RESPONSIBILITIES (O-3 & O-4 Billet): A physician assistant or nurse practitioner who practices in conformance with established criteria, guidelines, and agency procedures. Efforts are directed toward the enhancement of the physical, emotional, and social well-being of individuals. Judgmental failure could seriously affect the health status of one or more individuals. Decisions are reviewed as needed with medical officers or other advanced practice providers. Provides health care of a scope, quality, and quantity consistent with agency and PHS policies. Primary contact is with persons outside the immediate work environment, but within the agency. This includes the general public and patients. The primary mission is to meet their health care needs, obtain and provide information, present reports, and further the goals and objectives of the PHS and the agency. 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. Coordinates health care needs of detainees including referrals to off-site consultants. Takes appropriate infection control actions in accordance with IHSC policy and guidance. Completes all training as required/assigned. Attends on-site, regional, and national meetings as required. O-4 level participates in the APP Peer Review process. Performs other duties and responsibilities as assigned. DUTIES AND RESPONSIBILITIES (O-5 Billet): Provides direct care to detainees via scheduled appointments, emergency, or urgent care visits. 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 2 3/6/2019 detainee medical complaint. Works within and performs functions as outlined in the IHSC Advanced Practice Provider (APP) Scope of Practice and the Controlled Prescribing Scope of Practice for APPs. 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. Maintains flexibility and adaptability to sudden changes in schedules and work requirements. 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. Completes all training as required/assigned. Serves as Acting Senior Supervisory APP or Acting Regional APP. Facilitates and mentors APP onboarding and training. Attends on-site, regional, and national meetings as required. Participates in the APP Peer review process. Performs other duties and responsibilities as assigned. Requirements Conditions of Employment Qualifications COMPETENCIES: Superior oral/written communication skills. Analytical Skills and ability to navigate complex system. Strong interpersonal and active listening skills. Strong organizational and time management skills. Demonstrates strong problem solving, judgment and decision-making skills. Demonstrates Integrity/Honesty and Cultural Competency. PHYSICAL DEMANDS: 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). The work may necessitate some physical characteristics that will be required when responding to an emergency situation, such as running a short distance, prolonged standing and working in an austere environment. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-3 & O-4 Billet): Individuals applying for an O-3 billet / GS equivalent are a new graduate or have no clinical experience. Upgrade to O-4 is dependent upon adequate performance. Individuals applying for O-4 / GS equivalent have one year of clinical experience as a PA or NP, are officers currently in an O-4 billet, or approved by the Deputy Medical Director. Meet the minimum education and certification requirements for either a nurse practitioner or physician assistant. Nurse practitioner. Must possess a certified advance practice nurse practitioner degree from a graduate school training program approved for this qualifying degree, an unrestricted Nurse Practitioner state license, and a national board certification through the American Academy of Nurse Practitioners (APRN) or the American Nurse Credentialing Center (ANCC). Physician assistant. Must possess an accredited bachelor's, or master's degree, and completed a physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), national certification through the National Commission on Certification of Physician Assistants (NCCPA), and an unrestricted physician assistant state license. Fulfills the obligation(s) of their licensing or certifying body to maintain currency. Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. If applicable, maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications. Maintains basic readiness for duty. Maintains current CPR/BLS certification. Maintains clinical professional skills via continuing education opportunities. Preferred Knowledge, Skills, and Abilities: Experience in correctional health care Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. Knowledge of public health preparedness, infection control and TB management ACLS certification DEA Buprenorphine X Waiver certification REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-5 Billet): Requires more than 4 years of full-time clinical experience as a PA or NP or approval of the IHSC Medical Director. Team lead or supervisory experience. Physician Assistant- Requires unrestricted Physician Assistant state license, national board certification through the National Commission on Certification of Physician Assistants (NCCPA). Nurse Practitioner- Requires unrestricted Family Nurse Practitioner state license, national board certification through the American Academy of Nurse Practitioners (APRN) or the American Nurse Credentialing Center (ANCC). Fulfills the obligation(s) of their licensing or certifying body to maintain currency. Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications. Maintains basic readiness for duty. Maintains current CPR/BLS certification. Maintains clinical professional skills via continuing education opportunities. Preferred Knowledge, Skills, and Abilities: Correctional health care experience. 3 3/6/2019 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 Additional Information O-3 & O-4 Billet This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. The incumbent reports directly to the supervisory advanced practice provider. If no supervisory advanced practice provider is on-site, the incumbent reports to the facility clinical director. The regional advanced practice provider serves as the incumbent's reviewing official. O-5 Billet This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. The incumbent will report directly to the site Health Services Administrator. This is a non-supervisory position. IHSC has a multi-sector, multidisciplinary workforce of more than 1400 employees, including U. S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 23 detention facilities throughout the country and manages the provision of off-site medical care for detainees housed in approximately 240 additional Intergovernmental Service Agreement (IGSA) facilities. The ICE detainee population is approximately 34,000 detainees on a daily basis, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground and at sea. DHS SUPERVISORY CONTROLS: DHS ICE ERO HHS SUPERVISORY CONTROLS: DHHS USPHS CC SUPERVISORY CONTROLS: The Physician Assistant or Nurse Practitioner works under the general administrative supervision of the Health Services Administrator (HSA) with clinical oversight provided by the Clinical Director or designee. Incumbent plans and carries out the successive steps and handle problems and deviations in work assignments in accordance with guidance and USPHS instructions and policies or by accepted standards of care. Work is reviewed for professional judgment and attainment of objectives.

This position is located within the ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Psychiatric Services Program. The incumbent will serve as a Psych Advanced Practice Provider (APP), whether they are a Psych Mental Health Nurse Practitioner (PMHNP), Psych Physician Assistant - Certified (Psych-PA-C). or a Board Certified Psychiatric Pharmacist (BCPP) This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Learn more about this agency Help Overview * Accepting applications * Open & closing dates 10/01/2024 to 09/30/2025 * Salary $1 - $150,000 per year Please note that the salary is dependent on the officer's rank, years in service, and location of duty station. * Pay scale & grade CC 4 - 5 * Help Location 1 vacancy in the following location: * Jena, LA * Remote job No * Telework eligible No * Travel Required 25% or less - You may be expected to travel for this position. * Relocation expenses reimbursed Yes-You may qualify for reimbursement of relocation expenses in accordance with agency policy. * Appointment type Permanent * Work schedule Full-time * Service Excepted * Promotion potential None * Job family (Series) * 0603 Physician Assistant * 0610 Nurse * 0660 Pharmacist * Supervisory status No * Security clearance Other * Drug test Yes * Position sensitivity and risk Critical-Sensitive (CS)/High Risk * Trust determination process * Credentialing * Suitability/Fitness * Financial disclosure No * Bargaining unit status No * Announcement number IHSC-PAPP-JLA-O4O5-NS-2024 * Control number 805440000 Help This job is open to * The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible for this position. Videos Help Duties DUTIES AND RESPONSIBILITIES: * Provides direct psychiatric care to detainees via onsite and telepsychiatry services for scheduled appointments, emergency, or urgent care visit. * Consults with the Psychiatrist and/or Clinical Director for complex psychiatric patients and as required by IHSC policy. * Provides infirmary care including admission, discharge, and daily rounds for detainees that require higher levels of psychiatric care or monitoring. * Performs comprehensive psychiatric evaluations and initiates treatment plans for detainees as required by IHSC policy, or as required for detainee psychiatric complaint. * Works within and performs functions as outlined in the IHSC Psychiatric Advanced Practice Provider Collaborative Practice and Prescriptive Authority Agreement and the IHSC formulary. * Follows IHSC policies in the management of significant mental illness including prevention of violence, homicide, self-harm and suicide. * Applies knowledge of drugs and therapeutics when prescribing medication. * Applies patient-specific knowledge to monitor and control stress levels and provide emotional support and counseling to detainees. * Coordinates psychiatric care needs of detainees including referrals to off-site consultants. * Solicits and reviews pertinent psychiatric records as indicated * Interprets diagnostic and laboratory results when required for psychiatric evaluations. * Adheres to universal precautions. * 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. * Maintains flexibility and adaptability to sudden changes in schedules and work requirements. * The incumbent will be required to provide on-call coverage as needed after regular work hours and may need to return to the facility outside of normal work hours for urgent mental health needs. * Provides relevant patient 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. * Completes all training as required/assigned. * May serve in acting capacity as part of the IHSC behavioral health leadership team. * Mentors Psychiatric APP onboarding and training. * Attends on-site, regional, and national meetings as required. * Participates in the Psychiatric APP peer review process. * Assists in program development, policy review and revisions, and data collection. * Travel may be required up to as much as 20% annually. * Performs other duties and responsibilities as assigned. Help Requirements Conditions of Employment * You must be a U.S. citizen to apply for this position. * You must successfully pass a background investigation. * You must successfully pass a drug screen. * Males born after 12/31/59 must certify registration with Selective Service. * Requirements by Closing Date: Unless otherwise noted, you must meet all requirements by the closing date of the announcement. * Service Remaining Requirement Agreement: Upon appointment to this position, officers will be required to serve an 18 to 24-month commitment to IHSC. * Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible for this position. Qualifications COMPETENCIES: * Cultural Competency * Demonstrates strong interpersonal skills. * Demonstrates strong oral and written communication skills. * Integrity/Honesty * Adult learner teaching skills * Experience in correctional health care preferred PHYSICAL DEMANDS: * 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. * 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. * Must be able to see, hear and smell with aids if necessary. * Must easily alternate between kneeling and standing. * Must be able to lift, push, or carry 30 pounds. * Must perform the duties of job in a stressful and often austere environment without physical limitations. Education [O-4 Billet] REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: * Must have a minimum of 6 months of full-time experience as a Psychiatric APP in direct patient care or the express approval of IHSC Chief Psychiatrist. * Knowledge of training methods and sufficient interpersonal skills to develop a rapport with detainees and co-workers when instructional and educational information is presented. * Physician Assistant (PA) - Requires unrestricted PA state license and national board certification through the National Commission on Certification of Physician Assistants (NCCPA). * Current licensure as a PA by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. * Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). * Certificate of Added Qualification in Psychiatry from the NCCPA- preferred, not required. * Nurse Practitioner - Requires unrestricted PMHNP state license and national board certification through the American Nurse Credentialing Center (ANCC). * Current licensure as a PMHNP by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. * PMHNP degree from a graduate school of professional nursing accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), typically a Master or Doctorial level education. * PMHNP board certification by the American Nurses Credentialing Center (ANCC). * Maintains a current license and meets continuing education requirements for the State(s) licensed in (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position will be required to perform clinical activities within the scope of licensure) * Maintains unrestricted license with state of licensure * Drug Enforcement Agency (DEA) to prescribe controlled medications-preferred * Maintains basic readiness status * Maintains current CPR/BLS certification * Maintains clinical professional skills via continuing education opportunities. * Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills, thereby requiring continuing professional clinical support. * Flexibility and ability to adapt to sudden changes in schedules and work requirements. [O-5 Billet] REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: * Preferred minimum of 3-5 years of full-time experience as a Psychiatric APP in direct patient care or must have the expressed approval of IHSC Chief Psychiatrist * Knowledge of training methods and sufficient interpersonal skills to develop a rapport with detainees and co-workers when instructional and educational information is presented. * Physician Assistant (PA) - Requires unrestricted PA state license and national board certification through the National Commission on Certification of Physician Assistants (NCCPA). * Current licensure as a PA by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. * Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). * Certificate of Added Qualification in Psychiatry from the NCCPA - required. * Nurse Practitioner - Requires unrestricted PMHNP state license and national board certification through the American Nurse Credentialing Center (ANCC). * Current licensure as a PMHNP by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. * PMHNP degree from a graduate school of professional nursing accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), typically a Master or Doctorial level education. * PMHNP board certification by the American Nurses Credentialing Center (ANCC). * Board Certified Psychiatric Pharmacist - Requires unrestricted pharmacist state license and board certification in psychiatric pharmacy through the Board of Pharmaceutical Specialties (BPS). * Current licensure as a pharmacist by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. * Graduate from a Doctor of Pharmacy program accredited by the American Council on Pharmaceutical Education (ACPE). * Board Certification in Psychiatric Pharmacy (BCPP) by the Board of Pharmaceutical Specialties (BPS). * Maintains a current license and meets continuing education requirements for the State(s) licensed in (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position will be required to perform clinical activities within the scope of licensure). * Maintains unrestricted license with state of licensure * Drug Enforcement Agency (DEA) to prescribe controlled medications-preferred * Maintains basic readiness status * Maintains current CPR/BLS certification * Maintains clinical professional skills via continuing education opportunities. * Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills, thereby requiring continuing professional clinical support. * Flexibility and ability to adapt to sudden changes in schedules and work requirements. Preferred Knowledge, Skills, and Abilities: * Knowledge of forensic psychiatry concepts and principles * Correctional health care experience. * Certification as Correctional Healthcare Professional (CCHP) * Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. * Bilingual communication capability preferred. Additional information This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Psychiatric Services Program. The incumbent will serve as a Psychiatric Advanced Practice Provider (APP), whether they are a Psychiatric Mental Health Nurse Practitioner (PMHNP) or a Psychiatric Physician Assistant - Certified (Psych-PA-C). The incumbent will report to the facility clinical director; will establish a collaborative practice agreement with a psychiatrist. As the Psychiatric APP the incumbent works within one of the facilities located across the nation as a member of the healthcare team providing mental health care to detainees in ICE custody. IHSC has a multi-sector, multidisciplinary workforce of more than 1400 employees, includingU.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 19 detention facilities throughout the country and manages the provision of off-site medical care for detainees housed in approximately 240 additional Intergovernmental Service Agreement (IGSA) facilities. The ICE detainee population is approximately 34,000 detainees daily, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground, and at sea. DHS SUPERVISORY CONTROLS: * DHS * ICE * ERO HHS SUPERVISORY CONTROLS: * DHHS * USPHS CC SUPERVISORY CONTROLS: * The Psychiatric APP functions under the clinical supervision of the designated collaborating psychiatrist and the facility clinical director. * The Psychiatric APP is administratively supervised by the facility clinical director. Read more * Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How You Will Be Evaluated You will be evaluated for this job based on how well you meet the qualifications above. 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. * Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. * Required Documents As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies. 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. 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) * Official USPHS Promotion CV - e.g., relevant experience, education, training. (Place under "Resume") * 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. 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 "Resume") * U.S. Public Health Service - Appointment Board Decision Letter/Email. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. * How to Apply To apply for this position, you must submit the required documentation outlined under the REQUIRED DOCUMENTS section below. The complete initial Application must be submitted by 11:59 PM (EST) on 09/30/2025. PLEASE NOTE: If your materials are not received by the closing date, your application will be evaluated solely on the information available and you may not receive full consideration or may not be considered eligible. Also, if you do not provide a valid email address, you may not be notified of the outcome of your application. To begin the process, click the Apply Online button to create an account or log into your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process. Note: To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account, select Application Status, and click on the more information link under the application status for this position. Applications and supporting documentation will not be accepted by mail or email. If you need further assistance, contact the Human Resources Office representative listed on this announcement at least one day prior to the closing date for further instructions. Agency contact information IHSC Recruiting Email ************************** Address ERO-DRO-IHSC Public Health Service 500 12th Street SW Washington, DC 20536 US Learn more about this agency Next steps Once you submit your application, we will assess your experience and training, identify the best-qualified applicants, and refer those applications to the hiring manager for further consideration and interviews. We will notify you by email after each of these steps has been completed. Your status will also be updated on USAJOBS thro

Advanced Practice Nurse Currently recruiting an Advanced Practice Provider (NP/PA) in Alexandria, LA to coordinate complex clinical operations at a facility that houses individuals detained by Immigration and Customs Enforcement. The core scope of practice includes but is not limited to: family practice, including family units and office-based procedures; urgent and emergency care, behavioral health care, infectious disease and public health management, case management, and gender-specific care, including transgender care and management of pregnancy; All heath care provided to ICE detainees is governed by IHSC policy and established detention standards. All IHSC APPs provide health care under the scope of a collaborative practice and prescriptive authority agreement with a physician. DUTIES OF THE ADVANCED PRACTICE PROVIDER: + Adheres to the IHSC Advanced Practice Provider (APP) Collaborative Practice and Prescriptive Authority Agreement (CP/PAA). + Works as part of an integrated health care team to provide acute, emergent, and chronic health care to patients in compliance with IHSC policy and guidance and accreditation standards as prescribed by ICE/IHSC. + Performs comprehensive history and physical evaluations, behavioral health care, and minor outpatient surgical procedures for detainees as required by the medical condition. + Demonstrates appropriate application of clinical knowledge within documented treatment plans, prescriptions, and provides treatment throughout the life span as appropriate to discipline and facility setting. + Demonstrates appropriate application of clinical knowledge within documented lab/diagnostic ordering and interpretation, medication prescribing practices, referrals to consultants, follow-up after hospitalization or consultation. + Participates in and complies with court ordered treatment plans to include evaluation and treatment of patients with psychiatric illness or life-threatening conditions including hunger strike. + Provides full spectrum of age and gender specific health care to include treatment of gender dysphoria and pregnancy. + Consults with the staff physician, clinical director, and/or IHSC consultants as required by policy and for complex medical and/or psychiatric patients. + Provides infirmary care including admission, discharge, and daily rounds for patients that require higher level of care and monitoring. + 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 and infectious waste. + Provides relevant patient health education to detainees verbally and/or with handouts. + Assists with preparation for accreditation and ongoing compliance with standards as assigned. + Attends on-site, regional, and national meetings as required. + Completes all initial, annual, and ad hoc training as required. + Participates in all required credentialing and peer review processes as required. + Facilitates and mentors APP onboarding and training. + Demonstrates level of productivity that is on par with the average APP productivity at the assigned facility. REQUIRED EDUCATION AND EXPERIENCE: + Physician Assistant - Graduate from an accredited Physician Assistant program located in a State, the District of Columbia, or a U.S. territory. Must be accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessors. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education. + Nurse Practitioner - Graduate from an accredited Family Nurse Practitioner program located in a State, the District of Columbia, or a U.S. territory. The degree-issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education. + One-year full-time equivalent of experience in primary care as a licensed Nurse Practitioner or Physician Assistant. Clinical experience must be current and within the past five years. + Experience in a detention, correctional or residential healthcare setting (preferred, not required). REQUIRED LICENSURE/CERTIFICATION: + Must have and maintain an unrestricted, current Nurse Practitioner or Physician Assistant license in the state in which the duty station is located. Any changes to license must be reported to employer immediately. + Must have and maintain national certification as nurse practitioner or physician assistant. + Physician Assistant - Must have and maintain certification as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA). + Nurse Practitioner - Must have and maintain board certification as Family Nurse Practitioner by the American Nurse Credentialing Center (AANC) or American Academy of Nurse Practitioners (AANP). + Must have and maintain unrestricted license to prescribe controlled medications from the Drug Enforcement Agency (DEA) and in state in which the duty station is located. + Must have and maintain one of the following certifications: Basic Life Support for health care providers through the American Heart Association , CPR for the professional rescuer through the American Red Cross or the American Safety and Health Institute. + This position requires credentialing and a signed collaborative practice and prescriptive authority agreement with a physician. ABOUT THE ARORA GROUP The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for over 25 years, has provided medical care to federal agencies. Our mission is to provide world-class care and give our over 500 healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of our nation. EOE AA M/F/Vet/Disability Job Details City Alexandria State LA

Specialization: Surgery Trauma Rapides Regional Medical Center is seeking a Trauma Advanced Practice Provider to join our rapidly growing ACS verified Level II trauma program in Central Louisiana. Qualified Candidates: * Board certified as a Physician Assistant or Nurse Practitioner * Acute Care Certification * Preferable to have two years of surgery or hospitalist experience * 7on/7off block schedule or as agreed upon with physician * The ideal candidate will be comfortable in a hospital setting, and eager to increase and build the program while becoming a part of a growing community. Incentive/Benefits Package: * Unmatched potential for flexibility and career growth * Competitive salary with incentive-based package * Comprehensive benefits package including health, dental, vision, life, and disability * Time away from work combines paid time off, disability coverage, and leaves of absence * CME time and dues allowances * 401k with company matching * Employee stock purchase plan About Rapides Regional Medical Center * Rapides Regional Medical Center is an award-winning hospital in Alexandria, Louisiana, providing a wide array of care to 13 parishes across Central Louisiana. * A 380-bed hospital includes Rapides Womens and Childrens Hospital, featuring obstetrical/gynecological, pediatric, and pediatric intensive care services; Rapides Cancer Center, offering a range of services for cancer patients; Rapides Heart Center, featuring comprehensive cardiac care from prevention to treatment to surgery; and the areas largest emergency department, offering the community the only Level II Trauma Center. * The medical staff includes doctors in 30+ medical specialties * With a continued emphasis on progressive care, Rapides Regional has grown to meet the continually changing needs of our patients and the rapidly advancing technology of modern healthcare. Alexandria is located in the heart of Louisiana and is an attractive, family-oriented community. The area is also referred to as a "Sportsman's Paradise" with lakes, golf courses, biking trails, hunting, fishing and water sports. This diverse, welcoming community features excellent schools, universities, neighborhoods, museums, cultural events & festivals, among many others. For travelers, AEX airport provides the option for international travel through connections in Houston and Dallas in less than an hour. Enjoy a low cost of living, short commutes, and a strong sense of community, making Alexandria home and the start of your successful, thriving healthcare career.

Million Air Alexandria is the Fixed Base Operator (FBO) located at the Alexandria International Airport. We provide aviation fuel sales and services to a wide variety of aviation customers. We are open 24 hours a day and 365 days a year. The Line Service Professional is a member of a team trained to receive and deliver fuel, inspect fuel, marshal aircraft, and conduct other services as required by pilots with the goal of providing outstanding customer service. Day Shift - The hours for this shift are 7:00 a.m. to 3:00 p.m. Starting pay is $15.00 hourly. Full-Time position - 40 hours a week. Includes weekends and holidays. Requirements Responsibilities and duties: Customer Service Aircraft movement, parking, fueling, towing, and storage Fuel quality control and associated paperwork Facility maintenance Competencies: Customer service oriented Able to communicate clearly Basic math skills Current driver's license (clean driving record) Benefits Our comprehensive package includes a matching 401k program, Paid Time Off (PTO), and Medical, Dental, and Vision coverage. We value your hard work and offer performance-based bonuses. AAP/EEO Statement Million Air is an Equal Opportunity/Affirmative Action Employer/Protected Veteran/Disabled Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this position. Duties, Responsibilities, and activities may change at any time with or without notice.

We value your experience and are currently offering a $1500 sign-on bonus OR a $1000 sign-on bonus with a brand new tool kit! ABOUT OUR SALONS: Let your creativity shine as an experienced Pet Groomer! In our Grooming Salon, you'll have the opportunity to build personal relationships with your clients each time they visit and truly become a part of their family. With your skills and expertise, you'll advise pet parents on the best services for their pets and perform grooming services that exceed their expectations. And, as an added bonus, you'll be able to share in the joy that comes with picking up a freshly coiffed pet! It's impossible not to smile and take pride in the work that you do for your clients! YOUR GROOMING CAREER: At PetSmart, we take care of the business, so you can focus on the pets! A grooming career with PetSmart includes: * A steady, growing client base * Stable base pay, plus commission * Paid sick and vacation time * Health benefits and 401k * All supplies you need including shampoo, sprays, tools, etc. * State of the art equipment including kennels, tables, dryers, and Hydrosurge * On-going education and training * Room to grow your career as a Salon Leader, Store Leader, or District Academy Trainer! THE WARM AND FUZZIES: We've highlighted job responsibilities and programs as best as we could above-but the best parts of working at PetSmart can't be fully described in the . * It's the pride of the giving Mickey a makeover in our salons watching him strut his stuff on the way out. Paws off, ladies, he's taken! * It's the excitement of Walter's wagging tail during his bath or Sadie's smile after her teeth are cleaned. * It's the gussying up of Gizmo for this year's holiday photoshoot. (Fun fact: many of our groomers receive holiday cards from their clients!) * It's the little things we do that add up to really big things that pets need. Working at PetSmart is not a job, it's a community of those who work together for the love of pets. Apply now to experience a career that loves you back. This job summary is intended to describe the general nature and level of work associates/leaders assigned to this job perform. It is not intended to include all duties and responsibilities. You will be provided a copy of a job description for the actual position you are hired in to. This position is also eligible for benefits as described at ********************************** PetSmart is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national or ethnic origin, disability, as well as any other characteristic protected by federal, provincial or local law. Applicants must be over the age of 18 (except in Montana or where otherwise required by local or state law) For applicants in our Waterloo, San Francisco, or Los Angeles locations: Pursuant to the Waterloo and San Francisco Fair Chance Ordinance, as well as the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment, qualified applicants with arrest and conviction records in a manner consistent with the law

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Evergreen Life Services - JobID: 100-147572013 [Nursing Assistant / Health Aide] As a Direct Support Professional at Evergreen Life Services, you'll: Provide direct care and support to individuals with disabilities; Assist with daily living activities such as bathing, dressing, and meal preparation; Administer medications and monitor health conditions; Implement individualized care plans and document progress; Foster a safe and inclusive environment; Collaborate with interdisciplinary teams to ensure holistic care. . . Hiring Immediately >>

Compensation $9.00 Hourly Benefits Offered Medical Employment Type Full-Time We are seeking Direct Service Professionals to become a part of our team! You will perform routine administrative and clinical assignments to keep the medical facility running smoothly. Responsibilities: * Handle all administrative duties in a timely manner. * Perform routine clinical tasks to support medical staff. * Provide daily living skills assistance to people with disabilities. Qualifications: * Previous experience working with people with disabilities or other related fields * Strong organizational skills * Must be able to pass Background and Drug Test About Louisiana Community Care: Since 1988, Louisiana Community Care, Inc. has specialized in providing services to people 18 years and older with developmental, physical, and mental disabilities. LCC, Inc. currently provides services to more then 100 individuals in Region VI.

* Alexandria, LA, USA * 9.00 per hour * Hourly * Full Time Email Me This Job Compensation **$9.00 Hourly** Benefits Offered **Medical** Employment Type **Full-Time** We are seeking Direct Service Professionals to become a part of our team! You will perform routine administrative and clinical assignments to keep the medical facility running smoothly. **Responsibilities:** * Handle all administrative duties in a timely manner. * Perform routine clinical tasks to support medical staff. * Provide daily living skills assistance to people with disabilities. **Qualifications:** * Previous experience working with people with disabilities or other related fields * Strong organizational skills * Must be able to pass Background and Drug Test **About Louisiana Community Care:** Since 1988, Louisiana Community Care, Inc. has specialized in providing services to people 18 years and older with developmental, physical, and mental disabilities. LCC, Inc. currently provides services to more then 100 individuals in Region VI. You must select a location. You must select an education status answer. You must select a seeking status answer.

This Advertisement is for Physicians Only Primary Care physician employment in Louisiana : The Inline Group - Full Time Hours:Monday - Friday 8 AM - 5 PM Employed New Graduates Average Patients seen: 18-22 patients per day Loan Repayment Sign-On Bonus Compensation: Competitive first-year guarantee Benefits: - Student loan repayment up to $125,000 ($25,000 per year starting after year 1)- Malpractice with tail coverage- Retirement with employer match- CME allowance- Medical, Dental, & Vision Benefits- Time away from practice Additional Info: CHRISTUS Health is seeking a board-certified or board-eligible Family Medicine Physician to join an outstanding program. {ts ' :16:00'}-BF04783A-0DC5-12AC-26A72357EBB095A3 Board Certified or Board Eligible Medical Doctor with or w/o US residency with current US work visa.

Summary This position is located within the ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Psychiatric Services Program. The incumbent will serve as a Psych Advanced Practice Provider (APP), whether they are a Psych Mental Health Nurse Practitioner (PMHNP), Psych Physician Assistant - Certified (Psych-PA-C). or a Board Certified Psychiatric Pharmacist (BCPP) This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Responsibilities DUTIES AND RESPONSIBILITIES: Provides direct psychiatric care to detainees via onsite and telepsychiatry services for scheduled appointments, emergency, or urgent care visit. Consults with the Psychiatrist and/or Clinical Director for complex psychiatric patients and as required by IHSC policy. Provides infirmary care including admission, discharge, and daily rounds for detainees that require higher levels of psychiatric care or monitoring. Performs comprehensive psychiatric evaluations and initiates treatment plans for detainees as required by IHSC policy, or as required for detainee psychiatric complaint. Works within and performs functions as outlined in the IHSC Psychiatric Advanced Practice Provider Collaborative Practice and Prescriptive Authority Agreement and the IHSC formulary. Follows IHSC policies in the management of significant mental illness including prevention of violence, homicide, self-harm and suicide. Applies knowledge of drugs and therapeutics when prescribing medication. Applies patient-specific knowledge to monitor and control stress levels and provide emotional support and counseling to detainees. Coordinates psychiatric care needs of detainees including referrals to off-site consultants. Solicits and reviews pertinent psychiatric records as indicated Interprets diagnostic and laboratory results when required for psychiatric evaluations. Adheres to universal precautions. 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. Maintains flexibility and adaptability to sudden changes in schedules and work requirements. The incumbent will be required to provide on-call coverage as needed after regular work hours and may need to return to the facility outside of normal work hours for urgent mental health needs. Provides relevant patient 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. Completes all training as required/assigned. May serve in acting capacity as part of the IHSC behavioral health leadership team. Mentors Psychiatric APP onboarding and training. Attends on-site, regional, and national meetings as required. Participates in the Psychiatric APP peer review process. Assists in program development, policy review and revisions, and data collection. Travel may be required up to as much as 20% annually. Performs other duties and responsibilities as assigned. Requirements Conditions of Employment Qualifications COMPETENCIES: Cultural Competency Demonstrates strong interpersonal skills. Demonstrates strong oral and written communication skills. Integrity/Honesty Adult learner teaching skills Experience in correctional health care preferred PHYSICAL DEMANDS: 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. 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. Must be able to see, hear and smell with aids if necessary. Must easily alternate between kneeling and standing. Must be able to lift, push, or carry 30 pounds. Must perform the duties of job in a stressful and often austere environment without physical limitations. Education [O-4 Billet] REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Must have a minimum of 6 months of full-time experience as a Psychiatric APP in direct patient care or the express approval of IHSC Chief Psychiatrist. Knowledge of training methods and sufficient interpersonal skills to develop a rapport with detainees and co-workers when instructional and educational information is presented. Physician Assistant (PA) - Requires unrestricted PA state license and national board certification through the National Commission on Certification of Physician Assistants (NCCPA). Current licensure as a PA by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Certificate of Added Qualification in Psychiatry from the NCCPA- preferred, not required. Nurse Practitioner - Requires unrestricted PMHNP state license and national board certification through the American Nurse Credentialing Center (ANCC). Current licensure as a PMHNP by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. PMHNP degree from a graduate school of professional nursing accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), typically a Master or Doctorial level education. PMHNP board certification by the American Nurses Credentialing Center (ANCC). Maintains a current license and meets continuing education requirements for the State(s) licensed in (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position will be required to perform clinical activities within the scope of licensure) Maintains unrestricted license with state of licensure Drug Enforcement Agency (DEA) to prescribe controlled medications-preferred Maintains basic readiness status Maintains current CPR/BLS certification Maintains clinical professional skills via continuing education opportunities. Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills, thereby requiring continuing professional clinical support. Flexibility and ability to adapt to sudden changes in schedules and work requirements. [O-5 Billet] REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Preferred minimum of 3-5 years of full-time experience as a Psychiatric APP in direct patient care or must have the expressed approval of IHSC Chief Psychiatrist Knowledge of training methods and sufficient interpersonal skills to develop a rapport with detainees and co-workers when instructional and educational information is presented. Physician Assistant (PA) - Requires unrestricted PA state license and national board certification through the National Commission on Certification of Physician Assistants (NCCPA). Current licensure as a PA by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Certificate of Added Qualification in Psychiatry from the NCCPA - required. Nurse Practitioner - Requires unrestricted PMHNP state license and national board certification through the American Nurse Credentialing Center (ANCC). Current licensure as a PMHNP by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. PMHNP degree from a graduate school of professional nursing accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), typically a Master or Doctorial level education. PMHNP board certification by the American Nurses Credentialing Center (ANCC). Board Certified Psychiatric Pharmacist - Requires unrestricted pharmacist state license and board certification in psychiatric pharmacy through the Board of Pharmaceutical Specialties (BPS). Current licensure as a pharmacist by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. Graduate from a Doctor of Pharmacy program accredited by the American Council on Pharmaceutical Education (ACPE). Board Certification in Psychiatric Pharmacy (BCPP) by the Board of Pharmaceutical Specialties (BPS). Maintains a current license and meets continuing education requirements for the State(s) licensed in (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position will be required to perform clinical activities within the scope of licensure). Maintains unrestricted license with state of licensure Drug Enforcement Agency (DEA) to prescribe controlled medications-preferred Maintains basic readiness status Maintains current CPR/BLS certification Maintains clinical professional skills via continuing education opportunities. Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills, thereby requiring continuing professional clinical support. Flexibility and ability to adapt to sudden changes in schedules and work requirements. Preferred Knowledge, Skills, and Abilities: Knowledge of forensic psychiatry concepts and principles Correctional health care experience. Certification as Correctional Healthcare Professional (CCHP) Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. Bilingual communication capability preferred. Additional Information This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Psychiatric Services Program. The incumbent will serve as a Psychiatric Advanced Practice Provider (APP), whether they are a Psychiatric Mental Health Nurse Practitioner (PMHNP) or a Psychiatric Physician Assistant - Certified (Psych-PA-C). The incumbent will report to the facility clinical director; will establish a collaborative practice agreement with a psychiatrist. As the Psychiatric APP the incumbent works within one of the facilities located across the nation as a member of the healthcare team providing mental health care to detainees in ICE custody. IHSC has a multi-sector, multidisciplinary workforce of more than 1400 employees, includingU. S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 19 detention facilities throughout the country and manages the provision of off-site medical care for detainees housed in approximately 240 additional Intergovernmental Service Agreement (IGSA) facilities. The ICE detainee population is approximately 34,000 detainees daily, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground, and at sea. DHS SUPERVISORY CONTROLS: DHS ICE ERO HHS SUPERVISORY CONTROLS: DHHS USPHS CC SUPERVISORY CONTROLS: The Psychiatric APP functions under the clinical supervision of the designated collaborating psychiatrist and the facility clinical director. The Psychiatric APP is administratively supervised by the facility clinical director.

This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. This is a non-supervisory position. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Learn more about this agency Help Overview * Accepting applications * Open & closing dates 10/01/2024 to 09/30/2025 * Salary $1 - $150,000 per year Please note that the salary is dependent on the officer's rank, years in service, and location of duty station. * Pay scale & grade CC 3 - 5 * Help Location 1 vacancy in the following location: * Jena, LA * Remote job No * Telework eligible No * Travel Required 25% or less - You may be expected to travel for this position. * Relocation expenses reimbursed Yes-You may qualify for reimbursement of relocation expenses in accordance with agency policy. * Appointment type Permanent * Work schedule Full-time * Service Excepted * Promotion potential None * Job family (Series) * 0603 Physician Assistant * 0605 Nurse Anesthetist (Title 38) * Supervisory status No * Security clearance Other * Drug test Yes * Financial disclosure No * Bargaining unit status No * Announcement number IHSC-APP-JLA-O3O4O5-NS-2025 * Control number 811949900 Help This job is open to * The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible for this position. Videos Help Duties DUTIES AND RESPONSIBILITIES (O-3 & O-4 Billet): * A physician assistant or nurse practitioner who practices in conformance with established criteria, guidelines, and agency procedures. Efforts are directed toward the enhancement of the physical, emotional, and social well-being of individuals. Judgmental failure could seriously affect the health status of one or more individuals. Decisions are reviewed as needed with medical officers or other advanced practice providers. Provides health care of a scope, quality, and quantity consistent with agency and PHS policies. Primary contact is with persons outside the immediate work environment, but within the agency. This includes the general public and patients. The primary mission is to meet their health care needs, obtain and provide information, present reports, and further the goals and objectives of the PHS and the agency. * 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. * Coordinates health care needs of detainees including referrals to off-site consultants. * Takes appropriate infection control actions in accordance with IHSC policy and guidance. * Completes all training as required/assigned. * Attends on-site, regional, and national meetings as required. * O-4 level participates in the APP Peer Review process. * Performs other duties and responsibilities as assigned. DUTIES AND RESPONSIBILITIES (O-5 Billet): * Provides direct care to detainees via scheduled appointments, emergency, or urgent care visits. * 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 2 3/6/2019 detainee medical complaint. * Works within and performs functions as outlined in the IHSC Advanced Practice Provider (APP) Scope of Practice and the Controlled Prescribing Scope of Practice for APPs. * 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. * Maintains flexibility and adaptability to sudden changes in schedules and work requirements. * 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. * Completes all training as required/assigned. * Serves as Acting Senior Supervisory APP or Acting Regional APP. * Facilitates and mentors APP onboarding and training. * Attends on-site, regional, and national meetings as required. * Participates in the APP Peer review process. * Performs other duties and responsibilities as assigned. Help Requirements Conditions of Employment * You must be a U.S. citizen to apply for this position. * You must successfully pass a background investigation. * You must successfully pass a drug screen. * Males born after 12/31/59 must certify registration with Selective Service. * Requirements by Closing Date: Unless otherwise noted, you must meet all requirements by the closing date of the announcement. * Service Remaining Requirement Agreement: Upon appointment to this position, officers will be required to serve an 18 to 24-month commitment to IHSC. * Applicants must be a current USPHS Commissioned Corps Officer or USPHS Call to Active Duty (CAD) candidate. Civilians are not eligible for this position. Qualifications COMPETENCIES: * Superior oral/written communication skills. * Analytical Skills and ability to navigate complex system. * Strong interpersonal and active listening skills. * Strong organizational and time management skills. * Demonstrates strong problem solving, judgment and decision-making skills. * Demonstrates Integrity/Honesty and Cultural Competency. PHYSICAL DEMANDS: * 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). * The work may necessitate some physical characteristics that will be required when responding to an emergency situation, such as running a short distance, prolonged standing and working in an austere environment. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-3 & O-4 Billet): * Individuals applying for an O-3 billet / GS equivalent are a new graduate or have no clinical experience. Upgrade to O-4 is dependent upon adequate performance. Individuals applying for O-4 / GS equivalent have one year of clinical experience as a PA or NP, are officers currently in an O-4 billet, or approved by the Deputy Medical Director. * Meet the minimum education and certification requirements for either a nurse practitioner or physician assistant. * Nurse practitioner. Must possess a certified advance practice nurse practitioner degree from a graduate school training program approved for this qualifying degree, an unrestricted Nurse Practitioner state license, and a national board certification through the American Academy of Nurse Practitioners (APRN) or the American Nurse Credentialing Center (ANCC). * Physician assistant. Must possess an accredited bachelor's, or master's degree, and completed a physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), national certification through the National Commission on Certification of Physician Assistants (NCCPA), and an unrestricted physician assistant state license. * Fulfills the obligation(s) of their licensing or certifying body to maintain currency. * Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. * If applicable, maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications. * Maintains basic readiness for duty. * Maintains current CPR/BLS certification. * Maintains clinical professional skills via continuing education opportunities. * Preferred Knowledge, Skills, and Abilities: * Experience in correctional health care * Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. * Knowledge of public health preparedness, infection control and TB management * ACLS certification * DEA Buprenorphine X Waiver certification REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES (O-5 Billet): * Requires more than 4 years of full-time clinical experience as a PA or NP or approval of the IHSC Medical Director. * Team lead or supervisory experience. * Physician Assistant- Requires unrestricted Physician Assistant state license, national board certification through the National Commission on Certification of Physician Assistants (NCCPA). * Nurse Practitioner- Requires unrestricted Family Nurse Practitioner state license, national board certification through the American Academy of Nurse Practitioners (APRN) or the American Nurse Credentialing Center (ANCC). * Fulfills the obligation(s) of their licensing or certifying body to maintain currency. * Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. * Maintains unrestricted license with state of licensure and the Drug Enforcement Agency (DEA) to prescribe controlled medications. * Maintains basic readiness for duty. * Maintains current CPR/BLS certification. * Maintains clinical professional skills via continuing education opportunities. * Preferred Knowledge, Skills, and Abilities: * Correctional health care experience. 3 3/6/2019 * 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 Additional information O-3 & O-4 Billet This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. The incumbent reports directly to the supervisory advanced practice provider. If no supervisory advanced practice provider is on-site, the incumbent reports to the facility clinical director. The regional advanced practice provider serves as the incumbent's reviewing official. O-5 Billet This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. The incumbent will report directly to the site Health Services Administrator. This is a non-supervisory position. IHSC has a multi-sector, multidisciplinary workforce of more than 1400 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 23 detention facilities throughout the country and manages the provision of off-site medical care for detainees housed in approximately 240 additional Intergovernmental Service Agreement (IGSA) facilities. The ICE detainee population is approximately 34,000 detainees on a daily basis, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground and at sea.DHS SUPERVISORY CONTROLS: * DHS * ICE * ERO HHS SUPERVISORY CONTROLS: * DHHS * USPHS CC SUPERVISORY CONTROLS: The Physician Assistant or Nurse Practitioner works under the general administrative supervision of the Health Services Administrator (HSA) with clinical oversight provided by the Clinical Director or designee. Incumbent plans and carries out the successive steps and handle problems and deviations in work assignments in accordance with guidance and USPHS instructions and policies or by accepted standards of care. Work is reviewed for professional judgment and attainment of objectives. Read more * Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How You Will Be Evaluated You will be evaluated for this job based on how well you meet the qualifications above. 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. * Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. * Required Documents As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies. 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. 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) * Official USPHS Promotion CV - e.g., relevant experience, education, training. (Place under "Resume") * 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. 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 "Resume") * U.S. Public Health Service - Appointment Board Decision Letter/Email. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. * How to Apply To apply for this position, you must submit the required documentation outlined under the REQUIRED DOCUMENTS section below. The complete initial Application must be submitted by 11:59 PM (EST) on 09/30/2025. PLEASE NOTE: If your materials are not received by the closing date, your application will be evaluated solely on the information available and you may not receive full consideration or may not be considered eligible. Also, if you do not provide a valid email address, you may not be notified of the outcome of your application. To begin the process, click the Apply Online button to create an account or log into your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process. Note: To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account, select Application Status, and click on the more information link under the application status for this position. Applications and supporting documentation will not be accepted by mail or email. If you need further assistance, contact the Human Resources Office representative listed on this announcement at least one day prior to the closing date for further instructions. Agency contact information IHSC Recruiting Email ************************** Address ERO-DRO-IHSC Public Health Service 500 12th Street SW Washington, DC 20536 US Learn more about this agency Next steps Once you submit your application, we will assess your experience and training, identify the best-qualified applicants, and refer those applications to the hiring manager for further consideration and interviews. We will notify you by email after each of these steps has been completed. Your status will also be updated on USAJOBS throughout the process. To check your status, log on to your USAJOBS account, click on "Application Status," and then click "More Information." We expect to make a job offer within 60 days after the deadline for applications. If you are selected, we will conduct a suitability/security background investigation. View more information on applying for federal employment. * Fair and Transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. * Criminal history inquiries * Equal Employment Opportunity (EEO) Policy * Financial suitability * New employee probationary period * Privacy Act * Reasonable accommodation policy * Selective Service * Signature and false statements * Social security number request Help 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 speci

**Specialization:** Gastroenterology Rapides Regional Medical Center is seeking an advanced practice provider to support our gastroenterology service line in Alexandria, LA. **Incentive/Benefits Package:** + Competitive Salary + Comprehensive benefit package + Join a large employment group **Qualified Candidates:** + Must be board eligible or board certified in their specialty + Physician Assistant or Acute Care Nurse Practitioner is preferred + Responsible for responding to requests for consults, rounding, etc. + Must have excellent interpersonal skills to communicate clearly and concisely with all levels of nursing, physicians, and administration **About Rapides Regional Medical Center:** + Rapides Regional Medical Center is an award-winning hospital in Alexandria, Louisiana that provides a wide array of care to 13 parishes across Central Louisiana. + A 380-bed hospital, includes Rapides Women's and Children's Hospital, featuring obstetrical/gynecological, pediatric, and pediatric intensive care services; Rapides Cancer Center, offering a range of services for cancer patients; Rapides Heart Center, featuring comprehensive cardiac care from prevention to treatment to surgery; and the area's largest emergency department, offering the community the only Level II Trauma Center. + The medical staff includes doctors in 30+ medical specialties. + With a continued emphasis on progressive care, Rapides Regional has grown to meet the continually changing needs of our patients and the rapidly advancing technology of modern healthcare. Alexandria is located in the heart of Louisiana and is an attractive, family-oriented community. The area is also referred to as a "Sportsman's Paradise" with lakes, golf courses, biking trails, hunting, fishing, and water sports. This diverse, welcoming community features excellent schools, universities, neighborhoods, museums, cultural events & festivals, among many others. For travelers, AEX airport provides the option for international travel through connections in Atlanta and Dallas in less than an hour. Enjoy a low cost of living, short commutes, and a strong sense of community, making Alexandria home and the start of your successful, thriving healthcare career.

Job DescriptionEvergreen Life Services is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital status, or any other legally protected status. JOB SUMMARY Responsible for maintaining a healthy, safe, and therapeutic environment for individuals served and following through on their individual care plans. ESSENTIAL JOB FUNCTIONS Ensure the health and welfare of the individuals served. Assist individuals served with medication and treatment plans as needed. Assist individuals served in the care and cleaning of their homes, including reporting maintenance needs. Assist individuals served with money management, including budgeting, banking, and shopping. Assist individuals served with daily life activities such as meal preparation, reading usage, use of telephone, use of community services (e.g., post office, mass transportation), housekeeping, clothing care, self-care, and personal hygiene. Make food and non-food purchases for the home when requested. Prepare meals. Ensure the maintenance of the home and grounds is done as requested. Complete all required documentation following applicable state agency(ies) and Evergreen Presbyterian Ministries, Inc. policies and procedures. Implement behavioral and other programs as trained and requested. Assist individuals served with their goals as outlined in their plan of care document(s). Identify potential behavior triggers and defuse or redirect them as needed to ensure the safety and well-being of all involved. Provide transportation for individuals served in the company or personal vehicle as requested, i.e., appointments, activities, etc. QUALIFICATIONS/EXPERIENCE/JOB KNOWLEDGE Effectively read, write, and communicate verbally in English and must be able to read and understand instructions, perform record-keeping, and write reports. Valid drivers licensewhich meets Evergreen requirements for insurance purposes and proof of liability coverage if a vehicle is ownedis preferred. Meet and maintain all requirements of the applicable state agency(ies), including good standing with the state abuse and neglect registry. Submit to and pass a drug screen and criminal background check. Ability to utilize basic computer skills (e.g., data entry, approving timesheets, etc.). Prior experience as a direct support worker or in a caregiving capacity. Must be at least 18 years of age (non-driver) or 21 years of age (driver). PHYSICAL REQUIREMENTS Constantly moves about to coordinate work. Regularly moves and positions objects weighing up to 50 pounds while assisting individuals served in the home, workshop, or job site. Regularly assist individuals served physically by lifting and positioning them as appropriate. Constantly be alert and aware of the needs of individuals served. Occasionally exposed to viruses and infectious conditions. Reasonable accommodations may be made to enable individuals with disabilities or medical conditions to perform essential functions. SUPERVISORY RESPONSIBILITIES Will not supervise. SPECIAL REQUIREMENTS Represent Evergreen in public in a fashion that would reflect the credibility and professionalism of the organization. Desire to work with people with disabilities and enhance their quality of life. Function successfully in stressful situations. Demonstrate high moral standards to be a positive role model for individuals served. Complete all orientation and on-the-job training before starting work. Work assigned shifts as required by management. Attend all training classes as required. Other characteristics of a successful DSP include but are not limited to the following characteristics: patience and composure, effective communication, dependability, effective interpersonal skills, awareness and attention to detail, advocacy, etc. EMPLOYMENT VARIABLES Must have a good driving record that meets the minimum requirements for Evergreen and reliable transportation. Must pass a drug screen and criminal background check. Must be able to work a flexible schedule, which includes all shifts, including nights, days, and weekends. WORKING ENVIRONMENT May be required to work in a variety of settings and environments, both indoors and outdoors.

YOUR GROOMING CAREER: Start your career in grooming as a Groomer Trainee! As a Groomer Trainee in our Grooming Salon, you'll have the opportunity to build personal relationships with your clients each time they visit and truly become a part of their family. You'll get to know their pets' styles and personalities to create a customized, stylish experience just for them! From that first shampoo to that final strut home, you'll take pride in the services you provide! GROOMED FOR GREATNESS: You bring the passion, and we'll bring the training. Petsmart offers a training program that will set you up for success. * Stage 1-- Bather: Jump start your education by getting hands-on experience with our pets. These pets become our own pets while they are in our care, so our number one priority is to get safety certified. Under the guidance of the salon leader, you'll begin your training as a bather and learn about different dog breeds and styling. You'll help to get the dogs comfortable in our salon and spend time bathing them, trimming their nails and providing support to groomers throughout the pet's stay. * Stage 2-- Grooming Academy: After getting some experience under your belt (well, smock!), you'll attend our Grooming Academy! You'll have 4 weeks in a classroom environment, gaining insights from our experienced Academy Trainers. You'll dive in deeper into breed styling, caring for different dog breeds, and get comfortable with tools and clippers. As an added bonus, at graduation, you'll receive a free tool kit worth over $600! * Stage 3--Groomer Trainee: You'll put your brand-new education and fancy new tool kit to work when you head back to our salon. With the leadership and oversight of experienced groomers, you'll begin to groom all different breeds and sizes of dogs. We have a target of 200 dogs to ensure you get the experience and diversity you need. * Stage 4--Pet Stylist in Training: Now it's time for you to really hone your skill set. You'll build relationships with your own clients, advise on styles, suggest new services and share in the joy that comes with a client picking up their freshly coiffed pet. It's the best thing in the world, well, that free tool kit is pretty great, too! THE WARM AND FUZZIES: We've highlighted job responsibilities and programs as best as we could above-but the best parts of working at PetSmart can't be fully described in the . * It's the pride of the giving Mickey a makeover in our salons watching him strut his stuff on the way out. Paws off, ladies, he's taken! * It's the excitement of Walter's wagging tail during his bath or Sadie's smile after her teeth are cleaned. * It's the gussying up of Gizmo for this year's holiday photoshoot. (Fun fact: many of our groomers receive holiday cards from their clients!) * It's the little things we do that add up to really big things that pets need. Working at PetSmart is not a job, it's a community of those who work together for the love of pets. Apply now to experience a career that loves you back. This job summary is intended to describe the general nature and level of work associates/leaders assigned to this job perform. It is not intended to include all duties and responsibilities. You will be provided a copy of a job description for the actual position you are hired in to. This position is also eligible for benefits as described at ********************************** PetSmart is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national or ethnic origin, disability, as well as any other characteristic protected by federal, provincial or local law. Applicants must be over the age of 18 (except in Montana or where otherwise required by local or state law) For applicants in our Waterloo,San Francisco, or Los Angeles locations: Pursuant to the Waterloo and San Francisco Fair Chance Ordinance, as well as the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment, qualified applicants with arrest and conviction records in a manner consistent with the law

Job Description Compensation $9.00 Hourly Benefits Offered Medical Employment Type Full-Time We are seeking Direct Service Professionals to become a part of our team! You will perform routine administrative and clinical assignments to keep the medical facility running smoothly. Responsibilities: Handle all administrative duties in a timely manner. Perform routine clinical tasks to support medical staff. Provide daily living skills assistance to people with disabilities. Qualifications: Previous experience working with people with disabilities or other related fields Strong organizational skills Must be able to pass Background and Drug Test About Louisiana Community Care: Since 1988, Louisiana Community Care, Inc. has specialized in providing services to people 18 years and older with developmental, physical, and mental disabilities. LCC, Inc. currently provides services to more then 100 individuals in Region VI. Job Posted by ApplicantPro

* Pineville, LA, USA * 9.00 per hour * Hourly * Full Time Email Me This Job Compensation **$9.00 Hourly** Benefits Offered **Medical** Employment Type **Full-Time** We are seeking Direct Service Professional to become a part of our team! You will perform routine administrative and clinical assignments to keep the medical facility running smoothly. **Responsibilities:** * Handle all administrative duties in a timely manner * Perform routine clinical tasks to support medical staff * Provide daily living skills assistance to people with disabilities **Qualifications:** * Previous experience working with people with disabilities or other related fields * Strong organizational skills * Must be able to pass Background and Drug Test **About Louisiana Community Care:** Since 1988, Louisiana Community Care, Inc. has specialized in providing services to people 18 years and older with developmental, physical, and mental disabilities. LCC, Inc. currently provides services to more then 100 individuals in Region VI. You must select a location. You must select an education status answer. You must select a seeking status answer.