Clinical Nurse Manager (O-6 Billet) Supervisory

This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). The Nurse Manager (NM) will report directly to the Regional Nurse Manager (RNM) with the Chief Nurse (CN) as reviewing official. This is a supervisory position.Qualifications: TECHNICAL HEALTHCARE DUTIES AND RESPONSIBILITIES:

1. Using and/or carrying out standard procedures for a specialized healthcare field.
   • Conducts interviews on newly admitted detainees with empathy to accurately identify needs and minimize and alleviate fears and anxieties.
   • Communicates and explains the institution's treatment programs to newly arrived detainees.
   • May serve as medical escort of detainees as needed for domestic/overseas travel under the direction of the IHSC Special Operations Unit.
   • Performs multiple complex tasks requiring advanced level of proficiency/independent functioning.
2. Applying basic nursing knowledge acquired through practical experience and on-the-job activities of accepted processes, standards, methods, and their corresponding scientific principles and results.
   • Plans and/or collaborates patient care interventions with other health care professionals using in-depth knowledge of the specific patient's status, anticipating physiological and/or psychological appropriate or adverse responses.
   • Maintains patient and health record confidentiality.
   • Demonstrates ability to work collaboratively, efficiently, and effectively with multidisciplinary healthcare team as evidence by improved patient outcomes and improved staff satisfaction.
   • In addition to contacts with patients and patients' families in a clinical setting, and within immediate work environment, communicates and collaborates with outside the immediate work environment with the department, and other federal departments or outside the federal government (e.g., CDC, TB Net, state/local health department and other federal partners. Requires face to face contact and telephone dialogue on a routine basis. Work purpose is primarily to collaborate; supply advice; explain, interpret, and seek support for methods, policies and programs; or render a service of a moderately complex nature requiring a moderate amount of explanation and tact.
3. Understanding and skill in applying predetermined procedures, methods, and standardized practices in a narrowly specialized healthcare field (nursing), or science, or in performing technical work requiring originality, initiative, and practical judgment in using and adapting standardized medical techniques and methods.
   • Maintains non-involvement in correctional security/custody responsibilities.
   • Coordinates the treatment and transport, if necessary, of acutely ill or injured patients with healthcare team; coordinates referrals to off-site providers as required.
   • Reviews nursing documentation in identified patient records to assess treatment progress, adequacy of record keeping, and implementation of appropriate clinical nursing guidelines/documentation on on-going basis.
4. Carrying out tasks, methods, procedures, and computations based on oral or written instructions and/or precedents, guidelines, and standards.
   • Provides nursing services of a scope, quality, and quantity consistent with IHSC policies.
   • Maintains security when administering medications; maintains cognizance at all times of the potential hazard of drug hoarding and trafficking among detainees.
5. Collecting, observing, testing, and recording factual and scientific data to monitor care of patients:
   • Differentiates between normal/abnormal findings, making appropriate notifications to higher level providers, and implementing appropriate interventions.
   • Applies knowledge of treatments and drug actions when making observations/ reporting patient response to treatments.
6. Foreseeing the effects of procedural changes or appraising the validity of results on the basis of experience and practical reasoning.
   • Collaborates with CD and HSA in identifying/recommending needed modifications/improvements to multiple and complex clinical programs for improved efficiency of patient care.
   • Collaborates with CD and HSA with developing new operating procedures or program plans.
7. Staying abreast of existing and new practical methods and applications through on-the-job and classroom training.
   • Serves as a team member for analyzing established protocol practices and identifying areas for improvement.
   • Reviews newly issued national directives and guides to identify updates in nursing practice; and implements training and education needed for employing the required process changes.
   • Knowledge of computerized data base, sources, and reporting methodologies.

1. This position is considered hazardous duty in a detention setting.
2. Requires physical exertion such as lifting objects greater than 30 pounds.
3. 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).
4. The work may necessitate some physical characteristics that will be required when responding to an emergency situation, such as running short distance, prolonged standing and working in an austere environment.
5. Required to perform CPR/emergency care standing or kneeling.

1. Competencies required:
   • Professional clinical nursing experience: 9 years
     • 4 years in a specialty area (experience in correctional health care preferred)
     • 4 years direct clinical patient care (e.g. inpatient) nursing experience preferred.
   • Administrative experience in a supervisory capacity: 3 or more years.
   • Maintains CPR/BLS certification.
   • Obtain CCHP-RN within 2 years of assignment.
   • Complete ICE Supervisory Leadership Training within 1 year of assignment and Advanced ICE Supervisory Leadership Training within 2 years of assignment.
   • Cultural competency maintained through agency/other training.
2. Qualifications-Degrees Required:
   • Baccalaureate Degree in Nursing.
     • Master's Degree in Nursing or related field preferred.
3. Qualifications-Licenses and Certifications Required:
   • Nursing License- Must be a Registered Nurse (RN).
     • Maintains current/documented professional licensure. (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position may be required to perform clinical activities with the scope of clinical license in times of critical needs within and at the direction of the agency.)
     • Professional credentials/certification appropriate to current job specialty.
4. Graduate of a professional nursing school approved by the appropriate State accrediting agency.
5. Knowledge of the Nurse Practice Act for the licensing state and the state in which one practices nursing.
6. Knowledge of a wide range of complex nursing concepts, principles, and practices to perform nursing assessments of considerable diversity to include mental health, medical/surgical, ambulatory, and emergency nursing care.
7. Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills, thereby requiring continuing professional clinical support.
8. Knowledge of correctional nursing concepts and principles.
9. Demonstrated evidence of knowledge of nursing management and leadership skills.
10. Knowledge of team building principles.
11. Knowledge of staff development and basic adult learner teaching skills.
12. Flexibility and ability to adapt to sudden changes in schedules and work requirements.
13. Follows supervisory chain of command.
14. Performs other duties and responsibilities as assigned.
15. Some travel may be required.