Licensed Practical/Vocational Nurse - job 2 of 6

International Health and Medical Services delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Services, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. 

This Position is Contingent on Contract Award.

Under the direction of the National Medical Director, physician supervisors, and advanced practice providers and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP), contracted Licensed Practical/Vocational Nurses (LPN/LVN) deliver healthcare services to persons in custody in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS) directives for the delivery of healthcare services to persons in custody.  

LPN/LVNs work to assure delivery of quality healthcare services in accordance with the SOW for the medical services contract within medical units at U.S. Customs and Border Protection sites including, Office of Field Operations (OFO) ports of entry, U.S. Border Patrol Border (USBP) Stations. Performs the clinical responsibilities as agreed upon by the National Program Director.  

Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females. 

MISSION  

CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004). This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners) and support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed. 

Duties and Responsibilities

• Works within the scope of their license and certifications performing direct patient care as directed or indicated. 
• Consults with/or works under the direct supervision of a Physician or Advanced Practice Provider (APP) for complex medical, pediatric, or psychiatric patients, completes orders recommended/authorized by the physician or APP. 
• Performs history and physical assessment, behavioral health care support, minor outpatient procedures, patient education, and refers any care beyond the scope of the medical unit to offsite facilities.  
• Performs vital signs electronically and manually, as indicated.  
• Practical knowledge of laboratory procedures and guidelines, skill in collecting a variety of samples, performs quality control of laboratory reagents, and performs CLIA waived testing as needed, following up with any abnormal findings.  
• Maintains compliance with DHS and CBP policies and any overriding accreditation standards that may apply. 
• Ability to properly use equipment and supplies in simple diagnostic and treatment procedures.  
• Works within the Scope of Practice, facility Standing Orders/Standing Operating Procedures and protocols. 
• Is expected to respond to medical emergencies for persons in custody, visitors or employees within the scope of their license and certifications until emergency services arrive.  
• Maintains patient confidentiality and privacy of medical records, complies with HIPAA regulations, performs record keeping functions in accordance with program policies and the system of records management.  
• Utilizes the electronic medical record for all patient care documentation and must maintain an “active status” for use and complete all required trainings as required.  
• Maintains non-involvement in the security aspect of patient care and custody.  
• Attends all general staff meetings during duty hours and participates with medical quality management initiatives and reviews as applicable.  
• Assures a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis, adheres to universal precautions, and takes appropriate infection control precautions.  
• Completes all annual trainings as required, or any additional training as assigned.  
• May be required to travel short notice, or to serve in various medical units within the sector/region.  
• Duties will be performed on-site at medical units, flexible scheduling and overtime are optional, as available. 
• All medical documentation will be signed and dated, whether electronic or paper.  
• Communicates an end of shift report to the oncoming shift.  
• Participates in Medical Quality Management/Quality Assurance/Risk Management activities and initiatives as needed.  
• Performs direct that may include:  
  • Assisting with feeding or meal set-up  
  • Oral care, nail care, washing hair, and basic hygiene  
  • Bathing and/or dressing  
  • Toileting or changing disposable diapers/briefs 
  • Ambulation and transfer assistance in and out of beds, wheelchairs, and or showers, etc.  
• Restocks medical units with forms, supplies, or equipment, and helps with maintaining stock supplies. 

This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.

BASIC REQUIREMENTS  

Education/Training 

• Successful completion of a program in Practical or Vocational Nursing located in any United States jurisdiction. 
• Program must be accredited by an entity recognized by the U.S. Department of Education. 

Licensure/Certification  

• Candidates must have a current, active, valid, and unencumbered license, registration, or certification to practice as a practical nurse or vocational nurse issued by any United States jurisdiction. Any license changes must immediately be reported to the employer. A temporary license will not be accepted.  
• Licensure must be maintained current, and any required education, trainings, continued education to maintain licensure must be completed within the required timeline for completion by the licensing/certifying authority.  
• Candidate should not have had any professional licensure withheld, suspended, revoked, or denied, and the candidate must not have surrendered or allowed a licensure/certification to have expired or lapsed because of an investigation or disciplinary action. Any National Practitioner Database finding will be reviewed on a case-by-case basis.  
• Candidate must not have been convicted of, pled guilty to, pled nolo contender to, or received probation before judgement for any crime other than a minor traffic violation, the record of which has not been expunged.  
• Basic Life Support (BLS) Certification must be from one of the following approved organizations:  
  • American Heart Association (AHA) BLS for health care providers  
  • American Red Cross CPR/BLS for the professional rescuer  
  • American Safety and Health Institute (ASHI) CPR and AED for healthcare providers and professional responders  
    • Course components must include Adult, Pediatric, and Infant CPR, Foreign Body Airway Obstruction, and Automatic Defibrillator (AED) proficiency  
    • Applicant/ Employee must be certified upon hire and may also be a certified instructor  
    • BLS/CPR must be renewed prior to expiration date and always kept in an active status.

Experience  

• Must have a minimum of one year of clinical experience in direct patient care as a licensed practical or vocational nurse.  
• Experience in detention or correctional healthcare, residential healthcare, a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided direct care.  
• Bilingual in English and Spanish encouraged but not required. 

Supervisory Controls 

• Works under the administrative direction of the Sector Program Manager, or in their absence the Program Manager.  
• Works under the clinical supervision and/or direction of an APP, Physician or EMT/Paramedic.  
• In this position, the employee will serve as a contractor to the federal government and does not have any federal authority or rights. 

Physical Demands  

• Able to walk, stand, bend, or sit for extended periods.  
• Able to reach to retrieve documents or supplies.  
• Able to carry materials and/or file boxes up to 30 pounds on an infrequent basis or assist patients into/out of a wheelchair. 
• Must be capable of standing on hard surfaces (cement floors) for long periods.  
• Must perform the duties in a stressful and often austere environment without physical limitation. 

Other Special Qualifications

• US Citizen or Permanent Resident Card is required.    
• Ability to obtain and maintain the U.S. Government security clearance. Applicants with current clearances are preferred.  
• Must be able to read, write and speak English to effectively communicate. 
• Proficiency in both English and Spanish is preferred. 

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. 

Compensation|   Min: 20hr    Max: 55hr

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal, state, and local minimum wage laws. 

International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws. 

International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.