Pediatric Advisor - job 1 of 5

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 in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP), contracted pediatric advisors deliver healthcare services to children in custody in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS). Pediatric advisors share the administrative functions that directly impact medical services and collaborates with the management team in overall planning and execution of program directives.  

Pediatric advisors 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

• Serves as the on-site regional pediatric medical authority for the medical services contract and medical units at for the U.S. Customs and Border Protection sites including, Office of Field Operations (OFO) ports of entry, and/or U.S. Border Patrol Border (USBP) Stations providing supervision, oversight, consultation, coordination, and direction for pediatric medical services, to include emergency care if needed.  
• Demonstrates a caring and helpful attitude when interacting with patients, vendors and fellow employees.  
• Provides pediatric medical direction and necessary guidance/oversight for appropriate advanced practice pediatric provider supervision, oversight, consultation, coordination, and direction for all medical services, to include pediatric mental health in the absence of a behavioral health advisor.  
• Clinical supervisory authority over pediatric mid-level providers, as assigned.  
• Provides on-call pediatric coverage for assigned medical units/sector 24 hours a day/7 day a week, however, call coverage may rotate based upon staffing.  
• Responsible for developing and coordinating all aspects of pediatric healthcare delivery at his/her assigned facilities.  
• May provide direct care to patients in accordance with current accepted practice, licensure, certification, credentialing and or granted privileges.  
• Provides age-appropriate screening, treatment, and patient instruction pertinent to the discipline and facility setting for acute and chronic conditions for pediatric patients.  
• Maintains non-involvement in the security aspect of patient care and custody.  
• Acts as an initial reviewer for all outside pediatric referrals/consults to specialty services, to include hospital or emergency care that exceed services offered at the medical unit.  
• Audits referrals and post-referral follow-up, as needed, as part of the medical quality management program.  
• Provides oversight for all pediatric patients requiring enhanced medical monitoring, and completes rounds as needed.  
• Will be expected to respond to and/or coordinate response to medical emergencies and medical sentinel events, as needed.  
• Seeks guidance from/collaboration with the Medical Director, Deputy Medical Director, Behavioral Health Advisor, Physician Supervisor, or other leadership as appropriate. 
• Serves on the national and local medical quality management committees and oversees pediatric focused root cause analyses and quality improvement projects/initiatives in collaboration with the national and local medical quality management committee.  
• Performs record keeping functions in accordance with program policies and position.  
• Maintains functional proficiency and ease of use utilizing electronic health records as required by, and appropriate to, position.  
• Completes all initial, annual, and ad hoc training or competencies as required/assigned.  
• Maintains patient confidentiality, and confidentiality of medical records, in compliance with the Privacy Act and HIPAA regulations in all work activities.  
• Adheres to, and maintains awareness of DHS and CBP Policies, Procedures, Directives, and Operational Memoranda.  
• Leads, attends, and participates in general/medical staff meetings at the local and national level, providing pediatric focused guidance and oversight, as needed.  
• Performs pediatric chart reviews as part of medical quality management, focused professional practice evaluation (FPPE) for APPs, on-going professional practice evaluation (OPPE) for APPs, collaborative annual performance evaluation for APPs, pediatric based medical sentinel event reviews, quality assurance and perform improvement initiatives with pediatric focus.  
• Completes summaries of all completed pediatric chart reviews, identifying trends, performance concerns, best practices.  
• Management and oversight of the Peer review program for APPs assigned as part of OPPE for assigned APPs.  
• Performs a mid-term review of performance with assigned APPs as part of an annual performance evaluation process, addressing any clinical practice concerns if identified.  
• Provides emergency care to employees or visitors for life, death, loss of sight/limb situations until Emergency Medical Services Arrives, as needed. 

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 

• Degree: Doctor of Medicine, Doctor of Osteopathic Medicine or equivalent from a school in the United States or Canada. The degree must have been accredited by the Council on Medical Education of the American Medical Association, Association of American Medical Colleges, Liaison Committee on Medical Education, Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.  
• Degree from Foreign Medical School: A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.  

Licensure/Certification  

• Candidates must have a current, active, valid, and unencumbered license, registration, or certification as a Doctor of Medicine (M.D.) or as a Doctor of Osteopathy (D.O.) issued by any United States jurisdiction. Licensure must be maintained current, and any required education or trainings to maintain licensure must be completed within the required timeline of the licensing authority. A temporary license will not be accepted.  
• Candidate must not have had any professional licensure or certification withheld, suspended, revoked, or denied, and the candidate must not have surrendered or allowed a professional license or certification to have expired or lapsed because of an investigation or disciplinary action.  
• 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.  
• Current unexpired Basic Life Support (BLS) Certification must be maintained from one of the following approved organizations:  
  • American Heart Association (AHA) BLS for health care providers  
  • American Heart Association Advanced Cardiac Life Support (ACLS), if applicable  
  • 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 must be renewed prior to expiration date.  
• Current board certification in Pediatrics by the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA) approved board is required. 

Experience  

• Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine degree, a candidate must have successfully completed residency training in a hospital, or an institution accredited for such training. For purposes of this standard, graduate training programs include only those internship, residency, and fellowship programs that are approved by accrediting bodies recognized within the United States or Canada. 5 years' experience as attending or independently practicing physician in a direct pediatric patient care setting. 

Knowledge, Skills, and Abilities  

• Expert knowledge of the current standards of practice in clinical pediatric medicine.  
• Ability to proficiently provide supervision, oversight, consultation, coordination, and direction for pediatric medical services, to include emergency care if needed.  
• Ability to provide input for congressional inquiries and to effectively communicate with Federal Agencies and other organizations as indicated.  
• High degree of independence, initiative, clinical judgment, and follow-through on a wide range of sensitive, complex, and clinical pediatric issues.  
• Knowledge of issues confronting the healthcare delivery system, including specific problems and concerns of special pediatric population groups.  
• Knowledge of program policies and guidelines, and operating procedures relating to healthcare delivery systems.  
• Knowledge of organizations and responsibilities of all levels of government operations.  
• Ability to work in a multi-cultural and multi-lingual environment.  
• Ability to utilize telephonic interpreter/translation services to complete assigned duties if not fluent in a language the patient understands.  
• Ability to adapt to sudden changes in schedules and flexibility in work requirements.  
• Ability to communicate proficiently in English (verbal and written) to develop positive rapport with pediatric patients and/or their parents, co-workers and other stakeholders.  
• Ability to establish and maintain positive working relationships in a multidisciplinary environment.  
• Ability to navigate in an electronic work environment including electronic health records, web-based training and communications.  
• Moderate proficiency in, common word processing, presentation and spreadsheet software programs.  
• Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII).  
• Ability to initiate and maintain compliance with DHS and CBP policies and any overriding federal standards/policies, or accreditation standards that may apply.  
• Ability to maintain compliance with standard operating procedures and protocols.  
• Ability to perform record keeping functions in accordance with program policies and the system of records management.  
• Ability to use the electronic medical record and maintain an “active status” for use and complete all required trainings.  
• Ability to utilize the electronic medical records system for all documentation, to include, but not limited to all patient care, monitoring, medication administration/observation documentation, and input of any paper records as applicable.  
• Attends general staff meetings while on duty, and participates with medical quality management initiatives, medical sentinel event reviews, and other reviews as applicable.  
• Assures a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis if performing services in the medical unit.  
• Ability to perform quality control of laboratory reagents and perform CLIA waived testing as needed for pediatric patients.  
• Ability to complete all annual training or additional training as directed.  
• Ability to travel to each assigned medical unit quarterly and be able to work at an assigned medical unit daily to provide oversight as required.  
• May be required to serve at various medical units within sector/region or cover rotating on-call coverage.  
• Ability to assist with patient care in time of staff shortage or surge.  
• Ability to be available telephonically for the assigned medical units during core/non-core hours for pediatric needs or pediatric care guidance. 

Supervisory Controls 

• Works under the administrative direction of the Medical Director or in his/her absence the Deputy Medical Director.  
• Works under the clinical supervision and/or direction of the Medical Director or in his/her absence the Deputy Medical Director. 
• 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 of time.  
• Must perform the duties in a stressful and often austere environment without physical limitation.  
• Must be able to respond to a medical emergency and perform BLS/CPR as needed. 

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: $201,000     Max: $300,000

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.