ISOU Flight Advanced Practice Provider (O-5 Billet) Non-Supervisory

About the role

Serve as an ISOU Flight Advanced Practice Provider and Medical Aircrew Member supporting ICE removal missions and DHS operations. Provide emergency and routine care in air, ground, and maritime environments; manage program activities; support IHSC clinics as needed; and deploy domestically and internationally on short notice. Frequent travel required. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.

Responsibilities

• Serve as a physician assistant or family nurse practitioner on a national level, performing unusual and complex professional tasks without close guidance.
• Provide direct patient care to migrants in Alien Migrant Interdiction Operations and emergency medical care to U.S. Coast Guard staff per agency procedures.
• Act as a flight advanced practice provider and program manager; on‑call status requiring response within 24‑48 hours.
• Work aboard U.S. Coast Guard cutters, deploying via inflatable boats, small cutters, or helicopters; transfers may occur via ground vehicles, boats, or aircraft.
• Serve as a Medical Aircrew Member and First Responder during ICE removal missions, providing direct patient care for individuals in ICE custody, IHSC clinics, or DHS missions.
• Operate in small aircraft, business jets, large airliners, or helicopters (civilian, military, or government assets) and in ground or sea vessels in inclement weather.
• Represent the U.S. government as an ICE health official overseas, interacting with diplomatic, military, and law‑enforcement personnel.
• Manage ISOU program objectives, develop and implement patient care plans, coordinate policy development, research, implementation, and evaluation.
• Advise officials, prepare reports and presentations, participate in procedure design, and serve as a credentialed Federal Emergency Response Official.
• Perform complex procedures using sophisticated equipment and advanced practice techniques without close guidance.
• Complete mandatory training for austere operations and be proficient with onboard emergency procedures/equipment.

Requirements

• U.S. citizenship.
• Successful background investigation.
• Successful drug screen.
• Males born after 12/31/59 must certify Selective Service registration.
• Must not have a current Assignment Pay Agreement, or must fulfill any existing agreement within 90 days of application.
• Applicants must be a current USPHS Commissioned Corps Officer or a USPHS Call to Active Duty (CAD) candidate; civilians are not eligible.
• If not already commissioned, must begin the USPHS Commissioned Corps application process before applying.
• Continued employment contingent on appointment to and maintenance of active‑duty status in the USPHS Commissioned Corps.
• Participate in IHSC TDY On‑Call Schedule (ITOS) – either an entire month or two 16‑day periods per year as agency needs dictate.
• Service Remaining Requirement Agreement: 18‑ to 24‑month commitment to IHSC upon appointment.

Qualifications

• Be actively boarded or new Call to Active Duty commissioned in the U.S. Public Health Service Commissioned Corps.
• Meet minimum education, years of experience, and license requirements for either a nurse practitioner or physician assistant.
• Family Nurse Practitioner path: Master of Science in Nursing from a program accredited by the NLNAC or CCNE; three years clinical experience as an FNP; current, unrestricted, valid APRN license from a U.S. state; certification as FNP by AANP, ANCC, PNCB, or NCC.
• Physician Assistant path: Accredited master’s degree and completion of a PA training program accredited by ARC‑PA (or predecessor