The Health Services Administrator (HSA) will report directly to the Regional Health Services Administrator (RHSA) with the Chief of Health Operations as reviewing official.
As an HSA for one of the IHSC large to small health care facilities or staging facilities located across the nation, the incumbent serves as the responsible health authority and chair of the local leadership team (TRIAD) working in collaboration with the clinical director and nurse manager. This is a supervisory position. IHSC facilities range from small facilities of less than 300 beds, generally houses non-complex medical patients, and has minimal to no medical housing unit (sub-acute inpatient) capacity, to large facilities up to 2,500 beds housing complex medical patients with a medical housing unit. Staffing is a complement of PHS Officers, federal GS employees, and contractors ranging from 40 or less for small facility and 70 or less for small staging facility and up to 150 for large facilities to include those with both a service processing center (SPC) and staging missions. The incumbent, when serving as an HSA at an IHSC facility, 1) supervises the Assistant Health Services Administrator (AHSA) and all other positions designated under HOU (as either Rater or Reviewing Official as appropriate per policy); 2) serves as the Government Technical Monitor for all contract personnel; and 3) chairs the local leadership team (TRIAD) to collaborate with the CD and NM in monitoring all federal staff.
IHSC provides direct care daily to approximately 15,300 detainees housed at 17 designated facilities throughout the nation. The health care provided includes medical, dental, and mental health care, and public health services. IHSC provides medical case management and oversight for an additional 22,600 detainees housed at approximately 112 non-IHSC staffed detention facilities daily across the country. In addition, IHSC oversees the financial authorization and payment for off-site specialty and emergency care services for detainees in ICE custody. The ICE detainee population is approximately 34,000 detainees daily, with an average length of stay of approximately 30 days, surpassing 400,000 detainees annually. IHSC provides medical support during ICE enforcement operations in the air, on the ground and at sea.
SUPERVISORY CONTROLS:
Incumbent reports to the Regional Health Services Administrator. Assignments are usually of a long-term, recurring or broadly defined nature. Officer plans, and organizes own work, determines sequence of assignments, selects, and develops methods and seeks assistance from experts only rarely. Work is reviewed for attainment of objectives. Guidelines may be applicable to some but not all parts of assignment and may contain some inconsistencies and be partially unconfirmed. Selection and adaptation from available possibilities involving a moderate amount of modification and innovation is required. The officer uses judgment in interpreting and adapting guidelines such as policies, regulations, accreditation standards, precedents, and work direction for application to specific situations and work products. The officer analyzes requirements and recommends changes in guidelines and program policies. Innovations and modifications to accepted procedures must be approved and clearly documented. The officer keeps the supervisor informed of the status on projects and consults with him/her on any significant problems encountered.