Physician Assistant (PA), Laredo Sector, Laredo SSF, Laredo, TX - VIGHTER - Paycom

Description

Title: Nurse Practitioner (NP) or Physician Assistant (PA)

Location: Brackettville, TX; Del Rio, TX; Eagle Pass, TX; Comstock, TX; Uvalde, TX; Carrizo Springs, TX; EL Paso, TX; Clint, TX; Ft Hancock, TX; Paso Del Norte, TX; Ysleta, TX; Lordsburg, NM; Santa Teresa, NM; Deming, NM; Antelope Wells, NM; Dania Beach, FL; Marathon,  FL; West Palm Beach, FL; Brownville, TX; Hidalgo, TX; Yuma, AZ; Wellton, AZ; San Luis, AZ

Position Type: Full time (30-40+ hours/week), hourly.

Contract: GSA

Education Level: Bachelor’s degree +

Job Category: Health Care

Start Date: March 1, 2025

SIN Number: 621-054 or 621-030

Our Company Promise:

We are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Vighter’s Mission is to provide efficient, fast, high quality healthcare staffing to our clients.  Our Culture’s 5 key elements are crucial to the effectiveness of our employees in accomplishing our mission. These elements are:

• Dependability
• Integrity
• Personability
• Transparency
• Responsiveness

Creating and cultivating this Culture within the organization is our commitment to our employees.

Above all, Vighter employees will be provided the same concern, respect, and caring attitude that they are expected to share externally with every Vighter Client and Customer.

Summary:

Vighter is seeking to hire multiple Nurse Practitioners and/or Physician Assistants to provide nursing, medical care and medical support within the Customs and Border Protection – Immigration and Customs Enforcement mission, with dozens of locations across the United States’ Southern borders, to include California, Arizona, New Mexico, Texas and Florida.  The NP will focus on health promotion, disease prevention, and patient education to ensure comprehensive care. The PA will serve as a key member of the healthcare team, offering patient-centered care and assisting in the development and implementation of treatment plans.

Principle Accountabilities:

• Performs comprehensive history and physical evaluations, behavioral health care, and minor outpatient surgical procedures for detainees as required by the medical condition. 
• Demonstrates appropriate application of clinical knowledge within documented treatment plans, prescriptions, and provides treatment throughout the life span as appropriate to discipline and facility setting. 
• Demonstrates appropriate application of clinical knowledge within documented lab/diagnostic ordering and interpretation, medication prescribing practices, referrals to consultants, follow-up after hospitalization or consultation. 
• Participates in and complies with court ordered treatment plans to include evaluation and treatment of patients with psychiatric illness or life-threatening conditions including hunger strike. 
• Provides full spectrum of age and gender specific health care to include treatment of gender dysphoria and pregnancy. 
• Consults with the staff physician, clinical director, and/or CBP consultants as required by policy and for complex medical and/or psychiatric patients. 
• Provides infirmary care including admission, discharge, and daily rounds for patients that require higher level of care and monitoring. 
• Interprets Tuberculin skin tests (TSTs) and diagnostic studies, manages Direct Observation Therapy (DOT) for treatment of active or latent tuberculosis. 
• Adheres to the CBP Advanced Practice Provider (APP) Collaborative Practice and Prescriptive Authority Agreement (CP/PAA).
• Works as part of an integrated health care team to provide acute, emergent, and chronic health care to patients in compliance with CBP policy and guidance and accreditation standards as prescribed by CBP. 
• Takes appropriate infection control actions in accordance with CBP policy and guidance. 
• Adheres to universal precautions and properly disposes of all sharps and infectious waste.
• Provides relevant patient health education to detainees verbally and/or with handouts. 
• Assists with preparation for accreditation and ongoing compliance with standards as assigned. 
• Attends on-site, regional, and national meetings as required. Completes all initial, annual, and ad hoc training as required. 
• Participates in all required credentialing and peer review processes as required. 
• Facilitates and mentors APP onboarding and training. 
• Demonstrates level of productivity that is on par with the average APP productivity at the assigned facility. 
• A deep sense of purpose and dedication to the United States and our U.S. Military Veterans, their Families, and other patients as assigned.
• An unshakeable adherence to quality and continuous process improvement.
• An apolitical, patient-centered focus that drives to enhanced care and patient satisfaction.
• Functional proficiency and ability to document patient-centered health care in the required electronic health record or electronic medical record, in the required format, in a timely manner, and in compliance with contract policy and guidance.
• A deep sense of purpose and dedication to the United States and our U.S. Military Veterans, their Families, and other patients as assigned.
• An unshakeable adherence to quality and continuous process improvement.
• An apolitical, patient-centered focus that drives to enhanced care and patient satisfaction
• Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII).
• Other duties as assigned.

Knowledge and Skills:

• Must have exceptional customer service skills.
• Employees shall be technically proficient in the skills necessary to fulfill the job requirements, including ability to speak, understand, read and write English fluently.

Education:

1. Physician Assistant - Graduate from an accredited Physician Assistant Program located in a State, the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education.  Must have a minimum of one year of experience as a licensed Physician’s Assistant in direct patient care.  Experience in detention/correctional healthcare, ambulatory care, or a pediatric care setting encouraged, but not required.
2. Nurse Practitioner - Graduate from an accredited Nurse Practitioner Program located in a State, the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education.  Must have a minimum of one year of clinical provider experience in direct patient care as a certified nurse practitioner.  Experience in detention/correctional healthcare, ambulatory care, or a pediatric care setting encouraged, but not required.

Qualifications:

• Must have and maintain an unrestricted, current Nurse Practitioner or Physician Assistant license in the state in which the duty station is located. Any changes to license must be reported to employer immediately. 
• Must have and maintain national certification or board certification as Nurse Practitioner or Physician Assistant. 

1. Physician Assistant - Must have and maintain certification as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA). 
2. Nurse Practitioner - Must have and maintain Board Certification by the American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) Certification, Pediatric Nursing (PCNB) Certification, National Certification Corporation (NCC) certification, American Academy of Nurse Practitioners Certification Board (AANPCB), or the American Association of Critical Care Nurses (AACN) is required and must be maintained, and all obligations fulfilled.

• Must have and maintain unrestricted license to prescribe controlled medications from the Drug Enforcement Agency (DEA) and in state in which the duty station is located. 
• Must have and maintain one of the following certifications: Basic Life Support for health care providers through the American Heart Association®, CPR for the professional rescuer through the American Red Cross or the American Safety and Health Institute. 
• This position requires credentialing and a signed collaborative practice and prescriptive authority agreement with a physician.
• Candidate should not have had any professional licensure/certification 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.

Duty Hours / On-call Requirements:

• Generally speaking, locations supporting the CBP-ICE mission set are open and active 24/7/365, to include days, nights, weekends and all holidays. Opportunities are available across multiple locations and multiple shifts within each location
• We try our best to accommodate your schedule, so please inform Vighter of your desired schedule and/or geographic limitations in advance.

Work Environment:

• Locations: Brackettville, TX; Del Rio, TX; Eagle Pass, TX; Comstock, TX; Uvalde, TX; Carrizo Springs, TX; EL Paso, TX; Clint, TX; Ft Hancock, TX; Paso Del Norte, TX; Ysleta, TX; Lordsburg, NM; Santa Teresa, NM; Deming, NM; Antelope Wells, NM; Dania Beach, FL; Marathon,  FL; West Palm Beach, FL; Brownville, TX; Hidalgo, TX; Yuma, AZ; Wellton, AZ; San Luis, AZ
• Supportive team of healthcare professionals and administrative staff.
• Opportunity to work with diverse populations, including immigration and asylum personnel.

Travel:

• As required to satisfy the contractual obligations. Generally, travel is limited to commute from residence to the worksite. Commute is non-compensatory. All official travel is government-funded.

Benefits:

• Competitive salary and comprehensive benefits package, with Medical, Dental, and Vision insurance available for W2 full time employees. 1099 providers are ineligible for benefits.
• Company-paid basic Life and AD&D insurance and subsidized health insurance (W2).
• Paid time off and holidays.
• Professional development and promotion opportunities.
• SCA employees: Health & Welfare paid in cash (with proof of ACA-compliant health insurance from the open market or Vighter, LLC). Employee may use funds to offset any benefits premiums, fund their 401(k) retirement account or a combination of the two.

Physical Requirements:

• Must be able to sit for more than 8 hours per day.
• Must be willing to work overtime if necessary.
• Must be able, with advance notice to float to surgical sites within 15 miles.
• Must be able to use an elevator or walk up and down stairs.
• Must be able to lift up to 40 pounds and carry up to 10 feet.
• Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders.
• Must be able to read and interpret handwritten and typewritten print.
• Must be able to communicate by voice and detect sound by ear.
• Must be able to perform duties in an indoor or outdoor environment
• Must be able to pass a criminal background investigation
• Must undergo Urine Drug Screening (UDS).
• Positions require applicants to be US Citizens, 21 years or older. 
• Must complete criminal background check, and Child Abuse and Neglect (CAN) background check. 

Vighter LLC is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award.

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Qualifications

Education:

1. Physician Assistant - Graduate from an accredited Physician Assistant Program located in a State, the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education.  Must have a minimum of one year of experience as a licensed Physician’s Assistant in direct patient care.  Experience in detention/correctional healthcare, ambulatory care, or a pediatric care setting encouraged, but not required.
2. Nurse Practitioner - Graduate from an accredited Nurse Practitioner Program located in a State, the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education.  Must have a minimum of one year of clinical provider experience in direct patient care as a certified nurse practitioner.  Experience in detention/correctional healthcare, ambulatory care, or a pediatric care setting encouraged, but not required.

Qualifications:

• Must have and maintain an unrestricted, current Nurse Practitioner or Physician Assistant license in the state in which the duty station is located. Any changes to license must be reported to employer immediately. 
• Must have and maintain national certification or board certification as Nurse Practitioner or Physician Assistant. 

1. Physician Assistant - Must have and maintain certification as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA). 
2. Nurse Practitioner - Must have and maintain Board Certification by the American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) Certification, Pediatric Nursing (PCNB) Certification, National Certification Corporation (NCC) certification, American Academy of Nurse Practitioners Certification Board (AANPCB), or the American Association of Critical Care Nurses (AACN) is required and must be maintained, and all obligations fulfilled.

• Must have and maintain unrestricted license to prescribe controlled medications from the Drug Enforcement Agency (DEA) and in state in which the duty station is located. 
• Must have and maintain one of the following certifications: Basic Life Support for health care providers through the American Heart Association®, CPR for the professional rescuer through the American Red Cross or the American Safety and Health Institute. 
• This position requires credentialing and a signed collaborative practice and prescriptive authority agreement with a physician.
• Candidate should not have had any professional licensure/certification 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.