Job Overview

The incumbent serves as the post’s nurse with responsibilities that include the medical care of Mission employees and eligible family members, utilizing MED approved clinical guidelines, as well as maintenance and inventory of all medical equipment and supplies, implementation of a robust vaccination program, documentation through the global electronic medical record, system administration of group and individual health education programs, and medical emergency contingency planning for the Mission.  The incumbent will work in the Medical Unit under the direct clinical supervision of the Regional Medical Officer (RMO) and Medical Provider (MP).

Major Duties and Responsibilities (Include % of time spent for each duty, percentage totals must equal 100%):

Direct Patient Care Responsibilities                                                                                                40%

The incumbent is responsible for maintaining a primary care/urgent care clinic for all ICASS eligible Direct Hire American (DHA) employees and their eligible family members (EFM).  In addition, they will maintain an occupational health unit for all Post employees, LE Staff, Contractors, DHA & EFMs.  They will evaluate and assess patients within their scope of training by means of a health history, observation, interview, physical examination, selected diagnostic measures, and use of Clinical Practice Guidelines (CPGs).  Working within the Nursing Scope of Practice, they will select appropriate actions including treatment, referral for additional care, or collaborate care with Medical Unit providers.  They will document and maintain an appropriate record of all patient visits in the Medical Unit via the global electronic health record.  The incumbent will provide appropriate patient education such as wound care, diabetes care, or other specific health related topics as needed.  They will respond to all Mission clinical medical needs as requested/required to include home visits, hospital visits, and compound emergencies.  The Nurse will participate in after-hours call responsibilities with other Medical Unit members. 

Immunization Clinic for routine and travel-related immunizations                                               25%

The incumbent assesses each patient’s immunization needs and using CDC and ACIP guidelines provide appropriate immunizations.  Maintains logs and/or appropriate data bases compliant with U.S. Federal Regulations and requirements. Orders vaccines/medications within budget and manages inventory of all stocks of vaccines.  Remains current with vaccination requirements and reporting adverse events.

Medical Evacuations & Hospitalizations                                                                                          10%

Arranges Medevacs through RMO/MP/RMO-P and in coordination with MED/Foreign Programs or appropriate Regional Medevac Center.  Drafts MED Channel cables and referral documents with appropriate medical coding.  Coordinates requests for specialty appointments with accepting medevac site and serves as liaison between local providers and MED when necessary.  Assists patients with access to medical services prior to evacuation and may accompany patient as a medical attendant when necessary.  Initiates DS-3067, Authorization for Medical Services for Employees and EFMs for urgent/emergency or non-elective hospitalizations.  Requests fund cite from appropriate agency. Informs MED/Foreign Programs of all overseas hospitalizations and status.  Conducts hospital visits to assess appropriate health care of the patient during hospitalization.

Medical Clearance examinations                                                                                                       5%

Prepares cables for fund cites requests and verifies and approves Clearance-related medical and laboratory invoices for payment.  Schedules medical appointments, labs, and special tests as required by MED/Clearances. Assists medical personnel with clinical examinations performed in the medical unit and performs basic diagnostic tests as approved by the RMO or MP.  Reviews all completed medical clearance papers for thoroughness and sends to Medical Records via electronic health record.  Packages and ships laboratory specimens as necessary.

Custody and Proper Internal Controls for the Medical Unit and Mission Medical Response    10%

Maintains inventory and procurement process for all medical supplies, pharmaceuticals, and medical equipment. Performs workplace health and safety surveys with the POSHO.  Provides essential reporting per MED/SHEM guidelines and in conjunction with HR requirements (Workman’s Compensation).  Serves as the Emergency Preparedness Coordinator and is responsible for all aspects of maintenance, inventory, and training regarding emergency medical supplies and equipment on all USG facilities under Chief of Mission Authority.

Relationship with Local Medical Providers and Facilities                                                              10%

Maintains a list of acceptable local medical consultants and copy of their credentials.  Assists in identifying quality providers and facilities in local community and works with the RMO/MP/RMO-P to develop a referral network of providers/facilities that is vetted and assures the best quality of care for the Mission members.  Monitors public health issues that may impact the Mission community and coordinates with the RMO/MP and Administration regarding appropriate responses.  Works with RMO/MP/RMO-P/RMLS and Post Medical Advisor to assess level of care at clinics, laboratories, blood banks, hospitals, and individual providers to update and maintain the MCI registry of services.

*Note: This position description in no way states or implies that these are the only duties to be performed by incumbent. Incumbent will be required to perform other duties as assigned by the agency.

Minimum Qualification Requirements

12.        Knowledge

12a.     Pre-hire (Operational):

•             The incumbent possesses critical thinking skills and can triage health related clinical problems or emergencies to access the best level of available care.

•             Willingness to operate with US Standard of Care Nursing Scope of Practice.

•             Perform physical assessments and health histories.

•             Coordinate clinical care of patients with other clinical staff, either in the Health Unit or in local clinic or hospital.

•             Familiar with patient confidentiality.

13.        Pre-hire Skills and Abilities

•             Social Perceptiveness: The position requires strong interpersonal skills and a client-oriented disposition capable of dealing with complex interactive challenges in difficult and emotional situations.

•             Critical Thinking

•             Inductive Reasoning

•             Oral Comprehension

•             Written Comprehension

•             Must be able to perform basic word processing on computer.

15.        Education

Degree (RN Level) in Nursing or Diploma/Certificate equivalent from an accredited or recognized School of Nursing. Must possess and maintain a valid, current, and unrestricted nursing license from the host nation, the U.S., or a third country and able to legally work as a nurse in the country of employment.

16.        Licensing/Certifications/Training

•             Must possess and maintain a valid, current, and unrestricted nursing license from the host nation, the U.S., or a third country and able to legally work as a nurse in the country of employment.

•             On the job administrative training and working knowledge in emergency preparedness, management of medical evacuations, management principles of supporting VIP visits, and specific principles of medical support during natural and weapons of mass destruction disasters, will be provided. 

•             Maintain a current Basic Life Support certification (this certification will be provided through DOS Health Units).

•             Maintain an Advanced Life Support (ALS) in a HU with appropriate HU staff to support an advanced code situation.

17.        Work Experience

17a.     Non-Supervisory:

A minimum of two (2) years (equivalent of 4160 hours) post-qualification clinical work as a professional nurse within the last 10 (ten) years is required. No more than a five-year gap in clinical practice is permitted.  Clinical work experience includes direct hands-on patient care (i.e. patient assessment, medication administration, immunizations, IV insertions, laboratory procedures, etc.). 

TO APPLY: 

Please visit the new recruitment page at:

https://erajobs.state.gov/dos-era/mus/vacancysearch/searchVacancies.hms to submit your application electronically.