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Immigration and Customs Enforcement · Pearsall, TX · posted Nov 5, 2026

Lead Clinical (Advanced Practice) Pharmacist (O-6 Billet)

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The role

This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. The incumbent report administratively to the Chief Pharmacist and clinically to the collaborating physician. This position is only open to current USPHS officers. USPHS Call to Active Duty (CAD) candidates are not eligible for this position.

Duties And Responsibilities

Serves as ("super' journeyman) pharmacy specialist in recognized pharmacy specialties for the pharmacy program with responsibilities for performing a variety of unusual and complex professional tasks without the benefit of close guidance. In addition, serves as a specialty consultant to field pharmacists in areas/regions; coordinates area activities relative to the specialty; advises the Pharmacy Program Director, regarding policy development in the clinical specialty; and coordinates studies, surveys and other research in the specialty in the area/region.

Provides. pharmacy services of a scope, quality and quantity consistent with PHS policies. Provides direct clinical care services to patients within the delineated scope of practice in their Physician-Clinical Pharmacist Collaborative Practice Agreement (CPA) in conformance with established criteria and guidelines, accreditation standards, and agency policies and procedures. Plans and organizes their own work, selects and develops methods and solves most problems independently.

Work is reviewed periodically for effectiveness in meeting quality assurance and compliance standards. Provides comprehensive medication management and patient care as applicable as specified in the CPA and agencies policies, develop and implement treatment plans and document encounters in the patient's medical record. Decision-making authority includes determining need for referral(s), prescription medication(s), special needs accommodation(s), and follow-up schedule.

May implement court-ordered assessments, interventions, or monitoring. Provides medication counseling and information services directly to patients to ensure that they understand their medications, how to take them, and appropriate outcomes of their drug therapies. Onboards and orients newly hired clinical pharmacists or field pharmacists wishing to initiate collaborative practice remotely or through temporary duty assignments.

Orientation includes assessing the clinical pharmacist meets minimum competencies required to exercise the CPA. Provides annual reviews for clinical pharmacy specific to agency policy, clinical guidelines, collaborative practice agreements, clinical pharmacy competencies and peer review forms Collaborates with external clinical pharmacy stakeholders to advance the mission of IHSC through clinical pharmacy. Provides pharmaceutical care services, including drug information, medication therapy consultation, and advice to other health professionals on complex patient problems at the highest level of independence; utilizes extensive knowledge base and flexibility to adapt to unusual circumstances requiring variations in approach, and in the presence of incomplete or conflicting data.

Collaborates with contacts within and outside the Department on a routine basis to coordinate medical and behavioral care services and facilitate transitions of care for patients, maintain academic partnerships, and develop and implement processes to improve public and population health. May be directed by the chief pharmacist to assist local on-site medication filling and dispensing. Participates in ongoing quality assurance and performance improvement activities including audits, chart reviews, and development of review criteria.

Responsible for the successful completion of the Clinical Pharmacist Peer Review process and updates clinical pharmacy policy and procedures to ensure compliance with regulatory requirements. Leads and assigns reviews of the Clinical Pharmacist Peer Review process, and as an active member in one or more national or institutional committees which may include Pharmacotherapy Workgroup, Discipline Specific Training, or Antibiotic Stewardship, pharmacy-led clinical practice guidelines, or others as designated.

Develops and implements clinical pharmacy policies and procedures to ensure compliance with regulatory requirements and promote safe medication practices. Provides temporary duty (TDY) coverage to IHSC staffed facilities and special missions as needed. All staff must be available for an entire month, or two 16-day periods, each year to support the IHSC TDY On-Call (ITOS) Program. Completes all required training and attends on-site, regional, and national meetings as required.

Provides pharmaceutical care services, including adjudication of nonformulary medication requests, drug information research, medication therapy consultation, and advice to other health professionals on complex patient problems, at the highest level of independence; utilizes extensive knowledge base and flexibility to adapt to unusual circumstances requiring variations in approach, and in the presence of incomplete or conflicting data.

Competencies

Superior oral/written communication skills. Analytical Skills and ability to navigate complex system Strong interpersonal and active listening skills Strong organizational and time management skills. Demonstrates strong problem solving, judgment and decision-making skills. Demonstrates Integrity/Honesty and Cultural Competency PHYSICAL DEMANDS: Requires physical exertion such as lifting objects greater than 30 pounds.

Required to perform CPR/emergency care standing or kneeling. Must have the ability to assist sick, injured or aging detainees or staff exiting the building (may require lifting, dragging, wheeling or carrying someone who weighs significantly more than self). The work may necessitate some physical characteristics that will be required when responding to an emergency situation, such as running a short distance, prolonged standing and working in an austere environment.

How to find jobs that match your skills

From Immigration and Customs Enforcement's own posting, as listed in Seeker's index. Seeker is not the employer and doesn't take applications; the apply link opens the employer's site.