Nurse Practitioner/Physician Assistant

Akicita Federal, LLC • Rosebud, SD

6d • $228,800 - $239,200 • Onsite

About The Position

Akicita Federal is hiring a Nurse Practitioner to provide outpatient primary care services at Rosebud IHS Hospital in Rosebud, South Dakota, serving American Indian and Alaska Native patients of all ages. This is a full-time, clinic-based position in the hospital’s Outpatient Department. The expected start date is February 2027, and the assignment is for one year, with possible extensions.

The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., excluding federal holidays. The annual salary range is $228,800–$239,200.

Before providing patient care, the clinician must complete IHS credentialing and privileging and receive a favorable preliminary determination from a background investigation. Unsupervised contact with American Indian children is not permitted until the investigation is completed. The clinician must also meet the stated health-screening, vaccination, and mandatory training requirements.

Requirements

• Graduate degree (MSN, DNP, or equivalent) from a Nurse Practitioner program accredited by CCNE or ACEN.
• Current, active, unrestricted Nurse Practitioner license issued by a U.S. state, DC, Puerto Rico, or a U.S. territory.
• Current, active, unencumbered national NP certification in an appropriate population focus, such as FNP or AGNP, from ANCC or AANPCB.
• Prescriptive authority consistent with South Dakota law and active DEA registration for Schedules II–V.
• At least 1 year of professional NP clinical experience demonstrating progressive responsibility in outpatient primary care across the lifespan.
• Current Basic Life Support (BLS) certification from AHA or equivalent.
• Completion of a background investigation and receipt of a favorable preliminary determination before beginning patient care.
• Completion and maintenance of IHS credentialing and privileging before providing patient care.
• TB screening documentation: either 2 negative TB skin tests or 1 negative IGRA within the last 12 months.
• Documentation of COVID-19 vaccination and annual influenza vaccination; influenza vaccine is administered on site if the start date is before October 31.
• Completion of all required IHS mandatory training within the timeframes specified by IHS.

Nice To Haves

• Experience in federally qualified health centers (FQHCs), Indian Health Service facilities, or other rural or underserved community settings.

Responsibilities

• Diagnose and manage common chronic conditions, including hypertension, type 2 diabetes mellitus, hyperlipidemia, asthma, COPD, hypothyroidism, depression, and anxiety.
• Conduct comprehensive new-patient intake visits, including detailed medical, surgical, family, social, and medication histories.
• Perform well-child examinations and adolescent confidential preventive visits.
• Administer childhood and adolescent immunizations according to the ACIP/CDC schedule.
• Evaluate and manage acute outpatient complaints, such as upper respiratory infections and urinary tract infections.
• Perform minor outpatient procedures, including simple laceration repair, incision and drainage of superficial abscesses, and joint injections.
• Manage prescriptions, including controlled substances, within scope, DEA authority, and facility policy.
• Document patient encounters in the facility electronic health record within 24 hours and complete IHS GPRA measure documentation.
• Participate in facility quality improvement initiatives, peer review, and morbidity and mortality review.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level