Nurse Practitioner/Physician Assistant

Akicita Federal•Rosebud, SD

5d•Onsite

About The Position

Akicita Federal is hiring a Nurse Practitioner to provide outpatient primary care 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 role provides care across the lifespan, including chronic disease management, preventive visits and immunizations, acute outpatient care, and minor procedures. The Nurse Practitioner manages prescriptions, documents patient encounters in the facility electronic health record, completes IHS GPRA measure documentation, and participates in quality improvement and clinical review activities. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., excluding federal holidays. The listed annual salary range is $228,800–$239,200. Before providing patient care, the employee must complete required background investigation, IHS credentialing and privileging, health screening and vaccination documentation, and mandatory IHS training.

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, and 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; patient care may not begin until a favorable preliminary determination is received, and unsupervised contact with American Indian children is not permitted until the investigation is completed.
IHS credentialing and privileging must be completed and maintained before providing patient care.
TB screening: 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 substance prescribing within scope, DEA authority, and facility policy.
Document all 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.
Complete required background investigation, IHS credentialing and privileging, health screening and vaccination documentation, and IHS mandatory training before or within the required timeframes for providing patient care.