Nurse Practitioner

Flatwater Group • Bellevue, NE

2d • Onsite

About The Position

The purpose of this position is to provide direct outpatient patient care services as a nationally certified Nurse Practitioner or Physician Assistant at the Pine Ridge Indian Health Service (IHS) Hospital. The mission is to raise the physical, mental, social, and spiritual health of the Oglala Lakota Nation to the highest level through comprehensive acute health care. This is a non-personal services role where the provider supports an outpatient same-day appointment clinic and ensures continuity of care in a rural setting.

Requirements

• Must maintain current national certification as a Family Nurse Practitioner (FNP) or in Adult/Family Medicine appropriate to the scope of services.
• A complete curriculum vitae (CV) showing full work history is required, with explanations for any employment gaps of eight weeks or more.
• Must provide a record of recent continuing medical education (minimum 20 CME/CEU credits per year within the past three years).
• High level of professional knowledge and ability in outpatient medicine.
• Fluent in English (speaking, reading, writing) with the ability to communicate clearly with patients, families, and multidisciplinary staff.
• Demonstrated sensitivity and respect for the values, traditions, and beliefs of the Native American community.
• Ability to effectively utilize Electronic Health Record (EHR) systems.
• Must have no medical, physical, or mental restrictions that interfere with the full and safe performance of duties.
• Must maintain a professional appearance and hygiene consistent with IHS dress code standards.
• Active, current, and unrestricted NP or PA-C license from any of the 50 U.S. states, D.C., or Puerto Rico.
• Must successfully complete a Federal background investigation to obtain a Tier 2 Security Clearance and a Personal Identity Verification (PIV) card.
• Active DEA license with Schedule II and IIN prescribing authority.
• Current BLS and ACLS (and NRP if required) valid for the entire period of performance.
• Proof of required immunizations (MMR, Varicella, Tdap, Hepatitis A/B, Influenza, COVID-19, etc.) and tuberculosis testing.

Responsibilities

• Provide diagnostic, preventive, and therapeutic services, including the management of common acute illnesses, injuries, and chronic diseases.
• Perform minor urgent care procedures (e.g., laceration repair, splinting) and provide women’s health services (e.g., pelvic/breast exams, Pap smears) as privileged.
• Provide emergency or crisis intervention to stabilize patients for transport and coordinate with EMS or higher-level facilities when necessary.
• Maintain accurate and timely Electronic Health Records (EHR) in compliance with IHS standards, including proper coding and "purpose-of-visit" diagnoses.
• Participate in multidisciplinary case discussions and consult with physicians for complex cases, admissions, or high-risk presentations.
• Counsel patients and families on risk reduction, diet, exercise, and medication adherence.
• Providers may be required to perform services at outlying PRSU outpatient clinics, school-based clinics, correctional/juvenile detention facilities, and designated outreach venues such as community events or mobile units.

What This Job Offers

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