Physician Assistant

Akicita Federal • Rosebud, SD

5d • $228,800 - $239,400 • Onsite

About The Position

Akicita Federal is hiring a Physician Assistant to provide outpatient primary care services at Rosebud IHS Hospital in Rosebud, South Dakota, serving American Indian and Alaska Native patients of all ages. The role supports the Indian Health Service Outpatient Department Clinic and delivers comprehensive primary and preventive care across the lifespan.

The schedule is Monday through Friday, 8:00 AM to 5:00 PM, excluding federal holidays. The expected start is February 2027. This is an approximately one-year assignment with possible extensions.

Before providing patient care, the clinician must complete IHS credentialing and privileging, receive a favorable preliminary background determination, provide a malpractice insurance certificate, and complete required IHS training within assigned timeframes. Required pre-start health documentation includes tuberculosis screening, COVID-19 vaccination documentation, and an annual influenza vaccine. No unsupervised contact with American Indian children is permitted until the IHS character investigation is completed.

Requirements

• Master’s degree from an ARC-PA accredited Physician Assistant program.
• Current, active, unencumbered PA-C certification issued by the National Commission on Certification of Physician Assistants (NCCPA).
• Current, active, unrestricted license to practice as a Physician Assistant issued by any U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory.
• Prescriptive authority consistent with South Dakota law and active DEA registration for Schedules II–V.
• Current Basic Life Support (BLS) certification from the American Heart Association or equivalent.
• At least one year of professional Physician Assistant clinical experience demonstrating progressive responsibility in outpatient primary care across the lifespan.
• Tuberculosis screening: two negative TB skin tests or one negative IGRA within the last 12 months.
• COVID-19 vaccination documentation and annual influenza vaccine required.
• Favorable preliminary background determination required before patient care begins; the position is subject to IHS character investigation.
• Full IHS credentialing and privileging must be completed before providing patient care.
• Malpractice insurance certificate must be provided to facility leadership before services commence.

Nice To Haves

• Experience in FQHCs, IHS facilities, or other rural or underserved community settings.

Responsibilities

• Conduct comprehensive new-patient intake visits, including history, complete physical examination, and review of systems.
• Diagnose and manage common chronic conditions, including hypertension, type 2 diabetes, asthma, COPD, depression, and anxiety; refer cases beyond the Physician Assistant’s scope.
• Perform well-child examinations, administer childhood and adolescent immunizations, and conduct adolescent confidential preventive visits with risk-behavior screening.
• Evaluate and manage acute outpatient complaints presenting during clinic hours.
• Perform minor outpatient procedures within Physician Assistant scope and facility privileges, including laceration repair, incision and drainage, and joint injections.
• Screen for intimate partner violence, substance use disorders, and behavioral health concerns, and initiate appropriate referrals.
• Manage prescriptions, including controlled substances within Physician Assistant scope and DEA authority; administer adult immunizations according to current ACIP guidelines.
• Document all patient encounters in the Government EHR within 24 hours using accurate CPT and ICD-10-CM coding.
• Complete required IHS mandatory training within assigned timeframes.

What This Job Offers

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