Nurse Practitioner/Physician Assistant

Akicita Federal, LLC; Rosebud (SD); On-site; USD 229,000 - 239,000; Full time

Job summary

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 role embedded in the hospital's Outpatient Department, with an expected start of February 2027 and a one‑year assignment with possible extensions.

Schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m., excluding federal holidays.

Qualifications

• Experience in federally qualified health centres (FQHCs), Indian Health Service facilities, or other rural/underserved community settings.
• Ability to diagnose and manage common chronic conditions (hypertension, diabetes, hyperlipidemia) and perform preventive visits.
• Knowledge of IHS policies, DEA authority, and facility procedures is preferred.

Responsibilities

• Diagnose and manage common chronic conditions including hypertension, diabetes, hyperlipidemia, asthma, COPD, hypothyroidism, depression and anxiety.
• Perform comprehensive new-patient intake visits with detailed medical histories.
• Conduct well-child examinations and immunizations per ACIP/CDC schedule.
• Evaluate and manage acute outpatient complaints such as URIs and UTIs.
• Perform minor outpatient procedures (laceration repair, I&D, joint injections).
• Prescribe medications within scope and document encounters in EHR within 24 hours.
• Participate in quality improvement initiatives, peer review, and morbidity/mortality reviews.

Job description

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 role embedded in the hospital's Outpatient Department, with an expected start of February 2027 and a one‑year assignment with possible extensions.

• - 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 history
• - Perform well-child examinations and adolescent confidential preventive visits, and administer childhood and adolescent immunizations per 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

Schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m., excluding federal holidays.

$228,800 - $239,200 a year

Before your first day

• - Completion of a background investigation; no patient care may begin until a favourable preliminary determination is received, and no unsupervised contact with American Indian children until the investigation is completed
• - IHS credentialing and privileging must be completed and maintained before providing patient care
• - Tuberculosis screening: either 2 negative TB skin tests or 1 negative IGRA within the last 12 months; documentation of COVID-19 vaccination; and annual influenza vaccine (administered on site if start date is before October 31)
• - Completion of all required IHS mandatory training within the timeframes specified by IHS

What sets candidates apart:

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

About Akicita Federal

Akicita Federal is a Native American-owned federal contractor delivering healthcare, clinical, IT, and program‑support services across the Indian Health Service, the Department of Veterans Affairs, and other federal agencies. We hire the people who do the work — clinicians, analysts, engineers, support staff — and we treat them like the professionals they are.

Equal Opportunity Employer

Akicita Federal is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Akicita Federal complies with the Indian Preference provisions of the Indian Self‑Determination and Education Assistance Act (P.L. 93-638) where applicable.