Nurse Practitioner/Physician Assistant

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.