Advanced Practice Provider (Nurse Practitioner or Physician Assistant)

Position Type: Full-Time Contract
Schedule: Monday–Friday, 8:00 AM–5:00 PM, excluding federal holidays
Contract Length: Initial 3-month base period with three additional 3-month option periods
Openings: 2 Full-Time Equivalent Positions
Start: Pending credentialing, privileging, and background clearance

Position Summary

We are seeking two experienced Advanced Practice Providers — Nurse Practitioners or Physician Assistants — to provide outpatient primary care services at Rosebud IHS Hospital in Rosebud, South Dakota.

This role supports the Outpatient Department Primary Care Clinic, serving members of the Rosebud Sioux Tribe and surrounding rural communities. Providers will deliver comprehensive, culturally respectful care across the lifespan, including adult and pediatric primary care, preventive services, chronic disease management, acute outpatient visits, and minor procedures within scope of practice.

The ideal candidate is clinically confident, patient-centered, comfortable working in rural or underserved healthcare settings, and committed to improving access to high-quality care for Native American and medically underserved populations.

Key Responsibilities

Primary Care Services

Provide comprehensive outpatient primary care for adult, pediatric, and adolescent patients, including:

• New patient intake visits, histories, physical exams, and review of systems
• Routine adult primary care visits and follow-up care
• Chronic disease management for conditions such as hypertension, diabetes, hyperlipidemia, asthma, COPD, hypothyroidism, depression, and anxiety
• Preventive and wellness exams consistent with current evidence-based guidelines
• Pediatric well-child exams, developmental screening, immunizations, and anticipatory guidance
• Adolescent preventive visits, risk-behavior screening, reproductive health counseling, and behavioral health screening
• Patient education related to chronic disease self-management, nutrition, physical activity, tobacco cessation, medication adherence, and preventive care

Acute Care and Procedures

Evaluate and manage common acute outpatient concerns, including:

• Upper respiratory infections
• Urinary tract infections
• Skin and soft tissue infections
• Sprains, strains, and uncomplicated musculoskeletal pain
• Minor injuries and other routine clinic presentations

Perform minor outpatient procedures within training, privileging, and scope of practice, which may include:

• Simple laceration repair
• Incision and drainage of superficial abscesses
• Cerumen removal
• Skin lesion removal
• Joint injections
• Toenail procedures

Diagnostics, Referrals, and Care Coordination

• Order and interpret routine laboratory and diagnostic studies
• Provide point-of-care testing where available
• Coordinate referrals to specialty care, behavioral health, social services, ancillary services, and higher levels of care when clinically indicated
• Collaborate with physicians, nursing staff, social workers, behavioral health providers, and other members of the patient care team
• Participate in multidisciplinary team meetings, case conferences, and departmental huddles

Documentation and Quality

• Document all patient encounters in the facility EHR/RPMS system on the day of service
• Complete required clinical documentation, including diagnoses, orders, care plans, patient education, and follow-up instructions
• Use CPT and ICD-10-CM coding accurately
• Support IHS Government Performance and Results Act clinical measures, including diabetes care, hypertension control, cancer screening, tobacco-use screening, immunizations, and behavioral health screening
• Participate in facility quality improvement initiatives, peer review, and outpatient primary care performance improvement efforts

Minimum Qualifications

Physician Assistant Candidates

• Graduate of an ARC-PA accredited Physician Assistant program
• Master's degree from an ARC-PA accredited program
• Current PA-C certification through NCCPA
• Current, active, unrestricted license from any U.S. state, the District of Columbia, Puerto Rico, or U.S. territory
• DEA registration for Schedule II–V prescribing authority

Nurse Practitioner Candidates

• Graduate of an accredited Nurse Practitioner program
• MSN, DNP, or equivalent graduate-level nursing degree
• Current national certification in appropriate population focus, such as FNP or AGNP, through ANCC or AANPCB
• Current, active, unrestricted license from any U.S. state, the District of Columbia, Puerto Rico, or U.S. territory
• DEA registration for Schedule II–V prescribing authority

Required Certifications

• Current Basic Life Support certification through the American Heart Association or equivalent
• Willingness to complete facility-required training, including:
  • Chronic disease management protocols
  • Opioid stewardship and controlled-substance prescribing
  • Behavioral health screening tools, including PHQ-9, GAD-7, and AUDIT-C
  • IHS GPRA clinical performance measures
  • HIPAA, infection control, fire safety, workplace violence prevention, and other IHS mandatory training

Experience Requirements

• At least one year of professional APP clinical experience in outpatient primary care across the lifespan
• Experience managing patients with multiple chronic conditions
• Ability to perform common outpatient procedures within scope of practice
• Strong independent clinical decision-making skills
• Experience in Indian Health Service facilities, Federally Qualified Health Centers, rural health clinics, or medically underserved community settings is strongly preferred
• Familiarity with Native American health disparities and culturally responsive care is strongly preferred

Credentialing and Compliance Requirements

Selected candidates must successfully complete all Rosebud IHS Hospital credentialing and privileging requirements before providing patient care.

Candidates must provide documentation including, but not limited to:

• Education and training
• National certification
• Active professional license
• DEA registration
• BLS certification
• Professional references
• Malpractice insurance
• Required immunizations and health documentation
• Background/suitability clearance

Health Requirements

Candidates must be able to provide required health documentation, including:

• MMR immunity or vaccination
• Varicella immunity or vaccination
• Tdap and current tetanus-containing vaccine
• Hepatitis B vaccination, positive titer, or declination
• TB screening within required timeframe
• Annual influenza vaccination
• COVID-19 vaccination documentation

Work Environment

Services will be performed at:

Rosebud IHS Hospital Outpatient Department Clinic
800 Hospital Drive
Rosebud, SD 57570

This role serves a rural, medically underserved population and requires professionalism, cultural humility, adaptability, and strong communication with patients and the interdisciplinary care team.

Why This Role Matters

This position directly supports access to essential primary care services for the Rosebud Sioux Tribe and surrounding communities. The APPs selected for this role will help improve continuity of care, chronic disease outcomes, preventive health access, and culturally respectful care delivery for patients who rely on Rosebud IHS Hospital as their primary healthcare resource.

How to Apply

Please submit your current resume/CV and copies of relevant licenses, certifications, and DEA registration for consideration.