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

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.

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

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

• 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

• 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

• 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

• Graduate of an accredited Nurse Practitioner program
• MSN, DNP, or equivalent graduate-level nursing…