NURSE Practitioner; NP or Physician Assistant; PA-C - Outpatient

Akicita Federal is hiring a Nurse Practitioner (NP) or Physician Assistant (PA-C) to deliver comprehensive outpatient primary care to the Oglala Lakota Nation through the Indian Health Service's Pine Ridge Service Unit in Pine Ridge, SD. This is a high-impact role serving one of the most underserved communities in the United States, where access to quality healthcare is a matter of life and safety.

You will be part of a clinical team providing same-day appointment care at Pine Ridge Hospital, helping to close critical gaps in health access for a rural Native American population.

• Diagnose and treat acute and chronic conditions for adult patients in a fast-paced outpatient same-day clinic setting
• Provide comprehensive patient assessments, physical examinations, and individualized care plans aligned with IHS clinical standards
• Prescribe medications and order diagnostic tests, interpreting results to guide treatment decisions
• Coordinate patient care with onsite physicians, specialists, and ancillary staff to ensure continuity of care and appropriate referrals
• Document all clinical encounters accurately and timely in the Electronic Health Record (EHR) in accordance with PRSU policies and procedures
• Respond to acute and urgent patient needs within the clinic, applying sound clinical judgment in a setting where higher-level care may be 35+ minutes away by air
• Follow all Pine Ridge Service Unit facility protocols, compliance requirements, and quality standards to support safe, patient-centered care

Salary: $208,000 - $228,800 a year

• Current, active national board certification as a Nurse Practitioner (NP) or Physician Assistant (PA-C)
• Certification as an adult-focused or family Nurse Practitioner, or equivalent PA-C scope applicable to outpatient adult primary care
• Active, unrestricted state licensure to practice as an NP or PA-C (South Dakota licensure or eligibility required)
• Current DEA registration and prescriptive authority
• Ability to provide direct patient care in an outpatient primary care clinic environment
• Compliance with IHS credentialing and privileging requirements, including background investigation clearance as required by the Indian Health Service
• Current Basic Life Support (BLS) certification

• Prior clinical experience serving Native American, Alaska Native, or other federally recognized tribal communities
• Experience practicing in a critical access, rural, or frontier healthcare setting where resource constraints require independent clinical decision-making
• Familiarity with Indian Health Service systems, policies, or the Indian Health Manual (IHM)
• Experience working with populations facing high rates of chronic disease, health disparities, or socioeconomic barriers to care
• Comfort with high patient volumes in a same-day or walk-in outpatient clinic model

Akicita Federal is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, 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.