RN Inpatient - IHS Position

As a Registered Nurse with Vision Quest Solutions, you will play a critical role in delivering compassionate, patient-centered care within the Acute Care Medical-Surgical Inpatient Unit serving tribal communities through the Indian Health Service. This government contract position supports inpatient and emergency staffing needs while providing the opportunity to make a meaningful impact through high-quality nursing care in a culturally respectful environment.

If you are an experienced RN who values teamwork, service, adaptability, and purpose-driven work, this role offers the opportunity to provide essential care where it is needed most.

• Provide direct nursing care to pediatric, adolescent, adult, and geriatric patients with acute and chronic medical conditions in an inpatient acute care setting
• Assess, plan, implement, and evaluate individualized patient care plans utilizing the nursing process
• Perform comprehensive nursing assessments and reassessments independently based on changes in patient condition
• Administer medications and treatments through all approved routes including PO, IM, IV, subcutaneous, transdermal, nebulized, rectal, and other prescribed methods
• Monitor and manage cardiac telemetry, oxygen therapy, respiratory treatments, and emergency interventions
• Assist patients with activities of daily living, ambulation, wound care, specimen collection, venipuncture, urinary catheter care, NG/OG tube care, and other nursing procedures
• Respond appropriately during cardiac arrests, emergency situations, anaphylaxis, and resuscitative events
• Operate and maintain medical equipment including IV pumps, telemetry monitors, glucometers, defibrillators, EKG machines, patient lifts, and other inpatient nursing equipment
• Document nursing assessments, interventions, patient responses, and care coordination accurately within IHS electronic health records and RPMS systems
• Collaborate with providers, multidisciplinary teams, and outside healthcare agencies to coordinate patient care and referrals
• Educate patients and families regarding diagnoses, medications, discharge planning, disease processes, and health maintenance
• Follow all infection control, safety, quality assurance, and regulatory standards
• Maintain patient confidentiality and comply with CMS, TJC, IHS, and facility documentation requirements
• Participate in staff meetings, professional activities, and required trainings
• Promote a safe, respectful, and culturally sensitive care environment for Native American patients and communities

• Acute Care Inpatient Unit schedule
• Seven (7) 12-hour shifts within a two-week pay period
• Day shift: 0700 – 1930
• Night shift: 1900 – 0730
• Shift rotation required based on staffing needs and patient census
• Overtime may be required in accordance with staffing needs and federal regulations

• Acute Care Medical-Surgical Inpatient Unit
• Fast-paced clinical environment requiring adaptability and strong clinical judgment
• Frequent standing, walking, bending, lifting, reaching, and direct patient care
• May require lifting or repositioning patients and equipment exceeding 50 pounds
• Exposure to emergency and high-stress clinical situations
• On-site role located in Pine Ridge, South Dakota and surrounding service unit clinics
• Essential healthcare role requiring reliability in all weather conditions

Vision Quest Solutions proudly supports Indian Health Service and tribal communities by providing highly skilled healthcare professionals committed to compassionate, culturally respectful care.

• Active, unrestricted Registered Nurse (RN) license from any U.S. state, territory, or the District of Columbia
• Minimum two (2) years of recent Medical-Surgical inpatient…