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