Nurse Practitioner Outpatient

Akicita Federal is hiring a Nurse Practitioner to deliver high-quality outpatient primary care to Yankton Sioux Tribal Members (Ihanktonwan Nation) through the Indian Health Service in Wagner, South Dakota. This role directly serves a rural community where patients may travel up to 100 miles round-trip to access care, making consistent, skilled clinical presence genuinely life-changing. You will work within a full-service ambulatory health center staffed with pharmacy, radiology, laboratory, dental, behavioral health, and specialist clinic support.

• Diagnose and treat a broad range of acute and chronic conditions for a diverse patient panel spanning newborns to geriatric adults, averaging 10–16 patient visits per day
• Provide outpatient mid-level medical services across extended clinic hours, Sunday through Saturday, 7:00 a.m. to 11:00 p.m., including weekends and federal holidays
• Document clinical encounters accurately and in a timely manner in accordance with facility medical staff bylaws, rules, and applicable regulatory standards
• Coordinate care with on-site services including pharmacy, public health nursing, behavioral health, pain management, and visiting specialist clinics (OB/GYN, cardiology, nephrology)
• Participate in the facility's quality improvement program, including ongoing monitoring and evaluation of the quality and appropriateness of care delivered
• Maintain clinical practice consistent with CMS standards, governing body bylaws, and all applicable state and federal licensure requirements
• Collaborate with facility leadership and support staff to ensure uninterrupted outpatient department coverage for approximately 7,500 patient visits per month