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

What sets candidates apart:

- Prior experience practicing in an Indian Health Service, tribal health, or Federally Qualified Health Center (FQHC) setting

- Familiarity with the health needs and cultural context of American Indian and Alaska Native patient populations

- Experience in a high-volume rural or critical-access outpatient clinic environment

- Comfort with extended-hours or shift-based scheduling models, including evenings and weekends

- Background working alongside integrated care teams that include behavioral health, pharmacy, public health nursing, and telemedicine services

About Akicita FederalAkicita Federal is a Native American-owned federal contractor delivering healthcare, clinical, IT, and program-support services across the Indian Health Service, the Department of Veterans Affairs, and other federal agencies. We hire the people who do the work — clinicians, analysts, engineers, support staff — and we treat them like the professionals they are.

Equal Opportunity EmployerAkicita 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.