Nurse Practitioner - Outpatient Primary Care

Akicita Federal is hiring Nurse Practitioners to deliver direct primary care services to veterans through the Dayton VA Medical Center in Dayton, OH. In this role, you will spend the vast majority of your time in face-to-face patient care — managing clinic appointments, reviewing lab and imaging results, and conducting phone consultations — while making a meaningful difference in the lives of those who served. A small portion of your time supports quality improvement activities and interdisciplinary team collaboration.

- Evaluate, diagnose, and treat veteran patients in a primary care setting, meeting or exceeding standards established by The Joint Commission.

- Order and interpret diagnostic studies including laboratory panels, imaging, and electrocardiograms to guide clinical decision-making.

- Manage patient medications in accordance with established facility protocols, ensuring safe and appropriate prescribing practices.

- Coordinate care with sub-specialists and arrange follow-up after patient discharge to ensure continuity of treatment.

- Counsel patients on advanced care planning and facilitate discussions around end-of-life preferences.

- Identify veterans in need of social services — including those experiencing homelessness or without an established primary care provider — and initiate appropriate referrals.

- Complete clinical documentation and accurate Evaluation and Management (E&M) coding in the Electronic Health Record (EHR) at the close of each shift, and communicate test results to patients and providers in compliance with VHA Directive 1088.

What sets candidates apart:

- Prior experience providing primary care in a VA or other federal healthcare setting.

- Familiarity with VA electronic health record systems and E&M coding practices.

- Experience working within a Patient Aligned Care Team (PACT) or similar interdisciplinary care model.

- Comfort performing baseline procedures such as fecal occult blood testing and abscess incision and drainage.

- Experience with patient safety reporting systems and quality improvement or CQI activities.

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.