Physician Assistant

Akicita Federal is hiring a Physician Assistant to provide outpatient primary care services at Rosebud IHS Hospital in Rosebud, South Dakota, serving American Indian and Alaska Native patients of all ages. This position supports the Indian Health Service's Outpatient Department Clinic, delivering comprehensive primary and preventive care across the lifespan.

- Conduct comprehensive new-patient intake visits, including history, complete physical examination, and review of systems
- Diagnose and manage common chronic conditions — including hypertension, type 2 diabetes, asthma, COPD, depression, and anxiety — referring cases beyond PA scope
- Perform well-child examinations, administer childhood and adolescent immunizations, and conduct adolescent confidential preventive visits with risk-behavior screening
- Evaluate and manage acute outpatient complaints presenting during clinic hours
- Perform minor outpatient procedures within PA scope and facility privileges, including laceration repair, incision and drainage, and joint injections
- Screen for intimate partner violence, substance use disorders, and behavioral health concerns, and initiate appropriate referrals
- Manage prescriptions including controlled substance prescribing within PA scope and DEA authority; administer adult immunizations per current ACIP guidelines
- Complete documentation of all patient encounters in the Government EHR within 24 hours using accurate CPT and ICD-10-CM coding

Schedule: Monday through Friday, 8:00 AM to 5:00 PM, excluding federal holidays. Expected start February 2027; an approximately one-year assignment with possible extensions.

What sets candidates apart:
- Experience in FQHCs, IHS facilities, or other rural or underserved community settings

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.

- Graduation from an ARC-PA accredited Physician Assistant education program; master's degree from an ARC-PA accredited program required
- Current, active, unencumbered PA-C certification issued by the National Commission on Certification of Physician Assistants (NCCPA)
- Current, active, unrestricted license to practice as a Physician Assistant issued by any U.S. state, DC, Puerto Rico, or a U.S. territory
- Prescriptive authority consistent with South Dakota law; active DEA registration for Schedules II–V required
- Current Basic Life Support (BLS) certification from the American Heart Association or equivalent
- At least one (1) year of professional PA clinical experience demonstrating progressive responsibility in outpatient primary care across the lifespan

Before your first day
- Tuberculosis screening: two negative TB skin tests or one negative IGRA within the last 12 months; COVID-19 vaccination documentation and annual influenza vaccine required
- Favorable preliminary background determination required before any patient care begins; subject to IHS character investigation, with no unsupervised contact with American Indian children until completed
- Full IHS credentialing and privileging must be completed before providing patient care
- Malpractice insurance certificate must be provided to facility leadership before services commence
- All required IHS mandatory training must be completed within assigned timeframes