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Physician Assistant or Nurse Practitioner

Nitelines USA, Inc Pine Ridge, SD
  • Expired: 9 days ago. Applications are no longer accepted.

We are currently looking to fill several Nurse Practitioner and/or Physician Assistant positions as follows:

SERIOUS CANDIDATES should submit their current resume and license to or fax to: 844-243-7812.

Objective: Provide the best possible health care services to the Native American people on the Oglala Lakota (Sioux) Indian Reservation in South Dakota.

PATIENT CARE: Provider will be expected to see and treat a sufficient number of daily patients (of all ages) as determined by the walk-in clinic mean and within a statistical standard deviation of that mean. The average number of patients to be seen and treated in a ten-twelve (10-12) hour clinic day will be 14-22 patients. For a five hour clinic day the expected number of patients to be seen and treated is 10-15.

LOCATION: Pine Ridge Indian Health Service (IHS) Hospital E. Hwy 18, Pine Ridge, SD 57770.

PERIOD OF PERFORMANCE: 11/04/2019 through 11/03/2024

SPECIALTY: Family Practice

HOURS: The Outpatient Clinic (OPC) hours may vary depending the changing demand of the patient population.

SCHEDULES: A or B, as well as Sunday clinic or Holiday clinic :

  • Schedule A: Will work in the OPC from 8:00 AM to 7:00 PM MST, Monday thru Friday. Providers assigned to schedule "A" will have a mandatory lunch break from 12:00 PM to 12:30 PM. And mandatory dinner break from 5:00 PM to 5:30 PM.
  • Schedule B: Providers assigned to schedule "B" will work in the OPC from 10:00 AM to 9:00 PM MST, Monday thru Friday. Providers assigned to schedule "A" will have a mandatory lunch break from 12:00 PM to 12:30 PM. And mandatory dinner break from 5:00 PM to 5:30 PM.

Providers assigned to Sunday or Holiday clinic will work in the OPC from 12:00 PM To 5:00 PM. Providers will not be provided a lunch or supper break on Sundays or Holiday.

Provider's schedule may consist of a twelve-(12) hour billable per day work during operating clinic hours from Mondays through Fridays. The start time will be 8:00 AM MST and the end of time will be 9:00 PM MST . During this shift the Provider shall take a thirty-(30) minute break for lunch and thirty-(30) minute break for dinner/supper. The total amount of non-billable lunch and dinner break time per normal day (M-F) is sixty-(60) minutes.

Provider will work under the direction of Outpatient Service Director or the physicians assigned to the outpatient clinic for that day. This physician could be a family practice, internal medicine, or the on-call hospitalist physician depending on hospital staffing patterns.

After normal duty/clinic hours, 5:30PM MST, at times when there is no adult-medicine physician in the OPC, the on-call hospitalist physician shall be the point of contact for complicated adult medicine patients.

After "normal duty/clinic hours, 4:30PM MST, the on-call pediatrician shall be the point of contact for complicated pediatric cases.


  • Must hold an active, current, and unrestricted (unflagged) state nurse practitioner (NP), or physician assistant (PA) license from any of the Fifty-(50) United States or the Commonwealth of Puerto Rico.
  • Cannot be under any exclusions or sanctions from the Medicare/ Medicaid programs.
  • Must have received and will maintain national certification in Family Practice throughout the duration of service.
  • Must fulfill all the requirements for appointment to the Pine Ridge IHS Medical Staff and for the granting of privileges, in accordance with IHS policies and with the Pine Ridge Service Unit Medical Staff By-Laws.


  • Shall provide diagnostic, preventive, and therapeutic health services to eligible patients and family members in the walk-in outpatient clinics or field clinic.
  • Secure a health and development history from the patient or parent;
  • Record findings; make critical evaluations;
  • Perform or request special screening and developmental tests;
  • Order laboratory tests and interpret the results;
  • Discriminate between normal and abnormal findings;
  • Make decisions with physicians concerning medical care needs of patients;
  • Provide direct medical care in the presence of illness or disability in order to maintain life, Provide comfort, reduce distress and enhance coping ability;
  • Provide surveillance over medical practices applied to stabilize chronically ill persons;
  • Adjust treatment within established standing orders recognizing when to refer the patient to a Physician or other health team members;
  • Work collaboratively with physicians in management of selected complex medical problems;
  • When clinically engaged with a medically complex patient present the case to the physician clinic Consultant for the day for proper treatment and disposition;
  • Consult the clinic physician consultant or on-call hospitalist for patients assessed and deemed to require admission to the hospital;
  • Participate with other health professionals and agencies involved in providing health care and services required to include immunization and disease control, environmental health and health education;
  • Provide emergency or crisis intervention in order to stabilize a patient for transport to a higher level facility;
  • Provide medical care and preventive services to healthy individuals,
  • Evaluate total health care needs of patients and develops plans to meet these needs
  • Maintain records and reports on patients, personal activities and other required information for use in program operation, quality control and other purposes
  • Participate in certain medical staff committee meetings as required;
  • Comply with all IHS facility infection control and safety procedures, practices and standards;
  • Be eligible for enrollment in the service unit's Medicare part B reassignment program;
  • Chronic pain patients presenting to the Provider will be assessed for new specific chief complaints or general health evaluations and assessments.
  • The Provider will abide to the agreements of all signed and current (less than one year old) chronic pain contracts.


  • Skill and knowledge of established concepts, principles, and practices related to health care assignments requiring training equivalent to an educational program leading to a Bachelors Degree and additional training or experience in assessing the conditions of patients, in providing medical care and in advising on health care needs, all with full consideration of mental, emotional, and physical factors.
  • Extensive knowledge of disease entities.
  • Knowledge of diagnostic, preventive and therapeutic procedures related to a variety of medical and health care fields to include OB/GYN, ENT, pediatric, orthopedics, internal medicine, mental health, dental, emergency medicine, surgery (minor), and nutrition.
  • Ability to collect, organize, record and communicate, in a meaningful way, data relevant to primary health assessments including detailed family and medical history, physical examinations and selective laboratory tests.
  • Skill in making diagnoses and in choosing, initiating, and modifying selected therapies, and ability to provide emergency treatments. Skill in simple laceration repair, casting/ splinting, and in other ER or urgent care- related procedures. Skill in the management of simple fractures.
  • Ability to assess the physical-psychosocial health status of patients and family based upon the knowledge of growth and development patterns and health conditions that require medical management.
  • Knowledge of interpreting radiographs for preliminary clinical decision making.
  • Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications of their use.
  • Knowledge of human behavior during stressful situations in order to exercise emotional control, tact, patience and reliability in providing emergency/ urgent patient care.
  • Ability to provide individual and family counseling, guidance, and health instruction to help patients to understand how to prevent disease and maintain good physical and mental health.
  • In cases where the Provider must travel to a field clinic, authorization will be granted to operate a Government Owned Vehicle and shall possess a valid driver's license

BENEFITS: (all Inclusive) Competitive Pay, Accrued Paid Time Off. 10 Paid Federal Holidays, Travel, Lodging, and Medical Malpractice.

Nitelines USA, Inc

What we do... A diversified Medical, Technical and Operational Support Agency for all types of Government Agencies across the USA. We employ administrative, technical and medical personnel, as well as management and finance personnel who have proven experience, meet educational requirements, and exceptional customer service. We pride ourselves on being supportive and responsive to all our employees. Established in 1994, NiteLines USA has successfully delivered contract support services to more than 144 government institutions and Medical treatment facilities across the country.


Pine Ridge, SD
57770 USA