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Akicita Federal
Rosebud, South Dakota

Certified Nurse Midwife

Nurse PractitionerIncludes callNo weekendsFull-Time Full Practice Authority

Listed compensation

$229k-$235k

The week · per this posting · Monday – Friday

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Akicita Federal is hiring Certified Nurse-Midwives (CNMs) to provide full-scope obstetric and gynecological care at Rosebud IHS Hospital in Rosebud, South Dakota, serving American Indian and Alaska Native patients across outpatient clinic and emergency department settings.

  • Attend and manage normal vaginal deliveries, including repair of first- and second-degree lacerations and episiotomies per facility policy
  • Evaluate and stabilize obstetric emergencies including antepartum hemorrhage, eclampsia, preterm labor, PROM, ectopic pregnancy, and miscarriage
  • Conduct initial prenatal intake examinations, including comprehensive health history and physical assessment
  • Respond to the Emergency Department for OB on-call coverage within a timeframe not to exceed 60 minutes from notification
  • Perform annual well-woman examinations including physical assessment, clinical breast examination, and pelvic examination
  • Provide full-scope family planning services including implant and IUD insertion and removal
  • Document all patient encounters in the Rosebud IHS Hospital electronic health record on the day of service
  • Participate in quality improvement initiatives, peer review, and morbidity and mortality review related to obstetric and gynecological care

Schedule

Monday through Friday, 8:00 a. m. to 5:00 p. m. for outpatient clinic services. All CNMs share a rotating 24/7 on-call responsibility for obstetric emergencies during non-clinic hours, including federal holidays, with at least one CNM designated as primary on-call at all times.

$228,800 - $235,050 a year

  • Graduate of a nurse-midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME); degree must be a Master of Science in Nursing with a nurse-midwifery specialty, Master of Midwifery, Doctor of Nursing Practice, or equivalent graduate or higher-level degree from an accredited institution
  • Current, active, unencumbered national certification as a Certified Nurse-Midwife (CNM) issued by the American Midwifery Certification Board (AMCB)
  • Current, valid, unrestricted licensure as a Registered Nurse and Advanced Practice Registered Nurse in any state in the US with the eligibility to obtain licensure before services begin in the State of South Dakota.
  • Prescriptive authority consistent with South Dakota law and active DEA registration (Schedule II–V)
  • Current Basic Life Support (BLS) certification from the American Heart Association
  • Current Neonatal Resuscitation Program (NRP) provider certification from the American Academy of Pediatrics

Before Your First Day

  • Favorable preliminary background investigation determination required before any patient care may begin
  • Documented TB screening within the last 12 months (negative TB skin test or IGRA) and COVID-19 vaccination documentation required
  • Completion of IHS credentialing and privileging before providing patient care

What Sets Candidates Apart

  • Experience in Indian Health Service facilities, federally qualified health centers, or other rural or underserved community settings
  • Current Advanced Cardiac Life Support (ACLS) certification from the American Heart Association

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.

Key Responsibilities

Provide full-scope obstetric, gynecological, prenatal, and family planning care to patients in outpatient and emergency department settings, including managing deliveries and stabilizing obstetric emergencies. Document patient encounters and participate in rotating on-call coverage, quality improvement, peer review, and morbidity and mortality reviews.

Requirements

Candidates must have an accredited graduate nurse-midwifery education, active AMCB Certified Nurse-Midwife certification, and unrestricted RN and APRN licensure with eligibility for South Dakota licensure. Required credentials include prescriptive authority, DEA registration, BLS, and NRP; candidates must also complete IHS credentialing and privileging and meet the stated screening and vaccination requirements before providing care.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Obstetric CareVaginal Delivery ManagementLaceration RepairObstetric Emergency StabilizationPrenatal ExaminationsImplant Insertion And RemovalElectronic Health Record DocumentationEmergency Department On-Call Coverage

Nurse Midwifery — Nurse Practitioner Career Context

Akicita Federal holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 76/100, 7 active listings.

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 30% are remote, 54% have no call, 56% require no weekends.

Nurse Practitioner pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$232k midpoint carries the purchasing power of roughly $262k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$232k midpoint, that is roughly $9k–$16k a year versus a typical 4–7% state rate.

Top Nurse Practitioner Jobs

22 matches · ranked by pay

Salary Distribution22 jobs · 20 employers

13
<$165k
3
$165k-210k
2
$210k-255k
2
$255k-300k
2
$300k+

Annual compensation range

Benefits & Perks20 jobs

401k / retirement match
95%
CME allowance
45%
Sign-on bonus
40%
Loan repayment
15%
Relocation assistance
10%

Share of similar jobs offering each benefit

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#3

Psychiatric Nurse Practitioner (PMHNP)

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#4

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+ 20 more · ranked by pay

Work-life snapshot

median 3.0this job 2.6
Better work-life than 40% of Nurse Midwife listings

Listing-based score, 0–10, across 351 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • Includes call

Living in Rosebud

Median resident rent
$709/mo≈ 4% of gross pay
Residents’ average commute
12 min
State income tax
None
Sources & methodology

Sources: U.S. Census ACS 2024 five-year.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

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Benefits & Perks

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