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Sanford Health
Thief River Falls, Minnesota

APP - Physician Assistant or Nurse Practitioner | Internal Medicine | Thief River Falls

Nurse PractitionerIncludes weekendsNo callNo nightsFull-Time Full Practice Authority

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about the pay range, the work setting and time off.

Posted 1h ago · Verified live

Job Description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours

40

Compensation

Union Position

  • No
  • Department Details

Summary

The Internal Medicine Nurse Practitioner (NP) provides advanced nursing care to adult patients with acute, chronic, and complex medical conditions. Working in collaboration with physicians and healthcare teams, the NP performs assessments, diagnoses, develops and implements treatment plans, and manages patient care to promote optimal health outcomes.

Job Description

Conduct thorough patient histories and physical examinations. Diagnose and manage acute and chronic illnesses such as hypertension, diabetes, COPD, heart disease, and other internal medicine conditions. Order, interpret, and act on diagnostic tests including labs, imaging, and screenings.

Develop and implement individualized treatment plans, including prescribing medications and therapies in accordance with state laws and organizational policies. Provide patient education on disease prevention, health promotion, and management of chronic conditions.

Monitor and evaluate patient progress and response to treatment, adjusting plans as necessary. Collaborate with physicians, specialists, and other healthcare providers to coordinate care. Document all patient encounters, treatments, and progress notes accurately in the electronic health record (EHR).

Participate in quality improvement initiatives and stay current with evidence-based practices in internal medicine. Maintain compliance with regulatory and organizational standards for patient care.

Qualifications

Master’s or Doctorate degree from an accredited Nurse Practitioner program.

If APRN was licensed prior to August 1, 1995, master's degree in nursing is preferred.

Experience in internal medicine or related adult primary care setting preferred

Current licensure as a Registered Nurse and Nurse Practitioner in each state of practice.

  • APP – Physician Assistant or Nurse Practitioner | Internal Medicine | Thief River Falls
  • Schedule: M-F; closed 6 major holidays. Walk-in-Clinic Saturday rotation 9 am-noon; 1:6
  • Clinic only
  • New grads with 3-5 years of nursing experience in primary care will be considered; Experience as an APP in primary care/internal medicine of greater than 1 year preferred.
  • Position duties: Asses/Evaluate and develop appropriate history, physical, assessment and plan for complex internal medicine primary care patients. Position would include own primary panel of patients as well as working collaboratively to share patients with internal medicine physicians.
  • Make up of Team: Physicians: 2, APP’s: 1

Additional primary care providers in family medicine consist of 3 physicians and 3 APPs as well as 2 OBGYN/Women’s Health physicians and 2 APPS.

  • Required 1.0 FTE; 36 hours per week of patient facing scheduled time

Current Drug Enforcement Administration (DEA) permit to prescribe controlled substances in each state of practice.

State Controlled Substance License (if required by State)

National board certification as a Family (FNP-BC) or (FNP–C), Adult-Gerontology Primary Care (AGPCNP-BC) or (A-GNP), Adult (ANP-C), Additional certifications require approval from a market executive leader: Adult-Gerontology Acute Care (AGACNP-BC) or ACNPC-AG), Acute Care Adult (ACNP-BC)

Obtains and subsequently maintains required specific competencies and certifications as outlined on privilege form.

Privileging documents and related credentialing requirements will supersede this job description in defining minimum qualifications, criteria, and scope of practice, if variation between documents exists.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

Key Responsibilities

The Nurse Practitioner will assess, diagnose, and manage acute and chronic internal medicine conditions while developing individualized treatment plans. They will collaborate with physicians and healthcare teams to coordinate patient care and maintain accurate electronic health records.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient assessmentDiagnostic testingTreatment planningChronic disease managementAcute illness managementRegulatory compliance

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates APP - Physician Assistant or Nurse Practitioner | Internal Medicine | Thief River Falls at Sanford Health a 6.9 out of 10 for work-life balance — classified as good. This places the position in the Above average in Internal Medicine (NP) — ranked against 190 active Internal Medicine (NP) listings on WeekdayDoc. Contributing factors include no on-call duties, no night shifts.

Internal Medicine — Nurse Practitioner Career Context

Of the 50 active Internal Medicine listings this role was benchmarked against, 22% are remote, 58% have no call, 70% require no weekends.

Internal Medicine pay on WeekdayDoc is up 4.4% vs. the prior quarter (through Sep 2026).

Internal Medicine by the numbers
MeasureThis jobMarket
Work-life score6.9 / 10 · above average in internal medicine (np)ranked against 190 Internal Medicine (NP) listingslisting-based score, 0–10
Listed paynot listedInternal Medicine median $156k (middle half $139k–$159k)13 comparable listings, Oct 2026
Cost of livingMinnesota index 98.6US average = 100BEA Regional Price Parities (2024)
Work settingon-sitepeers: 22% remote · 58% no call · 70% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMinnesota Nurse Practitioner listings: 8% state a sign-on bonus · 14% offer loan repayment254 active listings, Oct 2026
Internal Medicine pay trend+4.4% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (190 Internal Medicine (NP) listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

46 matches · ranked by pay

Salary Distribution

40 jobs · 35 employers
15
<$150k
8
$150k-165k
12
$165k-180k
3
$180k-195k
2
$195k+

Annual compensation range

Benefits & Perks

33 jobs
401k / retirement match
94%
CME allowance
61%
Sign-on bonus
33%
Loan repayment
18%
PSLF eligible
12%

Share of similar jobs offering each benefit

#1

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

Ageless Mens Health · Memphis, Tennessee

$210k
#2

Nurse Practitioner- NP/PA- Primary Care

CVS Health · Saint Paul, Minnesota

$46.03-$99.14/hr
#3

NP or PA needed for interim OCC MED coverage

$90 per hour
#4

Nurse Practitioner Senior Staff-Philadelphia, PA

$138k-$187k
+ 44 more · ranked by pay

Work-life snapshot

median 6.3this job 6.9
Better work-life than 70% of Internal Medicine (NP) listings

Listing-based score, 0–10, across 190 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No nights
  • Includes weekends

Living in Thief River Falls

Median resident rent
$838/mo
Residents’ average commute
10 min
State income tax
Up to 9.8%
Sources & methodology

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

City-level figures. Not a cost-of-living guarantee.