APP - Physician Assistant or Nurse Practitioner | Internal Medicine | Thief River Falls
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.
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
Key Skills
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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.9 / 10 · above average in internal medicine (np) | ranked against 190 Internal Medicine (NP) listingslisting-based score, 0–10 |
| Listed pay | not listed | Internal Medicine median $156k (middle half $139k–$159k)13 comparable listings, Oct 2026 |
| Cost of living | Minnesota index 98.6 | US average = 100BEA Regional Price Parities (2024) |
| Work setting | on-site | peers: 22% remote · 58% no call · 70% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Minnesota 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 |
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