Physician Assistant/Nurse Practitioner Family Practice (PA/NP)
Compensation
Pay not listed
The week · per this posting · Monday – Friday
Ask the employer about the pay range, the work setting, call expectations and time off.
Job Description
Primary Care With Purpose — Bring Your PA or NP Experience to Rosebud! Enjoy the variety of primary care and the opportunity to make a difference in a community where your clinical skills truly matter. Eastern Shawnee Staffing Solutions (ESSS) is partnering with Rosebud IHS Hospital in Rosebud, South Dakota, to present an opportunity for two experienced Advanced Practice Providers (PAs or NPs).
This full-time outpatient assignment offers a consistent weekday schedule, competitive 1099 contract compensation, and the opportunity to care for both adult and pediatric patients alongside a multidisciplinary healthcare team.
Position Details
- Facility: Rosebud IHS Hospital
- Location: Rosebud, South Dakota
- Positions: Two Advanced Practice Providers (PA or NP)
- Setting: Outpatient Primary Care
- Schedule: Monday–Friday, 8 AM–5 PM
- Target Start date: Jan/Feb 2027
- Contract Type: 1099 Independent Contractor
- Facility Website: ihs.gov
What We Offer
- Competitive 1099 contract compensation
- Full time schedule
- No weekends or holidays
- Six-month contract with opportunities for extension
- Full-time outpatient assignment
- The opportunity to make a meaningful difference serving the Rosebud community
Explore South Dakota
Enjoy wide-open spaces, beautiful scenery, and opportunities to explore the outdoors. Rosebud offers access to local lakes, hiking, and the rich Lakota culture of the region. Weekend trips to the Black Hills, Badlands National Park, Mount Rushmore, and Crazy Horse Memorial offer plenty to explore.
What You'll Do
- Provide comprehensive outpatient primary care to adult and pediatric patients.
- Evaluate, diagnose, and manage acute and chronic conditions.
- Perform physical exams, preventive screenings, well-child visits, and immunizations.
- Develop treatment plans, prescribe medications, and order and interpret diagnostic tests.
- Provide patient education, referrals, and continuity of care.
- Maintain accurate clinical documentation and collaborate with the healthcare team.
Indian Preference Policy
ESSS follows the Indian Preference Policy. Qualified Native American applicants receive preference in accordance with applicable laws and regulations. Enrolled Eastern Shawnee Tribal Members receive first preference when experience, qualifications, training, and all other criteria are equal. Members or citizens of other federally recognized Tribes receive second preference under the same criteria, followed by other applicants.
Ready to Apply? Start Today!
If you're an experienced PA or NP looking for a full-time primary care assignment with competitive contract compensation and the opportunity to serve an American Indian community, we'd like to hear from you. Contact me at Eastern Shawnee Staffing Solutions to learn more and discuss next steps.
#IHSJobs #PhysicianAssistantJobs #NursePractitionerJobs #PrimaryCare #TribalHealthcare #SouthDakotaJobs
Requirements
What We’re Looking For
Requirements
- Strong clinical, diagnostic, and decision-making skills
- Ability to work independently in an outpatient primary care setting
- Excellent communication, patient education, and teamwork abilities
- Proficiency with electronic health record (EHR) systems
- Must be a U.S. citizen residing primarily in the United States
Required Qualifications
- Master's or doctoral degree from an accredited Physician Assistant or Nurse Practitioner program
- Current national certification appropriate to the provider's discipline (NCCPA, ANCC, or AANPCB)
- Active, unrestricted PA or NP license in any U.S. state or territory
- South Dakota prescriptive authority
- Current DEA registration for Schedule II–V medications
- Current Basic Life Support (BLS) certification through AHA or equivalent
- Minimum of two years of outpatient primary care experience
- Experience providing care to patients of all ages, including pediatric and adult populations
- Experience managing acute and chronic conditions and making independent clinical decisions
- Must be able to complete IHS credentialing and privileging requirements and obtain a favorable preliminary federal background determination before providing patient care
- Immunization records and applicable IHS health documentation required
- Must complete required facility training
Preferred Qualifications
- Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications
- Previous IHS, Tribal Health, rural, or underserved community experience
- Previous locum tenens experience
Key Responsibilities
Provide comprehensive outpatient primary care to adult and pediatric patients, including evaluating, diagnosing, and managing acute and chronic conditions. Develop treatment plans, perform physical exams, and maintain accurate clinical documentation while collaborating with a multidisciplinary healthcare team.
Qualifications
- Education
- Doctoral or professional degree (postgraduate degree)
- Experience
- 2+ years of experience
Certifications
Key Skills
Family Medicine — Nurse Practitioner Career Context
Of the 50 active Family Medicine listings this role was benchmarked against, 46% are remote, 48% have no call, 68% require no weekends.
The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)). 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | not listed | Family Medicine median $167k (middle half $137k–$167k)14 comparable listings, Nov 2026 |
| Cost of living | South Dakota index 88.6 | US average = 100BEA Regional Price Parities (2024) |
| Family Medicine listings in South Dakota | 15 active | 2,622 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 46% remote · 48% no call · 68% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | US Nurse Practitioner listings: 20% state a sign-on bonus (median $10k) · 8% offer loan repayment1,000 active listings, Nov 2026 |
| Family Medicine hiring demand | #2 of 19 specialties | postings stay open a median 34 days · 23% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 1,246 postings, 1,426 closed |
| New Family Medicine listings | 1,841 in the last 30 days | 1,356 the 30 days before (+36%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Family Medicine pay trend | +2.3% vs prior quarter | —through Oct 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Physician Assistant/Nurse Practitioner Family Practice (PA/NP) at Eastern Shawnee Companies a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Family Medicine nurse practitioner listings evaluated on our platform. Contributing factors include no weekend requirements.
Location & Logistics
South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states.
Top contract/1099 Nurse Practitioner Jobs
39 matches · ranked by paySalary Distribution
25 jobsAnnual compensation range
Benefits & Perks
24 jobsShare of similar jobs offering each benefit
Advanced Registered Nurse Practitioner APP Kidney Transplant
University of Washington · Seattle, Washington
Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)
Ageless Mens Health · Memphis, Tennessee
Family Nurse Practitioner
$160k-$210kNurse Practitioner / Physician Assistant
$135k-$183k