Advanced Practice Nurse (Nurse Practitioner)
The Indian Health Service
Summary
At the Indian Health Service, Nurse Practitioners do more than practice medicine— they change lives. Guided by our mission to raise the health of American Indian and Alaska Native people, you'll deliver compassionate care where it's needed most.
Your expertise brings healing and hope across generations. Begin your journey with purpose—and receive a recruitment/relocation sign‑on bonus, if eligible.
A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Duties
- Analyze and interpret patient histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
- Develop treatment plans based on scientific rationale, standards of care, and professional practice guidelines.
- Diagnose or treat acute health care problems such as illnesses, infections, and injuries.
- Prescribe medications based on efficacy, safety, dosage and frequencies.
- Educate patients about self‑management of acute or chronic illnesses, tailoring instructions to patients' individual circumstances.
Requirements
Conditions of employment
Selectee may be subject to a probationary period.
U.S. Citizenship is required.
Selective Service Registration is required for males born after 12/31/1959.
This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served, and all other Federal entitlements would remain the same.
This is a designated position covered by Public Law 101‑630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
IHS Selectees that will work in an IHS health care facility may be subject to Employee Health Policies related to Measles and Rubella, and seasonal influenza immunizations. Vaccine exemption requests may be available according to the National and/or Service Unit guidance.
On-call hours or standby duty may be required.
Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit
Position subject to rotating shifts; days, evenings, nights, weekends, and holidays. Shift rotations may vary from 8, 10 and 12-hour shifts.
You will need to set up direct deposit so we can pay you.
Background Investigation Requirement
This position requires the successful completion of a federal background investigation as a condition of employment.
A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.
Upon receipt of instructions, applicants must complete all required background investigation forms within 5 calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.
Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.
Qualifications
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.
Degree and License Waiting Period for Impending Graduates: The Hiring Manager/Selecting Official may elect to utilize an available flexibility wherein applicants who are currently enrolled and expected to complete the required education and obtain the required licensure/certification/registration within 9 month(s) of applying, may be deemed tentatively qualified. Applicants who have not completed their education requirements (but who are within the established timeframe for qualifying) must submit:
- Documentation from the educational institution's registrar, dean or other appropriate official that attests to the applicable timeframe for completion of the professional program/coursework AND
- A copy of the most recent unofficial transcript.
BASIC REQUIREMENT(S)
Education: A graduate or higher-level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.
Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.
Advanced Practice Nurse Positions: For Advanced Practice Nurse (APN) positions, applicants must possess a graduate or higher-level degree in nursing from an accredited educational program in the area of expertise or specialty indicated by the position.
Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
Additional License Requirements for Advanced Practice Nurse Positions: Applicants for Advanced Practice Nurse positions must be licensed or registered by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in the clinical specialty required by the position.
The selected individual is required to obtain and maintain medical staff clinical privileges, including any licensure requirements. If privileges are not obtained or maintained during employment, the employee will be subject to adverse actions, up to and including removal from Federal service.
Basic Requirements For The GS‑9 (or Equivalent) Grade Level
- Applicants who meet the above APN education and licensure requirements qualify for the GS‑9.
- Applicants currently enrolled in a professional nursing program and expect to obtain APN licensure within 9 months.
Basic Requirements For The GS‑11 (or Equivalent) Grade Level
In addition to the above APN requirements, applicants must meet one of the following requirements:
- Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.
- At least one full year of professional advanced practice nursing experience (equivalent to the GS‑9 grade level).
Basic Requirements for the GS‑12 (or equivalent) Grade Level
- In addition to the mandatory license and education described above under Basic Requirements, applicants must have at least one or more full years of professional advanced practice nursing experience equivalent to the GS‑11 grade level.
Minimum Qualifications
Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
- Specialize Experience GS‑11: Provide medical care and guidance in nutrition, common illnesses, accidents, child growth/development and child rearing; Develop or initiate health care needs for patients; Work collaboratively with physicians in management of selected complex medical problems; Refers patients to appropriate higher level medical (or other) facilities when needed; Prescribe and monitor medication/therapies.
- Specialize Experience GS‑12: Perform or request special screening, developmental or laboratory tests and interpret the results; Provide direct medical care in the presence of illness or disability in order to maintain life, reduce distress and enhance coping ability; providing full clinical information for care and diagnostic procedures, facilitating emergent transfer to higher level of care when indicated. Provide emergency services or crisis intervention procedures when indicated; Collaborate with health care professionals to develop treatment protocols, standards of practice and policies.
You must meet all qualification requirements by the respective cutoff day of rating to be eligible for referral.
Education
This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.
Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website:
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit
Additional information
Financial Suitability Requirement: This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying.
Individuals with substantial delinquent or unresolved financial obligations— including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears—may be deemed unsuitable for employment with the Indian Health Service (IHS).
Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly‑appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.
This position may be covered by a Bargaining Unit.
Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required.
The Indian Health Service (IHS), National Health Service Corps (NHSC), And The Health Resources And Services Administration (HRSA) Have Student Loan Repayment Programs For Qualifying Health Disciplines. This Is a Competitive Process Separate From The Hiring Process. Opportunities For LRP Are Based On Agency Hiring Priorities And Availability Of Funds. For Additional Information Please Visit
For IHS -
For NHSC -
For HRSA Nurse Corps -
This position may have promotion potential to the GS‑GS‑12 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.
You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.
Application Process
As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions.
- How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government?
- In this role, how would you use your skills and experience to improve government efficiency and effectiveness?
- How would you help advance the President's Executive Orders and policy priorities in this role?
- How has a strong work ethic contributed to your professional, academic or personal achievements?
- Your responses are optional and will not be scored.
- However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process.
- You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
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