Position Title: Urology Nurse Practitioner
Division: Specialty Services
Reports To: Sr. Director of Specialty Services
The Urology Nurse Practitioner provides advanced clinical assessment, diagnosis, treatment, education, and follow-up care for patients with urologic and genitourinary conditions within Oyate Health Center. This position supports access to specialty care by managing routine and follow-up urology visits, coordinating diagnostic testing and referrals, supporting procedural workflows, and collaborating with supervising physicians, specialty providers, nursing, referrals, PRC, scheduling, and care teams to deliver safe, timely, culturally grounded patient care.
The following functions are fundamental to the position and are required of all incumbents, with or without reasonable accommodation. These functions define the role and are not an exhaustive list of all duties.
- Provides comprehensive assessment, diagnosis, treatment, and follow-up for patients with urologic conditions including urinary tract infections, hematuria, incontinence, urinary retention, kidney stones, benign prostatic hyperplasia, prostate concerns, catheter-related issues, and other genitourinary concerns within scope of practice.
- Obtains and documents complete histories, performs focused and comprehensive physical examinations, reviews diagnostic information, and develops evidence-informed plans of care.
- Orders, interprets, and follows up on appropriate laboratory, imaging, and diagnostic studies in accordance with licensure, credentialing, privileges, and organizational policy.
- Prescribes medications and treatments within authorized scope of practice, including patient education on medication use, side effects, adherence, and follow-up needs.
- Provides patient education related to urinary health, prevention, treatment plans, symptom monitoring, catheter care, procedure preparation, and post-procedure instructions.
- Coordinates referrals, prior authorizations, specialty consultations, surgical follow-up, and care transitions for patients requiring higher-level urology services or outside specialty care.
- Collaborates with physicians, advanced practice providers, nursing, referrals, PRC, scheduling, pharmacy, laboratory, imaging, and external specialty partners to support continuity of care.
- Participates in clinic workflows related to urology visits, follow-up tracking, test-result management, patient communication, and documentation standards.
- Identifies urgent or emergent urologic concerns and initiates appropriate escalation, consultation, transfer, or emergency response processes.
- Maintains accurate, timely, and complete documentation in the EHR in accordance with organizational, payer, regulatory, and clinical standards.
- Supports quality improvement, access to care, patient safety, and specialty service development initiatives within the department.
- Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA).
- Maintains regular and reliable attendance consistent with the position's schedule and operational needs.
- Communicates effectively with internal and external stakeholders as required by the role.
- Adheres to all applicable policies, procedures, and regulatory requirements.
- Utilizes required systems, tools, and technology necessary to perform the job.
- Other duties as assigned.
Clinical provider responsibilities must be performed within licensure, credentialing, privileging, collaborative practice requirements, and applicable federal, state, tribal, and organizational standards.
Education/Experience/Certificates/Credentials
- Master of Science in Nursing or Doctor of Nursing Practice from an accredited nurse practitioner program required.
- Current, unrestricted Nurse Practitioner license or eligibility for licensure in South Dakota required.
- Current national board certification as a Nurse Practitioner required; Family Nurse Practitioner, Adult-Gerontology Primary Care Nurse Practitioner, or other applicable certification preferred based on clinic scope.
- Current DEA registration and prescriptive authority required or must be obtained within organizational timelines.
- Current BLS certification required.
- Minimum of one year of advanced practice clinical experience preferred; urology, primary care, internal medicine, emergency medicine, women's health, men's health, or specialty clinic experience preferred.
- Knowledge of urologic assessment, genitourinary conditions, diagnostic testing, medication management, referral coordination, and patient education.
The GPTLHB is a tribal organization which follows tribal preference laws. It is our policy to give preference to qualified Indian/Tribal candidates overqualified non-native candidates in hiring decisions, if all other qualifications are equal.
