---
title: 'Registered Nurse - Operating Room (OR) at Akicita Federal, LLC'
canonical: 'https://feeny.ai/job/registered-nurse-operating-room-or-akicita-federal-llc-pine-ridge-ffw840vhx7hj'
type: 'job'
last_seen: '2026-09-14'
---

# Registered Nurse - Operating Room (OR) at Akicita Federal, LLC

- **Company:** Akicita Federal, LLC
- **Location:** Pine Ridge, SD
- **Compensation:** $166k–$177k
- **Posted:** 2026-08-07
- **Last confirmed live:** 2026-09-14
- **Apply:** https://jobs.lever.co/akicita-cyber/9a510cc5-eee6-425d-89b6-fabbd5f6555f

## Job description

Akicita Federal is hiring Registered Nurses to deliver direct surgical nursing care for the Indian Health Service at the Pine Ridge Service Unit in Pine Ridge, SD — serving the Oglala Lakota Nation on one of the most storied reservations in the American West. You will work alongside a dedicated hospital nursing team, providing hands-on perioperative and surgical support that directly raises the standard of health care available to American Indian patients and their families.

- Provide comprehensive pre-operative assessments and prepare patients for surgical procedures in a rural hospital setting.
- Perform surgical timeouts, surgical counts, and sterile supply passes to maintain patient safety and OR integrity.
- Administer medications via oral, transdermal, intravenous, intramuscular, sublingual, and subcutaneous routes as part of perioperative and post-operative care plans.
- Manage post-operative pain, monitor patient recovery, and coordinate handoff to appropriate care teams.
- Perform adult and neonatal venipuncture and skin puncture for IV placement and blood collection.
- Operate and maintain sterile operating suites and surgical equipment, including oxygen therapy systems and extremity tourniquets.
- Float as needed to the Emergency Room, Outpatient Clinic, or Acute Care In-Patient units to support patient observation, medication administration, or other intermittent care needs.

What sets candidates apart:

- Prior experience working in a rural, critical-access, or tribal health care facility.
- Familiarity with Indian Health Service care environments, policies, or patient populations.
- Certification in perioperative nursing (e.g., CNOR) or related specialty credential.
- Experience floating across multiple units including emergency, outpatient, or inpatient acute care settings.
- Demonstrated commitment to culturally responsive care for Native American communities.

About Akicita FederalAkicita Federal is a Native American-owned federal contractor delivering healthcare, clinical, IT, and program-support services across the Indian Health Service, the Department of Veterans Affairs, and other federal agencies. We hire the people who do the work — clinicians, analysts, engineers, support staff — and we treat them like the professionals they are. Equal Opportunity EmployerAkicita Federal is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Akicita Federal complies with the Indian Preference provisions of the Indian Self-Determination and Education Assistance Act (P.L. 93-638) where applicable.

## About Akicita Federal, LLC

## Company Overview
- **One-liner**: Akicita Federal is a Native American-owned 8(a) certified federal contractor delivering managed staffing, healthcare services, project management, IT/cybersecurity, and business support to agencies like IHS, BIA, and VA.
- **Entity Type**: Private (Privately Held)
- **Headquarters**: Lower Brule, South Dakota, United States (with corporate offices in McLean, Virginia)
- **Founded**: 2022
- **Founders**: Mike Shvenderman (CEO) and Andrew Young (COO & CTO)

## Core Business
- **Primary Industries**: Federal Contracting, Healthcare Services, Project Management & Engineering, IT & Cybersecurity, Business Support Services
- **Target Customers**: U.S. federal agencies — Indian Health Service (IHS), Bureau of Indian Affairs (BIA), Department of Veterans Affairs (VA), Export-Import Bank, and other government entities
- **Mission / Purpose**: “Dedicated to protecting our nation through innovative solutions and comprehensive security strategies,” with a focus on national security, homeland security, and supporting hard-to-fill positions in remote and frontier locations.

## Products & Services
- **Healthcare Services**: Medical staffing and operations across 22 active facilities in 8 states — including dental, clinical care, behavioral health, laboratory, and diagnostic imaging. Focus on hard-to-fill clinical roles in remote locations (some accessible only by helicopter).
- **Project Management & Engineering**: Large-scale infrastructure project management for federal facilities (BIA Division of Facilities Management) — civil, electrical, and architectural engineering. 10 FTE team managing 70+ active projects.
- **IT & Cybersecurity**: Security Operations Center (SOC) analysis, firewall engineering, and cybersecurity operations for mission-critical government systems (e.g., Export-Import Bank).
- **Business Support Services**: Administrative support, translation/interpretation, acquisition support, technical writing, and financial analysis for federal agencies.

## Market Standing
- **Valuation / Market Cap**: Not disclosed (private company)
- **Key Metrics**: Total active federal contracts: 38; Portfolio value: $1.1B+; Notable individual contracts: $200M (Business Support Services) and $95M (Program Management Industrial Engineering Support)
- **Notable Investors / Partners**: Not applicable (no external funding rounds disclosed). Partners include IHS, BIA, VA, and other federal agencies. Certified SBA Tribal-Owned 8(a) and Indian Small Business Economic Enterprise (ISBEE).
- **Growth Signals**: Headcount grew 266.7% year-over-year (from ~2 to 9 employees as of latest data); monthly growth of 10%. Rapid contract wins since founding in 2022. Received 8(a) certification in 2024.

## Competitive Advantages
- **Native American-owned 8(a) certification** — provides preferential contracting opportunities with federal agencies.
- **Focus on hard-to-fill positions in remote/frontier locations** — fills roles in areas where other contractors cannot operate (e.g., facilities accessible only by helicopter).
- **Managed services model** — goes beyond placement, offering ongoing quality oversight, credential management, and operational continuity.
- **Multi-domain expertise** — covers healthcare, engineering, cybersecurity, and business support under one roof, enabling cross-functional federal solutions.

## Strategic Focus
- **Expand federal contract portfolio** across healthcare, infrastructure, and cybersecurity domains.
- **Leverage 8(a) status** to win larger, multi-year contracts.
- **Scale the managed staffing model** to serve more remote IHS and BIA facilities.
- **Build out cybersecurity SOC capabilities** for additional government clients.

## Why Work Here
- **Mission-driven work**: Employees contribute directly to national security, homeland security, and healthcare for Native American communities.
- **Rapid growth environment**: Joining a young, fast-growing company (founded 2022, 266% headcount growth) offers significant career advancement opportunities.
- **Remote & frontier locations**: Many roles are in rural or remote areas (AZ, NM, SD, MN, NE, ND, CO, VA) — ideal for those seeking meaningful work outside major metros.
- **Culture**: Small, agile team with a focus on operational excellence and federal compliance. Leadership brings 15+ years of national security and cyber intelligence experience.
- **Perks**: Not explicitly listed, but as a federal contractor, benefits typically include competitive salary, health insurance, and retirement plans. Roles may offer relocation support for remote postings.

## Sources
1. [Akicita Federal Website](https://akicitafederal.com/)
2. [Akicita Federal LinkedIn](https://www.linkedin.com/company/akicitacyber)
3. [Akicita Federal Capability Statement (PDF)](https://www.akicitafederal.com/documents/Akicita-Federal-Capability-Statement.pdf)
4. [Akicita Federal Careers (Lever)](https://jobs.lever.co/akicita-cyber)
5. [Built In Akicita Federal Profile](https://builtin.com/company/akicita-federal)

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