Where are you taking your healthcare career in 2026? (Yes – it’s time to talk about 2026 already.) Lately we’ve noticed a sharp rise in interest from physicians and nurses curious about working with Native American communities. And there’s no doubt that working at an Indian Health Services (IHS) or Tribally operated hospital or clinic can offer a life-changing experience. So we thought we’d share the basics on what to expect and how to get started.
But first, a little background. In addition to Tribally run facilities, we serve Indian Health Service (IHS) facilities. IHS is a federally funded agency within the Department of Health and Human Services, serving more than 560 federally recognized American Indian and Alaskan Native tribes. That equals roughly 2 million people throughout the United States. IHS offers inpatient and outpatient healthcare services, clinical care, dental, and pharmacy services – and it is a lifeline for underserved Native communities.
At the same time, these facilities on Indigenous lands can struggle to find providers. That’s where we – and maybe you – come in.
Surprises, Challenges, and Rewards
Serving patients in a Tribal or Indian Health Service (IHS) medical facility can be radically different from caring for patients in a tier one medical center. When you provide care on Indigenous lands, you’ll find some of your patients have limited access to basic utilities. In many Tribal communities, up to 35% of residences lack running water and electricity Many facilities are resource challenged. Healthcare staff often find themselves practicing more hands-on care and “wilderness medicine” than is typical in most hospitals.
As a respiratory therapist Dana Wade notes, Tribal facility assignments demand an open mind and collaborative attitude. “Learn the local culture,” she advises. “Also, expect surprises, as well as a lack of the kind of equipment you’re used to.”
In other words, you can expect a few challenges – but most clinicians agree this work is a refreshing opportunity to transform underserved communities on a generational level. In doing so, they reconnect to their sense of purpose. Many providers call it the most rewarding experience in their career.
Starting Your Path to a Tribal Facility Assignment
Here’s a rundown of what to expect:
- Application Process: We can’t lie: the application process for IHS assignments can be cumbersome, thanks to federal guidelines and the facilities’ remote locations. That’s why our credentialing manager helps guide you every step of the way, ensuring all necessary documentation is organized and complete. We take the hassle out of the paperwork so you can focus on providing high-quality care.
- Cultural and Community Differences: As you provide care on Indigenous lands, your new patients may have different needs than the patients you’re used to treating. Some may have had discriminatory healthcare experiences in the past and may distrust the healthcare system. Some Tribal nations have cultural practices and standards that will be new to you. We’ll prepare you for these experiences with cultural sensitivity training and information about specific Tribal traditions and language.
- Remote Locations and Limited Resources: These facilities are often located in rural areas – but you won’t feel isolated. Not only do we offer access to our top leadership at all times, but you’ll work with a friendly and amazing team who will take you under their wing. All of us will support and guide you from the onboarding process to assignment end.
- Team Approach: You are part of our team – and we go beyond simply filling shifts with warm bodies. Our goal is to improve the care delivery model in the communities we serve. Our “one-team” approach supports every member of the Tribal Health family, while striving to fulfill our mission of stronger hospitals and healthier communities.
Are You Ready to Provide Care on Indigenous Lands?
Working with Native communities and Indian Health Service facilities is more than a job – it’s an opportunity to transform healthcare communities on a generational level. If you’re ready to directly help solve care disparities by offering your expertise to the Tribal and Native populations who need it most, Tribal Health has assignments all over the country. Just reach out at jobs@tribalhealth.com and we’ll work with you to create a career-changing experience.
