Nurse Practitioner or Physician Assistant (APP)

Shift hours- 5pm-6:30amNOW HIRING  •  NIGHT ADVANCED PRACTICEPROVIDER

Cardiothoracic Surgery APP — Nights (NP or PA)

Work twoweeks, own the rest of your month. Join a well-resourced cardiothoracic surgery program as theovernight advanced practice provider on the CT team — fourteen shifts a month,a competitive $168,000 salary with full benefits, and a home base in one of themost livable outdoor cities in the country.

This is a focused, high-impact overnight role for an APP whothrives in acute cardiac and critical care. Each night you'll manage thecardiothoracic surgery service across both the ward and the ICU — caring forpost-operative CT patients, responding to changes in status, and keeping theservice running smoothly until the day team returns.

You will never be on an island. You have 100% phone access tothe cardiac surgeon and intensivist physicians throughout every shift, within-person support available whenever a situation calls for it. It's theautonomy experienced providers want, backed by the collaboration and resourcesthat make the work safe and rewarding.

With a manageable nightly census — typically 3 to 6 ICU patientsand 10 to 15 inpatients — and the backing of a highly resourced hospital,you'll have the tools, staffing, and specialist support to practice at the topof your license.

–   Serve as the overnight APP on thecardiothoracic surgery team, managing inpatient CT patients across the ward andICU.

–   Assess, monitor, and managepost-operative cardiac and thoracic surgical patients, including those incritical care.

–   Respond to changes in patient status,order and interpret diagnostics, and adjust treatment plans in real time.

–   Collaborate closely with cardiacsurgeons and intensivists by phone throughout the shift, escalating in personwhen needed.

–   Coordinate with bedside nursing,respiratory therapy, and ancillary teams to deliver seamless overnight care.

–   Ensure clear, thorough hand-offs to theday team each morning.

–   Licensure: Nurse Practitioner (NP) or PhysicianAssistant (PA), eligible for licensure in South Dakota.

–   Experience: ICU or cardiac experience required;cardiothoracic surgery or critical care background strongly preferred.

–   Skills: Strong clinical judgment, comfortmanaging acutely ill patients overnight, and the confidence to workautonomously with physician backup a phone call away.

–   Certifications: BLS and ACLS; specialty acute-carecertification a plus.

$1,250 per shift  —  $210,000 annually per year,plus a full benefits package.

The two-weeks-on, two-weeks-off rhythm is built for real life.Fourteen nights a month means half the month is yours — to recover, travel, orsimply live in a place where the outdoors is always minutes away.

Rapid City is the gateway to the Black Hills — a place where aworld-class outdoor lifestyle meets small-city ease. Mount Rushmore, CusterState Park, Badlands National Park, and hundreds of miles of hiking, climbing,biking, and fishing sit right in your backyard, with more than 300 days ofsunshine a year.

–   South Dakota has no state income tax —more of what you earn stays with you.

–   A cost of living below the nationalaverage and an approachable housing market.

–   Short commutes, easy parking, and agenuine sense of community.

–   A vibrant downtown, growing food andarts scene, and a regional airport that keeps you connected.

–   Four true seasons and endless recreation— an ideal home for those who work hard and play outside.

This position is offered in partnership with SAMGI, supporting acollaborative cardiothoracic surgery program committed to excellent patientcare and a healthy, sustainable practice for its providers.

Submit your CV and we'll be in touch. Questions about the role,schedule, or Rapid City? We're happy to talk it through.

SAMGI is an equal opportunity employer.