Cardiothoracic Nurse Practitioner or Physician Assistant

NOW HIRING NIGHT ADVANCED PRACTICE PROVIDER Cardiothoracic Surgery APP — Nights (NP or PA) Rapid City, South Dakota

Role Advanced Practice Provider (NP or PA), Cardiothoracic Surgery Shift Nights, 7:00 PM – 7:00 AM

Schedule 14 shifts per month (two weeks on, two weeks off)

Compensation $1,000 per shift — $168,000 annually

Benefits Full benefits package

The opportunity This is a focused, high-impact overnight role for an APP who thrives in acute cardiac and critical care. Each night you'll manage the cardiothoracic surgery service across both the ward and the ICU — caring for post-operative CT patients, responding to changes in status, and keeping the service running smoothly until the day team returns. You will never be on an island.

You have 100% phone access to the cardiac surgeon and intensivist physicians throughout every shift, with in-person support available whenever a situation calls for it. It's the autonomy experienced providers want, backed by the collaboration and resources that make the work safe and rewarding. With a manageable nightly census — typically 3 to 6 ICU patients and 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 top of your license.

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, or simply live in a place where the outdoors is always minutes away.

• Serve as the overnight APP on the cardiothoracic surgery team, managing inpatient CT patients across the ward and ICU.
• Assess, monitor, and manage post‑operative cardiac and thoracic surgical patients, including those in critical care.
• Respond to changes in patient status, order and interpret diagnostics, and adjust treatment plans in real time.
• Collaborate closely with cardiac surgeons and intensivists by phone throughout the shift, escalating in person when needed.
• Coordinate with bedside nursing, respiratory therapy, and ancillary teams to deliver seamless overnight care.
• Ensure clear, thorough hand‑offs to the day team each morning.

• Licensure:
  Nurse Practitioner (NP) or Physician Assistant (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, comfort managing acutely ill patients overnight, and the confidence to work autonomously with physician backup a phone call away.
• Certifications:
  
  BLS and ACLS; specialty acute‑care certification a plus.

• Rapid City is the gateway to the Black Hills — a place where a world‑class outdoor lifestyle meets small‑city ease.
• Mount Rushmore, Custer State Park, Badlands National Park, and hundreds of miles of hiking, climbing, biking, and fishing sit right in your backyard, with more than 300 days of sunshine a year.
• South Dakota has no state income tax — more of what you earn stays with you.
• A cost of living below the national average and an approachable housing market.
• Short commutes, easy parking, and a genuine sense of community.
• A vibrant downtown, growing food and arts 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 a collaborative cardiothoracic surgery program committed to excellent patient care and a healthy, sustainable practice for its providers.

SAMGI is an equal opportunity employer.

Questions about the role, schedule, or Rapid City? We're happy to talk it through.