Cardiothoracic Surgery Nurse Practitioner​/Physician Assistant; Night Shift

We are seeking an experienced Nurse Practitioner or Physician Assistant to join our Cardiothoracic Surgery team in Rapid City, South Dakota. This night-shift role provides a unique balance of professional autonomy and strong physician support, caring for post-operative cardiac and thoracic surgery patients inboth the ICU and inpatient ward settings.

Night Shift: 7:00 PM – 7:00 AM | 168 Shifts Annually |14 shifts per month

• Manage 3–6 critically illpost-operative cardiac patients in the ICU overnight.
• Provide care for 10–15cardiothoracic surgery inpatients on the hospital ward each night.
• Perform comprehensive patient assessments and ongoing monitoring.
• Respond promptly to changesin patient condition and initiate appropriate interventions.
• Order and interpret diagnostic tests, laboratory studies, and imaging.
• Develop and implementtreatment plans in collaboration with surgeons and intensivists.
• Perform procedures and clinical interventions within scope of practice and hospital privileges.
• Communicate effectively with nursing staff, physicians, and multidisciplinary care teams.
• Ensure accurate and timely documentation in the electronic medical record.
• Facilitate smooth patienthandoffs to the daytime care team.

• $1,000 per shift ($168,000annually)
• Medical, dental, and vision insurance
• 401(k) retirement plan
• CME allowance
• Paid onboarding and credentialing
• Full malpractice insurance with tail coverage
• Two weeks off every monthwith a predictable schedule

• Graduate of an accredited NPor PA program.
• Current or eligible South Dakota NP or PA licensure.
• National certification as a NPor NCCPA certification for PA.
• Current BLS and ACLScertifications.
• Previous ICU, critical care,cardiac, or acute care experience.

• Cardiothoracic surgery experience.
• Critical care or cardiovascular ICU background.
• Experience managingpost-operative cardiac surgery patients.