Cardiothoracic Nurse Practitioner or Physician Assistant

Rapid City, United States | Posted on 08/18/2026

Cardiothoracic Surgery APP — Nights (NP or PA)

Rapid City, South Dakota Gateway to the Black Hills

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.

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

Full benefits package

Setting

Highly resourced hospital — ward and ICU

Nightly census

3–6 ICU patients and 10–15 inpatients

Support

100% phone access (and in-person as needed) to cardiac surgery and intensivist physicians

The opportunity

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.

What you'll do

• 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.

What you bring

• 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:
  

$1,000 per shift — $168,000 per year for 14 shifts each month,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.

Why Rapid City, South Dakota

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 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.

About us

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