Night-Shift Cardiothoracic Surgery Nurse Practitioner / Physician Assistant – Rapid City, SD

Night shift position supporting the Cardiothoracic Surgery service in Rapid City, SD. Provides autonomous overnight care with physician and intensivist support for post-operative cardiac and thoracic surgery patients in the ICU and on the inpatient ward.

Schedule

• Night shift: 7:00 PM–7:00 AM
• 168 shifts annually (14 shifts/month)

Clinical responsibilities

• Manage 3–6 critically ill post-operative cardiac patients in the ICU overnight.
• Care for 10–15 cardiothoracic surgery inpatients on the ward each night.
• Perform comprehensive assessments, ongoing monitoring, and timely interventions for changes in condition.
• Order and interpret labs, diagnostics, and imaging.
• Develop and implement treatment plans in coordination with surgeons and intensivists.
• Perform procedures and clinical interventions within scope of practice and hospital privileges.
• Communicate effectively with nursing staff, physicians, and multidisciplinary teams.
• Ensure accurate, timely electronic medical record documentation.
• Facilitate handoffs to the daytime care team.

Compensation & benefits

• $1,000 per shift (approx. $168,000 annually)
• 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 month with a predictable schedule

Minimum qualifications

• Graduate of an accredited NP or PA program
• Current or eligible South Dakota NP or PA licensure
• National certification (NP) or NCCPA (PA)
• Current BLS and ACLS certifications
• Prior ICU, critical care, cardiac, or acute care experience

Preferred qualifications

• Cardiothoracic surgery experience
• Critical care or CVICU background
• Experience managing post-operative cardiac surgery patients