Orthopedic Trauma APP (NP/PA) — High-Acuity Trauma, OR First-Assist, Predictable Schedule (Rapid City)

Join a high-performing orthopedic trauma team at a busy regional trauma center that cares for western South Dakota and surrounding communities. This is a great opportunity for a Nurse Practitioner (or PA) who wants to work exclusively in orthopedic trauma and emergency care—high-acuity, fast-paced, and focused on meaningful operative, inpatient, ED, and clinic experience alongside experienced orthopedic trauma surgeons.

What the role looks like

• Full-time Advanced Practice Provider role concentrating on trauma and emergency orthopedic care—no elective responsibilities.
• Be part of a multidisciplinary orthopedic trauma team, with daily collaboration across trauma surgery, emergency medicine, nursing, rehab, and case management.
• Regular first-assist opportunities in the OR and participation in a dedicated orthopedic trauma follow-up clinic.
• Predictable annual schedule that supports a strong work–life balance.

Schedule

• 164 twelve-hour shifts per year with 24/7 team coverage.
• Typical shifts are either 6:30 AM–6:30 PM or 6:30 PM–6:30 AM.

Primary responsibilities

• Evaluate and manage orthopedic trauma patients in the ED and on the inpatient service.
• Round daily on hospitalized orthopedic trauma patients and coordinate their care.
• First assist orthopedic trauma surgeons during operative procedures.
• Provide fracture management, splinting, casting, wound care, postoperative care, and other procedures within your scope of practice.
• Staff and manage a dedicated orthopedic trauma follow-up clinic.
• Educate patients and families about treatment plans, recovery expectations, and injury prevention.
• Maintain accurate, timely clinical documentation.

Typical cases you’ll manage

• Pelvic and acetabular fractures
• Upper and lower extremity fractures
• Common hand injuries
• Routine pediatric fractures
• Other orthopedic trauma and emergency cases that require surgical and inpatient management

Who we’re looking for

• Graduate of an accredited Nurse Practitioner program (or PA program).
• Current or eligible South Dakota NP or PA licensure and national certification (NP or NCCPA for PAs).
• Orthopedic trauma, ortho surgery, emergency medicine, or surgical experience is preferred but not required—new graduates with a strong interest in orthopedic trauma are encouraged to apply.
• Strong clinical judgment, excellent communication skills, and a commitment to patient-centered care.

Compensation and benefits

• Competitive pay
• Comprehensive medical, dental, and vision insurance
• Annual CME stipend
• Paid malpractice insurance with tail coverage

If you want to grow your operative and trauma care skills while working with a collaborative team in a regional trauma center, this position offers a challenging and rewarding environment.