PRN Neurosurgery NP/PA — Willing to Train; First-Assist OR Role in Rapid City, SD

We are seeking a dedicated Nurse Practitioner or Physician Assistant to join our expanding Neurosurgery team in Rapid City, SD. This role is open to experienced providers as well as new graduates or early-career APPs—comprehensive training will be provided for candidates with a strong clinical foundation and a commitment to surgical care.

Core responsibilities:

• Perform hospital rounds, consults, and post-operative follow-ups under neurosurgeon supervision
• First-assist in neurosurgical procedures in the OR
• Perform and assist with bedside procedures within scope of practice
• Manage clinic patients, including pre- and post-operative evaluations and conservative treatment plans
• Educate patients and families on diagnoses, treatment options, surgical care, and follow-up
• Collaborate with neurosurgeons, nursing staff, and other specialists to promote optimal patient outcomes
• Accurately document patient encounters and procedures in the EMR
• Participate in shared call coverage as part of a team rotation

Required qualifications:

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• Current or eligible for South Dakota licensure
• BLS and ACLS required (or ability to obtain prior to start)
• Surgical or neurology/neurosurgery experience preferred but not required—training available
• Strong communication, organization, and critical thinking skills
• Comfortable working in a fast-paced, collaborative, and hands-on environment

Location highlights:
Located in the foothills of the Black Hills, Rapid City combines a low cost of living with abundant outdoor recreation and a welcoming community. Enjoy easy access to Mount Rushmore, Badlands National Park, and premier hiking, biking, and skiing—supported by a growing medical community and collaborative healthcare network.