About this opportunity
Surgical Affiliates Management Group, Inc. lists this Cardiothoracic Nurse Practitioner or Physician Assistant opportunity in rapid city, South Dakota. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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.
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Worksite address
rapid city, SD, 57700, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.