Nurse Practitioner / Physician Assistant (Night Shift)

We are seeking an experienced Nurse Practitioner or Physician Assistant to join our Cardiothoracic Surgery team in Rapid City, South Dakota. This night-shift role provides a unique balance of professional autonomy and strong physician support, caring for post-operative cardiac and thoracic surgery patients in both the ICU and inpatient ward settings.

Schedule: Night Shift: 5:00 PM – 6:30 AM | 168 Shifts Annually |14 shifts per month

Key Responsibilities:

Manage 3–6 critically ill post-operative cardiac patients in the ICU overnight.

Provide care for 10–15 cardiothoracic surgery inpatients on the hospital ward each night.

Perform comprehensive patient assessments and ongoing monitoring.

Respond promptly to changes in patient condition and initiate appropriate interventions.

Order and interpret diagnostic tests, laboratory studies, and imaging.

Develop and implement treatment plans in collaboration with surgeons and intensivists.

Perform procedures and clinical interventions within scope of practice and hospital privileges.

Communicate effectively with nursing staff, physicians, and multidisciplinary care teams.

Ensure accurate and timely documentation in the electronic medical record.

Facilitate smooth patient handoffs to the daytime care team.

Compensation & Benefits:

$1,250 per shift ($210,000 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

Requirements:

Graduate of an accredited NP or PA program.

Current or eligible South Dakota NP or PA licensure.

National certification as a NP or NCCPA certification for PA.

Current BLS and ACLS certifications.

Previous ICU, critical care, cardiac, or acute care experience.

Preferred:

Cardiothoracic surgery experience.

Critical care or cardiovascular ICU background.

Experience managing post-operative cardiac surgery patients.