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Commonwealth Medical Services
Rapid City, South Dakota

Neurology and Sleep Medicine NP/PA - South Dakota

Nurse PractitionerIncludes callFull-Time Full Practice Authority

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, weekend coverage and time off.

Posted 6mo ago

Job Description

Neurology and Sleep Medicine Nurse Practitioner / Physician Assistant (NP/PA)

Position Summary

The Neurology and Sleep Medicine Nurse Practitioner or Physician Assistant provides comprehensive clinical care to patients with neurologic and sleep-related disorders. Working collaboratively with neurologists, sleep medicine physicians, and interdisciplinary care teams, this role supports diagnosis, treatment, and longitudinal management of patients in outpatient and inpatient settings, delivering evidence-based, patient-centered care.

Essential Duties and Responsibilities

  • Evaluate and manage patients with neurologic conditions such as headache disorders, seizures, neuropathy, movement disorders, cognitive disorders, and multiple sclerosis, consistent with scope of practice
  • Evaluate and manage patients with sleep disorders including obstructive sleep apnea, insomnia, hypersomnia, restless legs syndrome, and circadian rhythm disorders
  • Perform comprehensive histories, neurologic examinations, and sleep assessments
  • Develop and implement treatment plans in collaboration with supervising physicians
  • Interpret diagnostic studies such as EEGs, EMGs, neuroimaging, and sleep studies as appropriate
  • Manage positive airway pressure (PAP) therapy and other sleep-related treatments
  • Provide patient and family education regarding diagnoses, treatment plans, medications, and lifestyle modification
  • Coordinate care with primary care providers, behavioral health, pulmonology, and other specialists
  • Maintain accurate and timely clinical documentation
  • Participate in quality improvement, patient safety, and outcomes initiatives
  • Supervise or collaborate with clinical staff and learners as applicable
  • Comply with all regulatory, accreditation, and professional standards

Qualifications

  • Graduate of an accredited Nurse Practitioner or Physician Assistant program
  • Current NP or PA certification and state licensure
  • Eligibility for hospital credentialing and privileging
  • DEA registration or eligibility
  • Prior experience or specialized training in neurology or sleep medicine preferred

Skills and Competencies

  • Strong clinical assessment and diagnostic skills
  • Knowledge of neurologic and sleep-related disorders
  • Ability to manage chronic and complex conditions
  • Excellent communication and patient education skills
  • Ability to work collaboratively within multidisciplinary teams
  • Commitment to evidence-based practice and patient-centered care

Work Environment

  • Outpatient neurology and sleep clinics, hospital inpatient units, and sleep laboratories
  • Schedule may include clinic hours, limited inpatient responsibilities, and/or on-call coverage depending on practice needs

Physical Requirements

  • Ability to sit, stand, and move throughout clinical environments
  • Manual dexterity for examinations and clinical procedures
  • Visual and auditory acuity sufficient for patient assessment and interpretation of diagnostic data

Qualifications

Education
Professional certificate or licensure

Certifications

DEA License (preferred)

Neurology — Nurse Practitioner Career Context

Of the 45 active Nurse Practitioner listings this role was benchmarked against, 18% are remote, 53% have no call, 64% require no weekends.

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)). 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nurse Practitioner pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Practitioner Jobs

26 matches · ranked by pay

Salary Distribution14 jobs

4
<$100k
1
$115k
1
$146k
7
$150k-175k
1
$187k

Annual compensation range

Benefits & Perks13 jobs

401k / retirement match
85%
Sign-on bonus
46%
CME allowance
46%
Loan repayment
8%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

FNP needed for interim coverage - Dec - MarchContract

Georgia Medical Staffing · Glen Allen, Virginia

$90 per hour
#2

Nurse Practitioner - Virtual Sleep - Full Time

Advocate Health · Downers Grove, Illinois

$54.9-$82.35/hr
#3

NP - Integrative Health - Duluth, MN

$121k-$169k
#4

In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - South Dakota

$78k-$169k
+ 24 more · ranked by pay

Work-life snapshot

median 6.4this job 3.0
Below most Neurology (NP) listings for work-life

Listing-based score, 0–10, across 142 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Rapid City

Typical 3-bedroom home value
$347k
Typical market rent
$1,484/mo
Metro price indexU.S. average = 100
89.2
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026).

BEA 2024 · Rapid City, SD metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.