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Sanford Health
Vermillion, South Dakota

APP - Nurse Practitioner or Physician Assistant | ED, Family Medicine & Acute Care

Nurse PractitionerIncludes weekendsFull-Time Full Practice Authority

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1mo ago · Verified live

Job Description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift

12 Hours - Varied Shifts (United States of America)

Scheduled Weekly Hours

40

Compensation

  • Union Position:
  • No

Department Details

Sanford Vermillion is seeking an Advanced Practice Provider (NP or PA) to work both in the Emergency Room and Family Medicine/Acute Care. Opportunity to join a busy primary care practice providing walk-in and acute care to a varied patient population.

  • Emergency Room shifts are 12 hours or 24 hours 0730-1930 or 1930-0730. You are the sole provider in the Emergency Room along with a hospital family medicine physician providing Hospital & OB Services. CRNA services available 24/7
  • Acute Care hours can vary with walk in services Monday-Friday 7:30 am
  • 8 pm, Saturday 8am
  • 12 pm and Sunday 12 am-4pm
  • Full time is 160 hours a month.
  • Vermillion is home of the University of South Dakota and partners for USD Student Health and clinical preceptorships.
  • New Graduates will be reviewed
  • ATLS required to start in the Emergency Room.

About the Community

Vermillion, South Dakota, is a vibrant and welcoming community that offers the perfect blend of small-town charm and abundant opportunities. Home to the University of South Dakota, the community enjoys a rich cultural atmosphere, Division I athletics, and lifelong learning opportunities.

Located along the scenic Missouri River, Vermillion offers excellent outdoor recreation, a strong sense of community, and an exceptional quality of life. Residents appreciate its affordable cost of living, top-rated schools, and family-friendly environment, making it an ideal place to live, work, and thrive.

Vermillion is the 2026 Community of the Year by the South Dakota Governor’s Office of Economic Development and received the Best Small Town Arts Scene award!

Summary

The Physician Assistant (PA) is a licensed medical professional who practices medicine in collaboration with physicians and other care team members. The PA evaluates, diagnoses, and manages patient health concerns across the lifespan, provides preventive services, and coordinates care to promote optimal health outcomes.

Job Description

Perform patient assessments, including medical histories and physical examinations. Diagnose and manage acute and chronic conditions within scope of practice. Order, review, and interpret diagnostic tests and imaging studies. Prescribe medications, therapies, and other treatments in compliance with regulations.

Educate and counsel patients and families on health maintenance, disease prevention, and treatment plans. May perform procedures & treatments within scope of practice & assist with procedures & treatments when indicated.

Collaborate with interdisciplinary team members to ensure continuity of care. Maintain accurate, timely, and thorough documentation in the electronic medical record (EMR). Participate in quality, safety, and performance improvement activities.

Qualifications

Completion of a Physician Assistant program accredited by the ARC-PA or equivalent accrediting program accepted by the state licensing board.

Clinical experience in specialty area is preferred but not required.

  • Current licensure as a Physician Assistant in each state of practice.
  • Current Drug Enforcement Administration (DEA) permit to prescribe controlled substances in each state of practice.
  • State Controlled Substance License (if required by State)

Current certification by the National Commission on Certification of Physician Assistants (NCCPA).

Privileging documents and related credentialing requirements will supersede this job description in defining minimum qualifications, criteria, and scope of practice, if variation between documents exists

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

Key Responsibilities

The provider will perform patient assessments, diagnose and manage acute and chronic conditions, and coordinate care within the emergency room and family medicine settings. They are responsible for ordering diagnostic tests, prescribing treatments, and maintaining accurate electronic medical records.

Qualifications

Education
Professional certificate or licensure

Certifications

DEA License

Key Skills

Patient assessmentMedical history takingDiagnostic testingMedication prescriptionEmergency medicinePatient educationClinical documentationInterdisciplinary collaboration

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates APP - Nurse Practitioner or Physician Assistant | ED, Family Medicine & Acute Care at Sanford Health a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Family Medicine nurse practitioner listings evaluated on our platform.

Family Medicine — Nurse Practitioner Career Context

Of the 47 active Family Medicine listings this role was benchmarked against, 36% are remote, 66% have no call, 49% require no weekends.

Family Medicine pay on WeekdayDoc is up 5.5% vs. the prior quarter (through Aug 2026).

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).

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

35 matches · ranked by pay

Salary Distribution26 jobs · 16 employers

13
<$155k
3
$155k-175k
6
$175k-195k
4
$195k-215k

Annual compensation range

Benefits & Perks21 jobs · 16 employers

401k / retirement match
100%
CME allowance
81%
Sign-on bonus
14%
Loan repayment
5%
Relocation assistance
5%

Share of similar jobs offering each benefit

#1

FNP or PA needed for 3 mo, FT coverageContract

Georgia Medical Staffing · Lancaster, California

$100 per hour
#2

FNP or PA needed for 2.5 month, FT primary care coverageContract

Georgia Medical Staffing · Pico Rivera, California

$100 per hour
#3

FNP needed for 3 mo, FT coverage

$100 per hour
#4

In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Ulster, NY

$96k-$206k
+ 33 more · ranked by pay

Work-life snapshot

median 6.4this job 6.0
Better work-life than 50% of Family Medicine (NP) listings

Listing-based score, 0–10, across 2,332 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends

Living in Vermillion

Typical 3-bedroom home value
$266k
Median resident rent
$764/mo
Residents’ average commute
17 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), U.S. Census ACS 2024 five-year.

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