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Monument Health
Custer, South Dakota

Respiratory Therapist RRT

Respiratory TherapistIncludes callFull-Time

Listed compensation

$31 - $38.75/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 7mo ago

Job Description

Current Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location Custer, SD USA Department CUH Respiratory Care Scheduled Weekly Hours 40 Starting Pay Rate Range $31.00 - $38.75 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary It starts with heart. That is what you will do each day.

As a Respiratory Therapist RRT at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and— most importantly— a life-changing career. You will make a difference. Every day.

As a Respiratory Therapist RRT, you will assess, treat, and care for patients with acute or chronic cardiopulmonary disorders and associated aspects of other systems.

The Respiratory Therapist RRT assumes primary responsibility for all provider ordered respiratory care modalities by initiating and conducting therapeutic and diagnostic procedures within their scope of practice.

Respiratory care includes observing, assessing, and monitoring signs, symptoms, reactions, general behavior, and general physical response of individuals to respiratory care. Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time.

If you share this philosophy, we hope you’ll join us. Monument Health offers competitive wages and benefits on qualifying positions.

Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions *Flexible scheduling Job Description Essential Functions at Monument Health Acute Inpatient Locations: Recognize signs and symptoms of an emergency and readily identify how to best support patients/families.

Focus on patient safety and quality when applying appropriate respiratory interventions. Reviews existing data, collects additional data, and recommends obtaining data to evaluate the respiratory status of patients.

Develops, implements, and modifies respiratory care treatment plans based on assessment of the cardiorespiratory system, department policy and procedure, physician-approved respiratory care protocols, clinical pathways, referrals and written, verbal, or telecommunicated orders of a physician.

Initiates and conducts prescribed therapeutic and diagnostic procedures such as: administering medical gases, humidification and aerosols, aerosol medications, postural drainage, bronchopulmonary hygiene, pulmonary function testing, hemodynamic monitoring, and other physiologic monitoring; collects specimens of blood and other diagnostic specimens.

Manages mechanical ventilator support and other means of life support, maintains artificial and natural airways, initiates cardiopulmonary resuscitation and other emergency procedures, performs invasive and non-invasive procedures following established standards.

Documents necessary information in the patient’s medical record and on other forms and communicates the information to members of the health care team. Demonstrates the ability to perform complex procedures and the critical thinking skills required to serve critical patients.

Obtains, assembles, calibrates, and checks necessary equipment. Uses problem solving to identify and correct malfunctions of respiratory care equipment. Demonstrates appropriate interpersonal skills to work productively with patients, families, providers, and co-workers.

Serves patients with regard to age specific/cultural diversity needs. Participates in the orientation, mentorship and education of personnel and students. Provides formal and informal teaching/learning opportunities to assist personnel to achieve and maintain competence necessary for safe and effective practice.

Accepts directives, maintains confidentiality, does not discriminate, upholds MH Code of Conduct, Standards of Performance, and ethical standards of the profession.

Responsible for maintaining 100% of all hospital and departmental required and mandatory education, competencies, certifications, and licensure specific to areas they are assigned. Specific job duties may vary based on facility and healthcare setting. All other duties as assigned. Additional

Requirements

Required Education - Associates in Health Sciences Certification - Respiratory Care Practitioner (RCP) - South Dakota Board of Medical and Osteopathic Examiners, Registered Respiratory Therapist (RRT) - National Board for Respiratory Care (NBRC), Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer.

Regarding BLS certification: The department you are applying to may require BLS certification sooner than 60 days post transfer/hire. The hiring manager will discuss this with you if it is applicable.

Preferred Education - Bachelors in Health Sciences Scheduling Requirements: Requires the ability to work assigned schedules and hours as determined by the department.

Physical Requirements: Very Heavy work - exerting over 25 pounds of force constantly (67-100% of the time), and/or more than 50 pounds frequently (34-66% of the time), and/or more than 100 pounds of force occassionally (up to 33% of the time), and/or more than 100 pounds of force seldomly to move objects.

Possible exposure to radiation and frequent exposure to contaminated needles and infectious body substances.

Job Category Rehabilitation Job Family Respiratory Therapy Shift Requires the ability to work assigned schedules and hours as determined by the department Employee Type Regular 50 Monument Health Custer Hospital Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. Learn more about a rewarding career at Monument Health. Click the "Get Started" button below to tell us more about yourself.

Key Responsibilities

The Respiratory Therapist RRT will assess, treat, and care for patients with acute or chronic cardiopulmonary disorders, assuming primary responsibility for ordered respiratory care modalities by initiating and conducting therapeutic and diagnostic procedures within their scope of practice. This includes managing mechanical ventilation, performing emergency procedures like CPR, and collecting diagnostic specimens.

Requirements

Required education includes an Associate's in Health Sciences, along with certifications as a Respiratory Care Practitioner (RCP) in South Dakota and Registered Respiratory Therapist (RRT) from NBRC, plus BLS certification within 60 days of hire. The role demands very heavy physical work, often exerting over 25 pounds of force constantly, and involves possible exposure to radiation and infectious substances.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient AssessmentTherapeutic ProceduresLife Support ManagementAirway ManagementData CollectionTreatment Plan ModificationEquipment CalibrationAge Specific Care

Respiratory Therapy Career Context

Of the 40 active Respiratory Therapy listings this role was benchmarked against, 53% have no call, 55% require no weekends.

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$73k midpoint carries the purchasing power of roughly $82k in an average-cost state. 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. At the posted ~$73k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top Respiratory Therapist Jobs

24 matches · ranked by pay

Salary Distribution24 jobs · 17 employers

5
<$85k
3
$85k-95k
7
$95k-105k
4
$105k-115k
5
$115k+

Annual compensation range

Benefits & Perks19 jobs · 17 employers

401k / retirement match
89% this job
Sign-on bonus
47%
Loan repayment
21%
PSLF eligible
16%
Relocation assistance
11%

Share of similar jobs offering each benefit

#1

Respiratory Therapist – CRT/RRT

Garnet Health · Middletown, New York

$45.05 - $63.70/hr
#2

Respiratory Therapist II

Olympic Medical Center · Port Angeles, Washington

$41.41-$62.92/hr
#3

Respiratory Therapist (RT), Cardiopulmonary Rehab - Full Time (36hrs/week), Egg Harbor Township

$36.14-$56.23/hr
#4

Respiratory Therapist - Providence Kodiak Island

$37.08-$55.62/hr
+ 22 more · ranked by pay

Work-life snapshot

median 3.0this job 3.0
Better work-life than 50% of Respiratory Therapy listings

Listing-based score, 0–10, across 3,921 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Custer

Typical 3-bedroom home value
$518k
Median resident rent
$968/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
89.2
State income tax
None
Sources & methodology

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

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

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

Monument Health logo

About Monument Health

Hospitals and Health Care
Rapid City, South Dakota
1,001-5,000 employees

Benefits & Perks

Medical, Vision and Dental Coverage
Retirement Plans, HSA, FSA
Paid Time Off Accrual Bank
Tuition Assistance/Reimbursement
Flexible Scheduling