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Avera Health
Pierre, South Dakota

Assistant Director of Nursing | Maryhouse Long Term Care

Registered NurseIncludes callIncludes weekendsFull-Time

Compensation

Pay not listed

The week · per this posting

Ask the employer about the pay range, nights and shift pattern and time off.

Posted 1mo ago

Job Description

Location

Avera Maryhouse

Worker Type

Regular

Work Shift

Primarily days with night, weekend and holiday on-call involvement (United States of America)

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Accountable for planning, organizing, developing, coordinating and evaluating the Quality Assurance Performance Improvement program (QAPI), and the Infection Control program of the facility in accordance with applicable Federal, State and system guidelines. Oversee safety, security and occupational health issues.

What You Will Do

Assists other departments in the identification and development of quality improvement projects, data collection, reporting, action plans and evaluation of the projects.

Completes necessary forms /audits for QAPI, infection control and Safety activities and reports to Administrator and Medical Director.

Ensures that the facility is in compliance with current CDC, OSHA, and local regulations concerning Quality, infection control/universal precautions and safety.

Monitors infection control practices and procedures to ensure that all personnel are implementing the highest standards in operating procedures for tasks involving exposure to blood and body fluids and the proper disposal and removal of infective and contaminated materials from the facility.

Assists DON with Performance Evaluations, Counseling and communication with and Supervision of Nursing and CNA staff.

  • Leads Facilities Pain Management, QAPI, Safety, Staff Meetings and other committees as identified.
  • Completes DOH reports per Regulations.
  • Clinically astute to physiological changes impacting the resident condition and in acting on observations regarding resident conditions.
  • Knowledgeable of and advocates for the full development and utilization of the Electronic Medical Record.
  • Supports, promotes, and protects Resident Rights.

Essential Qualifications

The individual must be able to work the hours specified.

To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.

These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

Registered Nurse (RN) - Board of Nursing An active license in the state of practice. Upon Hire

Preferred Education, License/Certification, or Work Experience:

Bachelor's

Geriatric, medical or surgical nursing.

Expectations and Standards

Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.

  • Promote Avera’s values of compassion, hospitality, and stewardship.
  • Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
  • Maintain confidentiality.

Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.

Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

  • PTO available day 1 for eligible hires.
  • Up to 5% employer matching contribution for retirement
  • Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

Key Responsibilities

The Assistant Director of Nursing is responsible for coordinating the Quality Assurance Performance Improvement (QAPI) and Infection Control programs while ensuring facility compliance with federal and state regulations. They also assist in supervising nursing staff, managing safety protocols, and overseeing performance evaluations.

Requirements

Candidates must hold an active Registered Nurse (RN) license in the state of practice. A Bachelor's degree and experience in geriatric, medical, or surgical nursing are preferred.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Nursing SupervisionRegulatory ComplianceStaff ManagementSafety ManagementResident Rights AdvocacyClinical Assessment

Nursing Administration — Registered Nurse Career Context

Of the 50 active Registered Nurse listings this role was benchmarked against, 24% are remote, 66% have no call, 74% require no weekends.

Registered Nurse pay on WeekdayDoc is down 10.0% 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 Registered Nurse Jobs

44 matches · ranked by pay

Salary Distribution40 jobs · 38 employers

15
<$100k
9
$100k-120k
8
$120k-140k
6
$140k-160k
2
$160k+

Annual compensation range

Benefits & Perks35 jobs

401k / retirement match
80% this job
CME allowance
37%
Sign-on bonus
29%
Loan repayment
14%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

Case Manager, RN

Welbe Health · San Jose, California

$61.21-$78/hr
#2

Nurse Educator - Critical Care

Providence · Portland, Oregon

$50.14-$77.83/hr
#3

Field Nurse Educator

$74/hr
#4

Registered Nurse (RN) Patient Care Navigator - Transplant Infectious Diseases

$93k-$151k
+ 42 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 50% of Nursing Administration (RN) listings

Listing-based score, 0–10, across 574 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call
  • Includes weekends

Living in Pierre

Typical 3-bedroom home value
$273k
Typical market rent
$1,354/mo
Residents’ average commute
13 min
State income tax
None
Sources & methodology

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

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

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About Avera Health

Non-profit Organizations
South Dakota

Benefits & Perks

PTO available day 1
Retirement with up to 5% employer match
Career development and mentorship