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Monument Health
Rapid City, South Dakota

Certified Respiratory Therapist

Respiratory TherapistPer Diem

Listed compensation

$28.54-$35.68/hr

The week · per this posting

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 14m ago · Verified live

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
  • Rapid City, SD USA

Department

  • RCH Respiratory Care
  • Scheduled Weekly Hours
  • 0
  • Starting Pay Rate Range
  • $28.54 - $35.68
  • (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 Certified Respiratory Therapist 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 Certified Respiratory Therapist, you will assess, treat, and care for patients with acute or chronic cardiopulmonary disorders and associated aspects of other systems.

The Certified Respiratory Therapist 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:

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 that information to members of the health care team.

Demonstrates the ability to serve patients and possesses the critical thinking skills required. Seeks clinical resource guidance from senior therapists or providers, when necessary, to perform complex, critical care procedures.

Obtains, assembles, calibrates, and checks necessary equipment. Uses problem solving to identify and correct malfunctions of respiratory care equipment. Seeks clinical resource guidance from senior therapists, when needed.

Demonstrates appropriate interpersonal skills to work productively with patients, families, providers, and co-workers. Serves patients with regard to age specific/cultural diversity needs.

  • Assists and participates in the orientation, mentorship and education of personnel and students.
  • Accepts directives, maintains confidentiality, does not discriminate, and upholds MH Code of Conduct, Standards of Performance and ethical standards of the profession.
  • Specific job duties may vary based on facility and healthcare setting.
  • All other duties as assigned.

Additional Requirements

Required:

Certification - Respiratory Care Practitioner (RCP) - South Dakota Board of Medical and Osteopathic Examiners; Certified Respiratory Therapist (CRT) - National Board for Respiratory Care (NBRC); Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer.

Preferred

Education – Bachelors in Health Sciences

Physical Requirements

Medium work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

  • Job Category
  • Rehabilitation
  • Job Family
  • Respiratory Therapy

Shift

  • Requires the ability to work assigned schedules and hours as determined by the department
  • Employee Type
  • PRN

10 Monument Health Rapid City Hospital, Inc.

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.

Key Responsibilities

The Certified Respiratory Therapist assesses, treats, and cares for patients with acute or chronic cardiopulmonary disorders. They are responsible for initiating therapeutic procedures, managing mechanical ventilation, and documenting patient status within the healthcare team.

Requirements

Candidates must hold a Respiratory Care Practitioner (RCP) certification from the South Dakota Board and a Certified Respiratory Therapist (CRT) credential from the NBRC. Basic Life Support (BLS) certification is also required within 60 days of hire.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient assessmentCardiopulmonary monitoringAerosol medication administrationAirway managementEquipment calibrationPatient documentationClinical mentorship

Respiratory Therapy Career Context

Of the 40 active Respiratory Therapy listings this role was benchmarked against, 3% are remote, 70% have no call, 57% require no weekends.

Respiratory Therapy pay on WeekdayDoc is up 1.5% 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)), so the posted ~$67k midpoint carries the purchasing power of roughly $75k 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 ~$67k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top Respiratory Therapist Jobs

29 matches · ranked by pay

Salary Distribution22 jobs

5
<$95k
11
$95k-110k
3
$110k-125k
3
$125k-140k

Annual compensation range

Benefits & Perks20 jobs

401k / retirement match
70% this job
CME allowance
25%
Relocation assistance
20%
Sign-on bonus
15%
PSLF eligible
5%

Share of similar jobs offering each benefit

#1

Per Diem Respiratory Therapist (Adult) - Outpatient Pulmonary Function Testing Focus | NYP-Allen Hospital | Flex ShiftPer Diem

NewYork-Presbyterian Hospital · New York, New York

$73/hr
#2

Respiratory Therapist - per diem, day shiftPer Diem

Beth Israel Lahey Health · Danvers, Minnesota

$39.59-$58.83/hr
#3

Respiratory Therapist II PRN

$37.61-$55.27/hr
#4

Respiratory Therapist - Casual

$34.96-$52.44/hr
+ 27 more · ranked by pay

Work-life snapshot

median 3.0this job 4.8
Better work-life than 70% of Respiratory Therapy listings

Listing-based score, 0–10, across 3,657 comparable listings. Shaded area = the share scoring below this one.

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.

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
Health Savings Account
Flexible Spending Account
Paid Time Off Accrual Bank
Tuition assistance/reimbursement
Flexible scheduling