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Avera Health
De Smet, South Dakota

Nurse Practitioner or Physician Assistant | Hospital Medicine and Emergency Medicine(PRN)

Nurse PractitionerIncludes callIncludes weekendsPer Diem Full Practice Authority

Compensation

Pay not listed

The week · per this posting

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

Posted 1 day ago · Verified live

Job Description

Location: Avera DeSmet Memorial Hospital

Worker Type

PRN

Work Shift

On Call (United States of America)

Position Highlights

Physician Assistant

Required Education/License/Certification or Work Experience

Physician Assistant (PA)- Must be licensed and qualified to practice in the state based off job assignment - Upon Hire and

Federal Drug Enforcement Admin - US Department of Justice Drug Enforcement Admin State and Federal based on state of practice - Upon Hire and

Certified Physician Assistant - National Commission on Certification of Physician Assistants (NCCPA) - Upon Hire

Position Hours

Weekend (Fri 8 AM to Mon 8 AM) and partial weekend Shifts (8PM Sat - 8AM Mon) ATLS required."

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

Provides appropriate medical care to all patients by assessing physical, psychological and social dimensions of patients to develop a plan of care.

What You Will Do

Assesses, diagnoses, and treats patients according to medical staff approved protocol and acceptable standards of practice.

Provides medical services and health education to patients and family members. Effectively contributes to the health education of individuals and groups and applies appropriate methods designed to increase each person’s motivation to assume responsibility for their own health care.

Consults and collaborates with physician as assessing, diagnosing and treating patients.

Performs necessary diagnostic and therapeutic procedures according to written, approved protocols and appropriate licensing and administrative authorities.

Interprets information gathered during the diagnostic process and consults with the physician as appropriate regarding abnormal health assessment findings to establish appropriate plan of care.

Assures that appropriate referrals are made for patients.

Provides quality care for patient, demonstrates appropriate health, safety, and aseptic practices. Recognizes and reacts appropriately to environmental safety factors related to patient care. Effectively provides patient instruction related to environment of care and safety standards.

Effectively contributes to the development and attainment of physician practice goals.

Practices according to written, approved protocols and appropriate licensing and administrative authorities. Understands, applies, and supports practice policies, procedures, goals and standards.

Maintains patient records and accurate information.

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:

Certified Nurse Practitioner (CNP) - Board of Nursing Must be licensed and qualified to practice in the state based off job assignment. Upon Hire and

Federal Drug Enforcement Admin - US Department of Justice Drug Enforcement Admin State and federal based on state of practice Upon Hire and

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

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.

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.

Online Privacy Policy

At Avera, we are committed to protecting your online privacy. For more information, please visit avera.org

Key Responsibilities

Provides comprehensive medical care by assessing, diagnosing, and treating patients according to approved protocols. Collaborates with physicians to establish care plans and performs necessary diagnostic and therapeutic procedures.

Requirements

Requires current licensure as a Physician Assistant or Nurse Practitioner in the state of practice, along with DEA registration. Must hold NCCPA certification (for PAs) and have completed ATLS training.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient assessmentDiagnosisTreatment planningDiagnostic proceduresMedical documentationCollaborationEmergency medicineHospital medicine

Emergency Medicine — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 32% are remote, 48% have no call, 64% require no weekends.

Nurse Practitioner pay on WeekdayDoc is up 2.0% vs. the prior quarter (through Oct 2026).

Nurse Practitioner by the numbers
MeasureThis jobMarket
Listed paynot listedNurse Practitioner median $167k (middle half $137k–$167k)12 comparable listings, Nov 2026
Cost of livingSouth Dakota index 88.6US average = 100BEA Regional Price Parities (2024)
Emergency Medicine listings in South Dakota6 active—live on WeekdayDoc, Nov 2026
All nurse practitioner listings in South Dakota67 active15,634 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 32% remote · 48% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS nurse practitioner listings (all specialties): 24% state a sign-on bonus (median $10k) · 8% offer loan repayment1,000 active listings, Nov 2026
Emergency Medicine NP hiring demand#1 of 19 specialtiespostings stay open a median 45 daysWeekdayDoc Hiring Index, October 2026 · 98 postings, 133 closed
New Emergency Medicine NP listings95 in the last 30 days112 the 30 days before (−15%)U.S., first seen on WeekdayDoc, Nov 2026
Nurse Practitioner pay trend (all specialties)+2.0% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. South Dakota figures use all nurse practitioners: too few South Dakota Emergency Medicine postings state pay.

Location & Logistics

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

Top contract/1099 Nurse Practitioner Jobs

33 matches · ranked by pay

Salary Distribution

23 jobs
9
<$160k
8
$160k-180k
3
$180k-200k
2
$200k-220k
1
$239k

Annual compensation range

Benefits & Perks

17 jobs
401k / retirement match
82%
Sign-on bonus
47%
CME allowance
47%
Loan repayment
6%
PSLF eligible
6%

Share of similar jobs offering each benefit

#1

Nurse Practitioner - Ute Mountain Ute Health Center - Towaoc, COContract

Akicita Federal · Towaoc, Colorado

$229k-$239k
#2

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

Ageless Mens Health · Memphis, Tennessee

$210k
#3

Nurse Practitioner

$100/hr
#4

Physician Assistant (PA) or Nurse Practitioner (NP)

$95/hr
+ 31 more · ranked by pay

Work-life snapshot

median 2.6this job 1.5
Better work-life than 20% of Emergency Medicine (NP) listings

Listing-based score, 0–10, across 289 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends

Living in De Smet

Median resident rent
$708/mo
Residents’ average commute
12 min
State income tax
None
Sources & methodology

Sources: U.S. Census ACS 2024 five-year.

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