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Sanford Health
Rapid City, South Dakota

APP - Physician Assistant or Nurse Practitioner | Hospitalist

Physician AssistantIncludes callFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, weekend coverage and time off.

Posted 36m 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 - Day Shifts (United States of America)

Scheduled Weekly Hours

40

Compensation

Union Position

  • No
  • Department Details
  • Nocturnist Hospitalist Position with 12-Hour Shifts 7P-7A
  • Schedule: 7on/7off

Summary

The Hospitalist Nurse Practitioner provides advanced nursing care to hospitalized patients, working collaboratively with physicians, nurses, and other healthcare professionals to manage acute and chronic conditions. The NP performs comprehensive assessments, develops and implements treatment plans, orders and interprets diagnostic tests, and coordinates patient care to ensure optimal outcomes during hospital stays.

Job Description

Perform comprehensive patient assessments, including history, physical exams, and review of diagnostic results. Diagnose and manage acute and chronic medical conditions in hospitalized patients. Develop, implement, and modify individualized treatment plans in collaboration with the healthcare team.

Order, interpret, and follow up on laboratory tests, imaging studies, and other diagnostic procedures. Prescribe medications and treatments according to hospital protocols and state regulations. Monitor patient progress and adjust care plans as necessary.

Facilitate patient and family education regarding diagnosis, treatment, and discharge plans. Coordinate patient care with consulting specialists, nursing staff, social workers, and other healthcare providers. Document all patient encounters and care plans accurately and timely in the electronic medical record (EMR).

Participate in hospital rounds, quality improvement initiatives, and staff education. Adhere to hospital policies, procedures, and regulatory requirements. Respond to emergent patient needs and assist in critical care situations as needed. This position also provides on-call coverage outside of regularly scheduled hours.

Qualifications

Master’s or Doctorate degree from an accredited Nurse Practitioner program. If APRN was licensed prior to August 1, 1995, master's degree in nursing is preferred.

Previous experience in hospital medicine, acute care, or related clinical settings preferred.

Current licensure as a Registered Nurse and Nurse Practitioner 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) National board certification as an Adult Gerontology Acute Care Nurse Practitioner (AGACNP-BC) or (ACNPC-AG), Acute Care Adult (ACNP-BC); Additional certifications require approval from a market executive leader: Family (FNP-BC) or (FNP–C), Adult-Gerontology Primary Care (AGPCNP-BC) or (A-GNP) Obtains and subsequently maintains required specific competencies and certifications as outlined on privilege form.

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

Assess and manage hospitalized patients with acute and chronic conditions, including developing treatment plans, ordering and interpreting diagnostic tests, prescribing medications, and monitoring progress. Coordinate care with the healthcare team, educate patients and families, document encounters, participate in hospital rounds and quality initiatives, and respond to emergent needs.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient AssessmentPhysical ExaminationChronic Disease ManagementTreatment PlanningDiagnostic Test InterpretationMedication PrescribingPatient MonitoringCare CoordinationElectronic Medical Record DocumentationEmergency Response

Hospital Medicine — Physician Assistant Career Context

Of the 50 active Physician Assistant listings this role was benchmarked against, 8% are remote, 72% have no call, 70% require no weekends.

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).

What does the Physician Assistant market look like in South Dakota?
MeasureThis jobMarket
Listed paynot listedPhysician Assistant median $126k (middle half $110k–$155k)42 comparable listings, Nov 2026
Cost of livingSouth Dakota index 88.6US average = 100BEA Regional Price Parities (2024)
Physician Assistant listings in South Dakota18 active4,485 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 8% remote · 72% no call · 70% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS Physician Assistant listings: 23% state a sign-on bonus (median $15k) · 6% offer loan repayment1,000 active listings, Nov 2026
Hospital Medicine hiring demandnot ranked this monthpostings stay open a median 37 daysWeekdayDoc Hiring Index, October 2026 · 45 postings, 50 closed
New Hospital Medicine listings439 in the last 30 days396 the 30 days before (+11%)U.S., first seen on WeekdayDoc, Nov 2026
Physician Assistant pay trend+2.5% 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.

Location & Logistics

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

Top Physician Assistant Jobs

40 matches · ranked by pay

Salary Distribution

36 jobs · 28 employers
10
<$145k
7
$145k-165k
9
$165k-185k
8
$185k-205k
2
$205k+

Annual compensation range

Benefits & Perks

35 jobs · 28 employers
401k / retirement match
77%
CME allowance
63%
Sign-on bonus
51%
Loan repayment
14%
Relocation assistance
11%

Share of similar jobs offering each benefit

#1

Family Nurse Practitioner - NP/PA

CVS Health · Gaithersburg, Maryland

$50.22-$108.15/hr
#2

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

Ageless Mens Health · Memphis, Tennessee

$210k
#3

Nurse Practitioner (NP) or Physician Assistant (PA) - Bangor/Brewer, ME

$110k-$200k
#4

Nurse Practitioner (NP) or Physician Assistant (PA) - Poughkeepsie, NY

$110k-$200k
+ 38 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 50% of Hospital Medicine (PA) listings

Listing-based score, 0–10, across 104 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Rapid City

Typical 3-bedroom home value
$347k
Typical market rent
$1,445/mo
Metro price indexU.S. average = 100
89.2
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026).

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

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