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Monument Health
Rapid City, South Dakota

Certified Registered Nurse Anesthetist | Rapid City Hospital

CRNAFull-Time Independent CRNA Practice

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, call expectations, weekend coverage and time off.

Posted 1mo 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 Work Location
  • Monument Health Rapid City Hospital

Department: RCH CRNAs

  • Scheduled Weekly Hours
  • 40

Job Summary

It starts with heart. That is what you will do each day. As a Certified Registered Nurse Anesthetist 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 CRNA, you will work in collaboration with anesthesiologists to provide safe, efficient, and effective delivery and management of anesthesia and analgesia services for the surgical and obstetrical patients of Monument Health healing environments. At Monument Health, our CRNAs integrate education, research, management, leadership and consultation into clinical roles, and function in collegial relationships with nursing peers and other professionals and individuals who influence the health environment.

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:

Rapid City Hospital Functions

Assesses Anesthesia care to assure its quality and contribution to positive patient outcomes.

Demonstrates responsibility by responding to other anesthesia needs outside the surgery areas as well as unexpected or increased needs in the surgery area.

Formulates a patient-specific plan for anesthesia care and obtains informed consent for the planned anesthetic intervention from the patient or legal guardian.

Implements and adjusts the anesthesia care plan during the peri-operative period, based on the patient’s physiological response. Monitor the patient’s physiologic condition as appropriate for the type of anesthesia and specific patient needs.

  • Performs a thorough and complete pre anesthesia assessment.
  • All other duties as assigned.

Spearfish Hospital Functions

Assesses Anesthesia care to assure its quality and contribution to positive patient outcomes.

Demonstrates responsibility by responding to other anesthesia needs outside the surgery areas as well as unexpected or increased needs in the surgery area.

Formulates a patient-specific plan for anesthesia care and obtains informed consent for the planned anesthetic intervention from the patient or legal guardian.

Implements and adjusts the anesthesia care plan during the peri-operative period, based on the patient’s physiological response. Monitor the patient’s physiologic condition as appropriate for the type of anesthesia and specific patient needs.

Performs a thorough and complete pre and post anesthesia assessment with complete, accurate, and timely documentation of pertinent information on the patient’s medical record.

All other duties as assigned.

Additional Requirements

Required

Education - Bachelors Degree in Nursing

Certifications - Advanced Cardiac Life Support (ACLS) Certification - American Heart Association (AHA); Certified Registered Nurse Anesthetist (CRNA) - South Dakota Board of Nursing; Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA); Registered Nurse (RN) - South Dakota Board of Nursing

Preferred

  • Experience - 1+ years of Healthcare Experience; 1+ years of Related Experience
  • Education - Masters degree in Health Related Field

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 occasionally (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
  • Nurse Anesthetist
  • Job Family

Nurse Anesthetist - CRNA

Shift: Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

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 CRNA will collaborate with anesthesiologists to provide safe and effective anesthesia and analgesia services for surgical and obstetrical patients. Responsibilities include performing pre-anesthesia assessments, formulating patient-specific care plans, and monitoring physiological responses during peri-operative periods.

Requirements

Candidates must hold a Bachelor's degree in Nursing and possess current RN and CRNA certifications from the South Dakota Board of Nursing. Additionally, ACLS and PALS certifications from the American Heart Association are required.

Qualifications

Education
Bachelor degree

Key Skills

Anesthesia deliveryPatient assessmentAnesthesia care planningPhysiologic monitoringPeri-operative careClinical leadership

CRNA Career Context

Of the 50 active Nurse Anesthesia listings this role was benchmarked against, 80% have no call, 54% 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).

Location & Logistics

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

Top CRNA Jobs

39 matches · ranked by pay

Salary Distribution34 jobs · 27 employers

6
<$260k
9
$260k-290k
13
$290k-320k
3
$320k-350k
3
$350k+

Annual compensation range

Benefits & Perks32 jobs · 27 employers

401k / retirement match
69% this job
Sign-on bonus
63%
CME allowance
59%
Loan repayment
31%
Relocation assistance
25%

Share of similar jobs offering each benefit

#1

W2 CRNA Needed in Tulsa, OK - 951Contract

Access Healthcare Staffing Solutions · Broken Arrow, Oklahoma

Up to $400,000
#2

CRNA - Christus Santa Rosa New Braunfels | $360k with No Call or Weekends!Contract

Essential Anesthesia Management · New Braunfels, Texas

$360k
#3

Certified Registered Nurse Anesthetist (CRNA) - 300P Activation -.9 FTE, Rotating (12HRS) - Up to $60k Sign-On and Relocation Bonus

$157.03-$170.42/hr
#4

Certified Registered Nurse Anesthetist - CRNA- NewYork-Presbyterian/Lower Manhattan Hospital-SIGN ON BONUS AVAILABLE

$270k-$335k
+ 37 more · ranked by pay

Work-life snapshot

median 3.9this job 1.5
Below most Nurse Anesthesia (CRNA) listings for work-life

Listing-based score, 0–10, across 958 comparable listings. Shaded area = the share scoring below this one.

  • On-site

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

Supportive work culture
Medical, Vision and Dental Coverage
Retirement Plans
Health Savings Account
Flexible Spending Account
Instant pay available for qualifying positions
Paid Time Off Accrual Bank
Opportunities for growth and advancement