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Monument Health
Rapid City, South Dakota

Ambulatory Telephone Triage Nurse | West River ENT

Registered NurseFull-Time

Listed compensation

$32-$40/hr

The week · per this posting · weekdays assumed

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

Posted 46m ago · Verified live

Job Description

Current Employees

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  • Primary Location
  • Rapid City, SD USA

Department: MHMC-RC West River ENT, Ear Nose and Throat

  • Scheduled Weekly Hours
  • 36
  • Starting Pay Rate Range
  • $32.00 - $40.00
  • (Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Under the supervision of the Nurse Manager, the Ambulatory Telephone Triage Nurse will be responsible for patient triage through telephonic nursing assessment, prioritization and subsequent care disposition recommendations utilizing identified decision support tools and collaboration with providers and other appropriate departments. The Triage Nurse will demonstrate performance consistent with professional standards and scope of practice, state and federal regulations, and licensing and accreditation standards.

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:

Recognize signs and symptoms of an emergency and readily identify how to best support patients/families. Focus on patient safety and quality when applying appropriate nursing interventions.

Utilize the nursing process wen interacting with a patient during a telehealth encounter.

Employ decision support tools, clinical judgement, and available evidence to expedite a nursing diagnosis and disposition in a complete and organized manner, realizing limitations and seeking assistance as necessary.

Utilize critical thinking and synthesis of objective and subjective data obtained during assessment to prioritize, identify, select and apply the appropriate decision support tools to each patient encounter.

Communicates effectively using a variety of formats, tools and technologies to build professional relationships and to prioritize and deliver care across the continuum. Shares information and independently solve problems in a positive results oriented manner as evidenced by observation.

Collaborates with patients, family members, caregivers and other health professionals in the conduct of nursing practice.

Incorporates professional codes of ethics with compassion and respect for the inherent dignity, worth and unique attributes of every person.

Assists leadership in the development of program goals and objectives. Assists with the development, implementation, and maintenance of quality programs that include best practice patient care outcomes.

All other duties as assigned.

Additional Requirements

Required

  • Education - Completion of a nursing education program that is approved by a board of nursing
  • Certifications - Registered Nurse (RN) - South Dakota Board of Nursing

Physical Requirements

Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

  • Job Category
  • Nursing
  • Job Family

Ambulatory Nursing

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 Ambulatory Telephone Triage Nurse performs telephonic nursing assessments to prioritize patient care and determine appropriate dispositions. They collaborate with providers and utilize decision support tools to ensure patient safety and quality outcomes.

Requirements

Candidates must have completed an approved nursing education program and hold a valid Registered Nurse (RN) license from the South Dakota Board of Nursing. The role requires the ability to perform sedentary work and effectively utilize clinical judgment in a telehealth environment.

Qualifications

Experience
2+ years of experience

Key Skills

Patient prioritizationProfessional communicationProblem solving

Ambulatory Care Nursing — Registered Nurse Career Context

Of the 50 active Ambulatory Care Nursing listings this role was benchmarked against, 34% are remote, 60% have no call, 84% require no weekends.

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $85k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Ambulatory Care Nursing pay on WeekdayDoc is down 1.1% vs. the prior quarter (through Sep 2026).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$75k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top Registered Nurse Jobs

19 matches · ranked by pay

Salary Distribution19 jobs · 17 employers

6
<$105k
3
$105k-125k
3
$125k-145k
4
$145k-165k
3
$165k+

Annual compensation range

Benefits & Perks12 jobs

401k / retirement match
100% this job
CME allowance
33%
Loan repayment
25%
Sign-on bonus
8%

Share of similar jobs offering each benefit

#1

RN / Clinical Nurse Educator - Ambulatory Care

University of Washington · Seattle, Washington

$126k-$186k
#2

Staff Nurse - Ambulatory/Outpatient Nurse - OB/GYN Services - Queens Medical Group

NewYork-Presbyterian Hospital · Flushing, New York

$115k-$166k
#3

Director of Nursing DON - Acute Inpatient Mental Health 264

$144k-$165k
#4

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

$93k-$151k
+ 17 more · ranked by pay

Work-life snapshot

median 5.1this job 1.5
Below most Ambulatory Care Nursing (RN) listings for work-life

Listing-based score, 0–10, across 377 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.

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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