Horizon Health logo
Horizon Health
Mission, South Dakota

Nurse Practitioner or Physician Assistant

Nurse PractitionerFull-Time Full Practice Authority

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 5mo ago

Job Description

Benefits

  • Student Loan Repayment and Forgiveness Programs
  • 10.5 Paid Holidays
  • Sick Time
  • Vacation Time
  • Disability and Life Insurance
  • Employee Assistance Program
  • AFLAC
  • Medical, Dental, and Behavioral Health Service Discounts
  • 401(k) matching
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Relocation bonus

Vision Insurance

Horizon Health in Mission, SD is seeking a full-time Nurse Practitioner or Physician Assistant to provide direct patient care for all patients.

The organization is looking for a highly professional individual with strong communication skills who is committed to coordinating all aspects of primary care for the patients served. We are looking for candidates who are passionate about delivering high-quality, patient-centered care.

Horizon Health offers a collaborative, team-oriented work environment focused on meeting the needs of individual patients while supporting and contributing to the health and wellness of our communities.

*New graduates are encouraged to apply.

Successful candidates must be licensed or be able to successfully obtain licensure in the State of South Dakota. Certification from an accredited organization is needed or must be obtained prior to employment.

Key Responsibilities

Provides primary health care to patients, according to established evidence-based guidelines of clinical practice.

Ability to lead care teams to provide high quality healthcare in accordance with Horizon Quality Improvement Plan and meet established goals and benchmarks.

Management of long-term care for acute and chronically ill patients, including care coordination and development of care plans and self-management plans.

Our Culture

Horizon Health’s culture is built on the Non-Negotiable attributes of Respect, Teamwork, Accountability, Integrity, Professionalism, and being Rurally Focused — ensuring every team member upholds these attributes daily. The organization values all contributions equally, supports individual growth, and aims to be your "forever employer" that enhances both employee satisfaction and community health outcomes.

Requirements

Candidates must be licensed or eligible for licensure in South Dakota and hold certification from an accredited organization. New graduates are encouraged to apply.

Qualifications

Education
Professional certificate or licensure

Key Skills

Primary Care CoordinationClinical Practice GuidelinesCare Team LeadershipChronic Disease ManagementCare Planning

Family Medicine — Nurse Practitioner Career Context

Of the 50 active Family Medicine listings this role was benchmarked against, 32% are remote, 62% have no call, 64% 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).

How many Family Medicine jobs are remote?
MeasureThis jobMarket
Work-life score7.2 / 10 · above average in family medicine (np)ranked against 2,613 Family Medicine (NP) listingslisting-based score, 0–10
Listed paynot listedFamily Medicine median $139k (middle half $128k–$157k)299 comparable listings, Oct 2026
Cost of livingSouth Dakota index 88.6US average = 100BEA Regional Price Parities (2024)
Family Medicine listings in South Dakota14 active2,653 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 32% remote · 62% no call · 64% no weekends50 benchmarked listings
Horizon Healthsilver tier, 71/100Top Employers work-life index6 active listings
Sources: WeekdayDoc live listing index (2,613 Family Medicine (NP) listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Practitioner or Physician Assistant at Horizon Health a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the Above average in Family Medicine (NP) — ranked against 2,613 active Family Medicine (NP) listings on WeekdayDoc.

Location & Logistics

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

Top Nurse Practitioner Jobs

36 matches · ranked by pay

Salary Distribution

27 jobs · 25 employers
11
<$155k
10
$155k-175k
2
$175k-195k
4
$195k-215k

Annual compensation range

Benefits & Perks

20 jobs
401k / retirement match
90% this job
CME allowance
65%
Sign-on bonus
40%
Loan repayment
10% this job
Relocation assistance
5% this job

Share of similar jobs offering each benefit

#1

FNP or PA needed for 3 mo, FT coverageContract

Georgia Medical Staffing · Lancaster, California

$100 per hour
#2

FNP or PA needed for 2.5 month, FT primary care coverageContract

Georgia Medical Staffing · Pico Rivera, California

$100 per hour
#3

FNP needed for 3 mo, FT coverage

$100 per hour
#4

Family Nurse Practitioner (FNP) / Physician Assistant (PA) – Mobile Primary Care

$185k-$195k
+ 34 more · ranked by pay

Work-life snapshot

median 6.4this job 7.2
Better work-life than 60% of Family Medicine (NP) listings

Listing-based score, 0–10, across 2,613 comparable listings. Shaded area = the share scoring below this one.

Horizon Health logo

About Horizon Health

Hospitals and Health Care
Lewisville, Texas
501-1,000 employees

Benefits & Perks

Student Loan Repayment
Loan Forgiveness Programs
10.5 Paid Holidays
Sick Time
Vacation Time
Disability Insurance
Life Insurance
Employee Assistance Program

Living in Mission

Median resident rent
$432/mo
Residents’ average commute
14 min
State income tax
None
Sources & methodology

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

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