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Exceptional Healthcare Inc. logo

ER Registered Nurse (RN)

Exceptional Healthcare Inc.·Rapid City, South Dakota

Full Time·On Site·2-5 yrs·Posted 6 days ago
Practice for this role

About the role

Provide direct and indirect patient care in an emergency setting, including triage, assessment, and monitoring of patient conditions. Collaborate with physicians and specialists to adjust nursing care plans and ensure optimal patient outcomes.

Join Exceptional Healthcare’s New Community Hospital in Rapid City, SD.

Interviewing Now / Offers ASAP / Opening Fall 2026

Be part of history in the making! Exceptional Healthcare is building a new Community Hospital, a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities.

We are seeking dedicated full-time Emergency Department Registered Nurses to join our founding team.

Hiring ALL Shifts!

Join the (Night/Day) Shift Patient Care Team

We're seeking an experienced ER Nurse (Nights) at our NEW Community Hospital.

At Exceptional Health Care, you'll become a critical lifeline of our healthcare team.

During your shift, you'll provides direct and indirect patient care in the emergency care setting and provided care that reflects initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision.

  • We require all of our Emergency Room (ER) Registered Nurses (RN) to triage safely, rapidly, and accurately, every patient that enters the emergency care system. Why Work With Us? We are a patient-focused healthcare provider committed to delivering the highest standards of care while fostering a positive and collaborative workplace culture. Our team takes pride in adhering to the Exceptional Promise by treating every patient and employee with courtesy, dignity, and respect.
  • Comfortable patient ratios that allow for true patient connection
  • Greater autonomy, closer team alignment, and genuine connections
  • Opportunities for a path to clinical leadership
  • Cross training opportunities
  • Quicker throughput processes
  • Less administrative friction and direct communication with leadership
  • A modern standalone facility with full spectrum Med Lab, Radiology, and Pharmacy support
  • In-house Respiratory Therapist (24 hr coverage)

Here, you'll find opportunities for growth, a supportive team, and the resources you need to succeed. Key Qualifications:

Graduate of an accredited nursing program.

3 to 5 years of ER experience.

Current nursing license and certifications – BLS, ACLS & PALS.

Strong leadership and problem-solving skills.

Proficient in electronic medical records (EMR) systems.

What You’ll Do

Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system.

Communicate with Emergency Department physicians about changes in patient's status, symptomatology, and results of diagnostic studies.

Able to respond quickly and accurately to changes in condition or response to treatment.

Maintain awareness of current ER operational policies and procedures which impact position responsibilities.

Demonstrate current comprehensive and professional knowledge and skills in conformation with recognized nursing standards including the Patient Bill of Rights standards for patient care and the Nurse Practice Act.

Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care.

Able to perform a head-to-toe assessment on all patients and reassessments as per policy, including pediatric, adolescent, and geriatric patients and the general patient population.

Able to use triage process to ensure timely and appropriate care to patients and accurately assign triage categories.

Able to adequately assess and reassess pain, utilize appropriate pain management techniques, and educate the patient and family regarding pain management.

Able to monitor hemodynamic status of patient and correctly interpret the results.

Demonstrate knowledge of cardiac monitoring to identify dysrhythmias.

Able to perform waived testing (point-of-care testing) per Clinical Laboratory's and according to patient care unit's policies and procedures.

Able to interpret the results of waived tests and take appropriate action on waived test results.

Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition.

Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses, and assessment of changes.

Perform all aspects of patient care in an environment that optimizes patient safety and reduce the likelihood of medical/health care errors.

Interact professionally with patient and family and involve patient and family in the formation of the plan of care.

Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning, including family in teaching as appropriate.

Maintain a safe, comfortable, and therapeutic environment for patients and families in accordance with ER standards.

Schedule

• Night shifts with 12-hour rotations, including weekends/ holidays.

Perks and Benefits

  • Comprehensive health, dental, and vision insurance.
  • 401(k) matching and financial wellness programs.
  • Paid time off (PTO) and work-life balance support.
  • Career growth and leadership development opportunities.

Why Choose Us? At Exceptional Healthcare, we believe in empowering our nurses to lead with confidence. As an Emergency Room (ER) Registered Nurse(RN), you’ll play a key role in fostering care to our patients.

  • We believe in a culture of excellence and teamwork, and provide a dynamic and supportive work environment.
  • Equipping you with state-of-the-art facilities, ongoing education, and strong leadership support to help you excel in your role.
  • Ready to Join?
  • Exceptional Healthcare is working to transform patient care, one shift at a time!
  • Apply today and take the next step in your nursing career.

#EH3

Requirements

Candidates must be graduates of an accredited nursing program with 3 to 5 years of ER experience. Current licensure and certifications in BLS, ACLS, and PALS are required.

  • professional certificate
  • ACLS
  • Leadership
  • Triage
  • BLS
  • Problem-solving
  • Patient care
  • PALS
  • Electronic medical records
  • Medication administration
  • Patient assessment
  • Pain management
  • Hemodynamic monitoring
  • Clinical documentation
  • Point-of-care testing
  • Emergency nursing
  • Cardiac monitoring

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Rapid City, South Dakota
Posted
Jul 22, 2026
Closes
Oct 20, 2026
Application
Employer website
Exceptional Healthcare Inc. logo

Hiring organization

Exceptional Healthcare Inc.

At Exceptional Healthcare, we are focused on improving the health and well-being of people living in communities with limited healthcare resources. As a premier leader in developing and operating community-based hospitals, our mission is to deliver compassionate,...

Salary listed on 6 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size501-1,000 employees
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Market context

Nursing support roles in South Dakota

In South Dakota, nursing support roles such as CNA and Medication Aide positions are often sought in long-term care and related facility settings, where dependable staffing is important. Competition can center on active certifications, comfort with hands-on care, and experience in similar environments. Review the AI-summarized requirements and benefits on this platform to save time, and if you apply, emphasize your certifications and any facility-based experience.

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