Cardiothoracic Nurse Practitioner or Physician Assistant

Shift hours- 5pm-6

• 30amNOW HIRING
• NIGHT ADVANCED PRACTICE PROVIDER Cardiothoracic Surgery APP — Nights (NP or PA) Rapid City, South Dakota
• Gateway to the Black Hills Work two weeks, own the rest of your month. Join a well-resourced cardiothoracic surgery program as the overnight advanced practice provider on the CT team — fourteen shifts a month, a competitive $168,000 salary with full benefits, and a home base in one of the most livable outdoor cities in the country. Role Advanced Practice Provider (NP or
• PA),
• Cardiothoracic
• Surgery
• Shift
• Nights,
• Shift hours - 5pm-6:30am Schedule 14 shifts per month (two weeks on, two weeks off) Compensation $1,250 per shift — $210,000 annually

Benefits

Full benefits package Setting Highly resourced hospital — ward and ICU Nightly census 3–6 ICU patients and 10–15 inpatients Support 100% phone access (and in person as needed) to cardiac surgery and intensivist physicians

• The opportunity This is a focused, high-impact overnight role for an APP who thrives in acute cardiac and critical care.
• Each night you'll manage the cardiothoracic surgery service across both the ward and the ICU — caring for post-operative CT patients, responding to changes in status, and keeping the service running smoothly until the day team returns.
• You will never be on an island.
• You have 100% phone access to the cardiac surgeon and intensivist physicians throughout every shift, with in-person support available whenever a situation calls for it.
• It's the autonomy experienced providers want, backed by the collaboration and resources that make the work safe and rewarding.
• With a manageable nightly census — typically 3 to 6 ICU patients and 10 to 15 inpatients — and the backing of a highly resourced hospital, you'll have the tools, staffing, and specialist support to practice at the top of your license.
• What you'll do – Serve as the overnight APP on the cardiothoracic surgery team, managing inpatient CT patients across the ward and ICU. – Assess, monitor, and manage post-operative cardiac and thoracic surgical patients, including those in critical care. – Respond to changes in patient status, order and interpret diagnostics, and adjust treatment plans in real time. – Collaborate closely with cardiac surgeons and intensivists by phone throughout the shift, escalating in person when needed. – Coordinate with bedside nursing, respiratory therapy, and ancillary teams to deliver seamless overnight care. – Ensure clear, thorough hand-offs to the day team each morning.
• What you bring – Licensure: Nurse Practitioner (NP) or Physician Assistant (PA), eligible for licensure in South Dakota. – Experience: ICU or cardiac experience required; cardiothoracic surgery or critical care background strongly preferred. – Skills: Strong clinical judgment, comfort managing acutely ill patients overnight, and the confidence to work autonomously with physician backup a phone call away. – Certifications: BLS and ACLS; specialty acute-care certification a plus.
• Compensation & schedule $1,000 per shift — $168,000 per year for 14 shifts each month, plus a full benefits package.
• The two-weeks-on, two-weeks-off rhythm is built for real life.
• Fourteen nights a month means half the month is yours — to recover, travel, or simply live in a place where the outdoors is always minutes away.
• Why Rapid City, South Dakota Rapid City is the gateway to the Black Hills — a place where a world-class outdoor lifestyle meets small-city ease.
• Mount Rushmore, Custer State Park, Badlands National Park, and hundreds of miles of hiking, climbing, biking, and fishing sit right in your backyard, with more than 300 days of sunshine a year. – South Dakota has no state income tax — more of what you earn stays with you. – A cost of living below the national average and an approachable housing market. – Short commutes, easy parking, and a genuine sense of community. – A vibrant downtown, growing food and arts scene, and a regional airport that keeps you connected. – Four true seasons and endless recreation — an ideal home for those who work hard and play outside.