Advanced Practice Provider - Orthopedic Hand Surgery
How this pay compares
This posting does not state an hourly rate. Advanced practice providers employed in South Dakota earn a median of $61.94 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Advanced practice providers in South Dakota: pay by town and employer
Workplace injuries
MH Rapid City Hospital in Rapid City reported 132 work injuries and illnesses to OSHA for 2025 over 4,166,155 hours worked: 6.3 per 100 full-time workers, against 5.1 per 100 full-time workers at general hospitalsnationwide. 9 of them describe violence by a patient, resident or client in the case's own words. This is the employer's own report. Workplace injuries by employer.
Medicare rating of Monument Health Rapid City Hospital
Medicare gives Monument Health Rapid City Hospital 3 of 5 stars (Jul 2026; South Dakota's hospitals average 3.8). 71% of its patients said their nurses always communicated well (the middle US hospital: 79%). Medicare did not cut its pay for patient harm in fiscal 2026. Its central line bloodstream infections ran 85% below predicted by Medicare's measure. Patients' ratings of their care, not employees' of the job. Its other hospitals · South Dakota hospitals by rating.
Nurse Corps loan repayment
Monument Health Rapid City Hospital is in a county HRSA designates a mental health HPSA (score 18) as a whole. A hospital located in a HPSA can count as a Critical Shortage Facility, where a registered nurse can apply for HRSA's Nurse Corps Loan Repayment Program: 60% of qualifying nursing loans repaid for two years of full-time service, 25% more for a third. Awards are competitive and HRSA decides each one. Every hospital hiring in a Nurse Corps shortage area.
Public Service Loan Forgiveness
Medicare lists Monument Health Rapid City Hospital as a non-profit hospital: the kind of employer PSLF counts (a government organization or a 501(c)(3) non-profit) for its own full-time staff, toward forgiveness of federal Direct Loans after 120 qualifying payments. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.
Nurse practitioner and physician assistant jobs in our research
- How long these jobs stay listed: Still listed at 7 days 87.7%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.84x · Clicks 35
- How often these jobs state their pay: Jobs stating any pay 44.5% · Stating an hourly rate 21.2%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Nurse practitioner and physician assistant jobs
About the job
Current Employees:
If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Job Summary
Under Physician supervision, the Physician Assistant and/or Nurse Practitioner may assume primary responsibility in their respective specialty area according to federal, state, and local regulatory agencies. Responsible for management of selected at risk or complex patients and aggregate patient populations in collaboration with physicians, nurses and other Healthcare team members. Must demonstrate the knowledge, critical thinking and skills to plan, coordinate and provide care on a continuing basis.
Job Description
Essential Functions
- Specialized Hand and Upper Extremity practice .
- Will work with pediatric and adult patients.
- Responsible for patient evaluations, assisting with surgical procedures, managing post-operative care, and follow-up care.
- Additional responsibilities include some rounding and light call coverage.
- Acts as an agent of the supervising physician for any medical services that are delegated that are within the Advanced Practice Clinician's scope of practice.
- Assess, diagnose, treat and manage patients’ Healthcare problems/needs. Apply clinical interventions, evaluate outcomes, and implement changes to the plan of care. Anticipates and communicates changes in patient status to meet the needs of the patient.
- May have ED/Unassigned call requirement (practice/location specific).
- May share in practice and/or inpatient call requirements.
- May perform procedures.
- Completes thorough, timely documentation in accordance with facility policy.
- Complies with scope of care under the guidance of federal, state, and/or local regulatory agencies.
- Complies with scope of care under the guidance of the supervising physician and/or protocols.
- Consistently demonstrates appropriate referral and/or transfer of patients to another facility.
- Demonstrates a thorough and current knowledge of disease processes while conducting a comprehensive health history and physical examination or problem-focused assessment depending on patient’s status.
- Demonstrates appropriate referrals and/or provides referral information to the patients and physicians.
- Orders appropriate tests, procedures, and therapies in collaboration with medical staff based on relevant organizational and unit-specific policies and procedures.
- Performs and documents ongoing patient assessment and formulates plan of care in collaboration with other medical providers.
- Recognizes physical, developmental, and psychosocial distress of patient and family, and provides appropriate interventions.
- Responds appropriately to emergency situations, basing patient management decisions on individual patient needs.
- All other duties as assigned.
Additional Requirements
Required:
In South Dakota Certifications - Certified Nurse Practitioner (CNP) - South Dakota Board of Nursing or Physician Assistant (PA) - South Dakota Board of Medical and Osteopathic Examiners
In Wyoming Certifications - Certified Nurse Practitioner (CNP) - Wyoming State Board of Nursing or Physician Assistant (PA) - Wyoming Board of Medicine
Preferred:
Experience - 1+ years of Clinical Experience; 1+ years of Healthcare Experience
Physical Requirements
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
Job Category
Clinical Care
Job Family
Advanced Practice Provider
Department
MHOSH-Clinic Orthopedic Surgery
Scheduled Weekly Hours
40
Shift
Employee Type
Regular
70 Monument Health Orthopedic and Specialty Hospital
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.
From Monument Health's job posting, checked 12 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Monument Health
Monument Health is an integrated health system in western South Dakota and eastern Wyoming with five hospitals, more than 60 (source: Monument Health, About Us) outpatient locations and more than 6,300 (source: Monument Health, About Us) physicians and caregivers. Source: Monument Health, About Us
Based in Rapid City, SDHires in South Dakota, WyomingPay on its listings: 89.8% of its open jobs state an hourly rate
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