Cardiothoracic Surgery APP — Nights

SAMGI; Rapid City (SD); Hybrid; USD 165,000 - 171,000; Full time

Benefits offered by this job

Medical, dental and vision

401(k)

Malpractice tail coverage

CME support

Paid onboarding and credentialing

Two weeks off per month (14 shifts)

Job summary

SAMGI in Rapid City, SD is seeking a Nurse Practitioner or Physician Assistant to lead the cardiothoracic service overnight. You will manage post‑op cardiac and thoracic patients on the ward and ICU, with the surgeon and intensivist available by phone or in person when needed, delivering safe, autonomous care on a nightly schedule.

The role offers a 14‑shift monthly night roster (7 pm–7 am) at $1,000 per shift, totaling about $168,000 yearly, plus comprehensive benefits and paid onboarding to

Qualifications

• Graduate of an accredited NP or PA program.
• Current or eligible SD NP or PA license.
• National NP or NCCPA certification (PA).
• ICU or cardiac experience required.
• BLS and ACLS certification.

Responsibilities

• Run the cardiothoracic service overnight across ward and ICU.
• Assess, monitor, and manage post‑op cardiac and thoracic patients.
• Respond to changes in status, order diagnostics, adjust plans.
• Collaborate with the surgeon and intensivist by phone, in person as needed.
• Deliver thorough hand-offs to the day team each morning.

Skills

ICU experience

Cardiac care

Autonomous practice

Education

NP program graduate

PA program graduate

South Dakota NP license

South Dakota PA license

NCCPA certification (PA)

BLS certification

ACLS certification

Job description

Now recruiting · Rapid City, South Dakota

Cardiothoracic Surgery
APP — Nights.

Own the night on a well-resourced cardiothoracic surgery team — managing post-op CT patients across the ward and ICU, with a cardiac surgeon and intensivist a phone call away. Work two weeks, keep the rest of the month for the Black Hills.

168

Shifts annually

$168K

7P–7A

Night shift

Rapid City, South Dakota · Gateway to the Black Hills

Partnered with SAMGI · Cardiac surgeons + intensivists on call · Highly resourced hospital

Rapid City, South Dakota · Gateway to the Black Hills Partnered with SAMGI · Cardiac surgeons + intensivists on call · Highly resourced hospital Cardiothoracic Surgery NP or PA

The night is yours — and it matters every shift.

When the day team signs out, you run the cardiothoracic service. You are managing post-operative cardiac and thoracic patients on the ward and in the ICU, responding to changes in status, and keeping the service steady until morning. You are never alone — the cardiac surgeon and intensivist are 100% available by phone, and in person whenever a situation calls for it. It is the autonomy experienced APPs want, backed by the resources that make the work safe and rewarding.

Where you will practice

Manage 3–6 critical post‑op cardiac patients overnight

Care for 10–15 cardiothoracic inpatients each night

24/7 surgeon + intensivist by phone, in person as needed

14

Shifts per month — two weeks on, two weeks off

Nights, 7:00 PM to 7:00 AM. Fourteen shifts a month means half the month is yours. At $1,000 per shift or $168,000 annually with full benefits, your time is valued at every level.

What you will do

• Run the cardiothoracic surgery service overnight across the ward and ICU
• Assess, monitor, and manage post‑operative cardiac and thoracic surgical patients
• Respond to changes in status, order and interpret diagnostics, and adjust plans in real time
• Partner by phone with the cardiac surgeon and intensivist, escalating in person when it counts
• Collaborate with bedside nursing, respiratory therapy, and ancillary teams
• Deliver clear, thorough hand-offs to the day team each morning

What you bring

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• Current or eligible South Dakota NP or PA license
• National NP certification or NCCPA certification (PA)
• ICU or cardiac experience required
• BLS and ACLS certification
• Cardiothoracic surgery or critical care background strongly preferred
• Comfort working autonomously on nights with physician backup preferred

Compensation and benefits

Annual compensation

168 shifts · $1,000 per shift

$168,000

Comprehensive benefits for you and your family

Medical, dental and vision

401(k)

Retirement savings plan included

Annual continuing medical education support

Full malpractice and tail

Complete malpractice coverage with tail provided

Two weeks off, every month A 14‑shift schedule built for real life

Paid onboarding and credentialing

We handle the paperwork so you start strong

Where you will live

Rapid City · Black Hills

Rapid City is the gateway to the Black Hills — where a world‑class outdoor lifestyle meets small‑city ease. Mount Rushmore, Custer State Park, and the Badlands sit right in your backyard, with 300+ days of sunshine and a cost of living below the national average. A program that invests in you, in a place that is easy to love.

• 300+ days of sunshine per year
• Black Hills & Mount Rushmore nearby
• No state income tax
• Rapid City Regional Airport
• Endless four‑season recreation
• Below‑average cost of living