Advanced Practice Provider - Same Day, Spearfish

Monument Health•Spearfish, SD

About The Position

The Advanced Practice Provider works under physician supervision and may assume primary responsibility within their specialty area, consistent with applicable federal, state, and local regulations. The role manages selected at-risk or complex patients and patient populations in collaboration with physicians, nurses, and other healthcare team members. It requires knowledge, critical thinking, and the ability to plan, coordinate, and provide continuing care. The position is predominantly outpatient in an urgent care setting, with patient access available 364 days per year. The provider assesses, diagnoses, treats, and manages patients; applies clinical interventions and evaluates outcomes; and develops or updates plans of care in collaboration with medical providers. The provider may perform procedures, but there is no operating room requirement, practice call, or ED/unassigned call requirement.

Requirements

  • In South Dakota, hold certification as a Certified Nurse Practitioner through the South Dakota Board of Nursing or as a Physician Assistant through the South Dakota Board of Medical and Osteopathic Examiners.
  • In Wyoming, hold certification as a Certified Nurse Practitioner through the Wyoming State Board of Nursing or as a Physician Assistant through the Wyoming Board of Medicine.

Nice To Haves

  • At least 1 year of clinical experience.
  • At least 1 year of healthcare experience.

Responsibilities

  • Act as an agent of the supervising physician for delegated medical services within the Advanced Practice Clinician's scope of practice.
  • Assess, diagnose, treat, and manage patients’ healthcare problems and needs.
  • Apply clinical interventions, evaluate outcomes, and implement changes to the plan of care.
  • Anticipate and communicate changes in patient status.
  • Perform procedures as needed.
  • Complete thorough, timely documentation in accordance with facility policy.
  • Comply with scope-of-care requirements under applicable regulations, supervising physician guidance, and protocols.
  • Refer or transfer patients to another facility when appropriate and provide referral information to patients and physicians.
  • Conduct comprehensive health histories and physical examinations or problem-focused assessments, demonstrating current knowledge of disease processes.
  • Order appropriate tests, procedures, and therapies in collaboration with medical staff and in accordance with applicable policies and procedures.
  • Perform and document ongoing patient assessments and formulate plans of care in collaboration with other medical providers.
  • Recognize physical, developmental, and psychosocial distress in patients and families and provide appropriate interventions.
  • Respond appropriately to emergencies and base patient-management decisions on individual patient needs.
  • Perform other duties as assigned.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service