About The Position

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.

Requirements

  • Nurse Practitioner (NP) or Physician Assistant (PA), eligible for licensure in South Dakota.
  • ICU or cardiac experience required; cardiothoracic surgery or critical care background strongly preferred.
  • Strong clinical judgment, comfort managing acutely ill patients overnight, and the confidence to work autonomously with physician backup a phone call away.
  • BLS and ACLS; specialty acute-care certification a plus.

Nice To Haves

  • cardiothoracic surgery or critical care background strongly preferred
  • specialty acute-care certification a plus

Responsibilities

  • 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.

Benefits

  • Full benefits package
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