Inpatient Registered Nurse (Days)

Exceptional Healthcare Inc.•Rapid City, SD
•Onsite

About The Position

Exceptional Healthcare is hiring an experienced Inpatient Registered Nurse for its new community hospital in Rapid City, South Dakota, scheduled to open in Fall 2026. The nurse will provide patient care during the day shift, implement physician orders, and maintain continuity and quality of nursing care. The role requires continual evaluation of patient condition while protecting safety, comfort, and privacy, and performing professional nursing duties with initiative, flexibility, responsibility, and minimal supervision. The position offers a patient-focused, collaborative work environment with comfortable patient ratios, greater autonomy, cross-training opportunities, potential paths to clinical leadership, and support from a modern standalone facility with medical laboratory, radiology, pharmacy, and 24-hour in-house respiratory therapy services. The organization describes its culture as one of courtesy, dignity, respect, teamwork, and strong leadership support. A $15,000 sign-on bonus is offered.

Requirements

  • Graduate of an accredited school of nursing.
  • At least two years of experience in a hospital setting.
  • Current South Dakota nursing license in good standing.
  • Current CPR and ACLS required.
  • Excellent communication skills.
  • Good organizational habits.
  • Ability to care for adult through geriatric patients.
  • Excellent teaching skills.
  • Basic knowledge of continuous quality improvement.
  • Basic computer skills.
  • Current RN license.
  • Current BLS certification.
  • Current ACLS certification.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) preferred.
  • Telemetry or ICU experience preferred.
  • PALS preferred.
  • Current PALS certification is listed among certificates and licenses.

Responsibilities

  • Provide direct patient care, evaluate outcomes, consult with other specialists as needed, and adjust nursing care to support optimal outcomes.
  • Communicate changes in patient status, symptoms, and diagnostic results to physicians.
  • Respond quickly and accurately to changes in patient condition or response to treatment.
  • Maintain awareness of current policies and procedures relevant to the role.
  • Apply current professional nursing knowledge and skills in accordance with recognized nursing standards, the Patient Bill of Rights, and the Nurse Practice Act.
  • Perform head-to-toe assessments and reassessments according to policy, including for geriatric patients and the general patient population.
  • Assess and reassess pain, use appropriate pain-management techniques, and educate patients and families about pain management.
  • Monitor hemodynamic status and correctly interpret results.
  • Use cardiac monitoring knowledge to identify dysrhythmias.
  • Perform waived point-of-care testing according to laboratory and unit policies and procedures.
  • Maintain knowledge of medications and administer them appropriately based on patient age and clinical condition.
  • Maintain accurate and ongoing nursing documentation, including patient histories, conditions, treatments, responses, and changes in assessment.
  • Deliver care in a manner that optimizes patient safety and reduces the likelihood of healthcare errors.
  • Interact professionally with patients and families and involve them in the plan of care.
  • Develop teaching plans based on identified learning needs, evaluate their effectiveness, and include families in teaching as appropriate.
  • Maintain a safe, comfortable, and therapeutic environment for patients and families in accordance with hospital standards.
  • Demonstrate the values of teamwork consistently.
  • Perform other duties as assigned.

Benefits

  • $15,000 sign-on bonus
  • Health insurance
  • 401(k)
  • Dental insurance
  • Vision insurance
  • 401(k) matching
  • Comfortable patient ratios
  • Cross-training opportunities
  • Opportunities for a path to clinical leadership
  • Ongoing education
  • Strong leadership support
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