Care Assistant Jobs in South Dakota
Care Assistant jobs in South Dakota are in steady demand, concentrated in long-term care facilities, assisted living communities, and home health agencies serving the state's aging rural population, with openings at every experience level from entry-level aide to senior care specialist. The heaviest hiring activity is in Sioux Falls, Rapid City, and Aberdeen, where established employers like Sanford Health, Avera Health, and Good Samaritan Society maintain large care networks across the region. The most sought-after specialties include memory care, behavioral health support, and home-based personal care. Find a role that fits below and apply directly.
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If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Primary Location
Hill City, SD USADepartment
MHMC-Hill City Primary CareScheduled Weekly Hours
40 Starting Pay Rate Range $20.45 - $28.73 Medical Assistant $20.45-$23.51, Licensed Practical Nurse - SD $25.00-$28.73(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
**UP TO $5,000 SIGN ON FOR QUALIFIED MEDICAL ASSISTANT CANDIDATES****UP TO $25,000 SIGN ON FOR QUALIFIED LPN CANDIDATES**
It starts with heart. That is what you will do each day. As a Medical Assistant at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and— most importantly— a life-changing career. You will make a difference. Every day.
As an LPN or Medical Assistant, you will work collaboratively to provide direct and indirect patient care in the ambulatory clinic setting. You will actively participate as a member of the health care team and perform assigned tasks in accordance with the policies and procedures of Monument Health to meet the needs of each patient.
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you’ll join us.
Job Description
Essential Functions:
- Properly prepares the examination and treatment areas per clinic standards.
- Completes patient rooming procedures to include vital signs, data collection and other identified components specific to the clinic setting and within outlined Scope of Responsibilities.
- Accurately administers and documents unit dose medications/ immunizations in accordance with clinic policy following successful training/competency.
- Performs EKG's and laboratory testing per CLIA license of the clinic following successful training/competency.
- Ensures documentation in the patient record is accurate, clear, concise within outlined Scope of Responsibilities. May function as provider scribe following successful training.
- Completes all assigned clerical activities and supply maintenance/ordering as directed.
- Assists with scheduling follow up care/appointments as ordered/directed.
- Distributes pre-printed/pre-approved patient education materials. Directs all patient questions to provider or RN.
- Functions within the documented Monument Health Scope of Responsibilities.
- All other duties as assigned.
Additional Requirements
Required:
Education - High School Diploma/GED Equivalent in General Studies; Graduate of an Accredited Medical Assistant University or accredited training facility
Certification - Medical Assistant-Certified (MA) by one of the listed certifying bodies; Basic Life Support (BLS) Healthcare Professional Certification - American Heart Association (AHA) - Within 60 days of hire or transfer
Any Medial Assistant hired between July 1, 2021 and June 30, 2024 may be granted 6 months to obtain national certification.
Any Medical Assistant hired after July 1, 2024 must hold one of the following national certifications upon hire:
- American Association of Medical Assistants (AAMA)
- American Medical Technologists (AMT)
- National Healthcareer Association (NHA)
- National Center for Competency Testing (NCCT)
- American Medical Certification Association (AMCA)
Preferred:
Education - Completion of a nursing education program that is approved by a board of nursing
Certification - Licensed Practical Nurse (LPN) - South Dakota Board of Nursing
Experience - 1+ years of Clinical Experience; 1+ years of Healthcare Experience
Medium work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. Possible exposure to blood, bodily fluids, or tissues.
Job Category
NursingJob Family
Ambulatory Nursing, Nursing SupportShift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular50 Monument Health Custer 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.
See All 30 Care Assistant Jobs in South Dakota
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Find Care Assistant JobsCare Assistant Jobs by City in South Dakota
Where South Dakota roles are concentrated, by current openings.
Care Assistant Job Market in South Dakota
A snapshot from current South Dakota openings, updated as new roles post.
Who's Hiring



What South Dakota Employers Look For
The qualifications that appear most often in care assistant jobs across South Dakota.
- Active South Dakota Nurse Aide certification or eligibility to test through the South Dakota Board of Nursing
- High school diploma or GED equivalent required by most South Dakota employers
- Current CPR and first aid certification from an accredited provider
- Valid driver's license and reliable transportation for home health or community-based roles
- Ability to pass a criminal background check as required by South Dakota care facilities
- Prior experience with activities of daily living assistance preferred but not always required
Care Assistant Jobs in South Dakota: Frequently Asked Questions
How do you become a care assistant in South Dakota?
To become a care assistant in South Dakota, most employers require completion of a state-approved nurse aide training program and passing the South Dakota Nurse Aide Competency Evaluation, administered through the South Dakota Board of Nursing. Programs are offered at community colleges, vocational schools, and some care facilities. After passing the written and skills tests, you are placed on the South Dakota Nurse Aide Registry, which is required to work in licensed facilities.
Which companies hire care assistants in South Dakota?
Companies currently hiring care assistants in South Dakota include Avera Health, Visiting Angels, and Good Samaritan, per current listings on Migrate Mate as of October 2026. South Dakota's care assistant market is anchored by large regional health systems and faith-based long-term care networks with facilities spread across both urban centers and rural communities.
Which South Dakota cities have the most care assistant jobs?
Rapid City, Sioux Falls, and Aberdeen have the most care assistant openings in South Dakota. Sioux Falls leads as the state's largest city and home to major health systems like Sanford and Avera, while Rapid City supports strong demand through its regional medical center and surrounding assisted living facilities, and smaller cities like Aberdeen draw openings from Good Samaritan Society campuses serving the northeastern part of the state.
Are there remote care assistant jobs in South Dakota?
Yes, but they're rare. Care assistant work is fundamentally hands-on, requiring direct physical support with daily living activities, so most positions are on-site at facilities or in clients' homes. About 0% of care assistant openings tied to South Dakota are remote or hybrid as of October 2026, and those tend to be care coordination, scheduling support, or administrative roles adjacent to direct care rather than traditional hands-on positions.
How can I get hired as a care assistant in South Dakota with little or no experience?
The most realistic entry path is enrolling in a state-approved nurse aide training program, which many South Dakota employers such as Sanford Health and Avera Health offer on-site or reimburse through tuition assistance. Large long-term care networks like Good Samaritan Society regularly hire candidates without prior experience into nurse aide trainee roles and sponsor their certification. Lateral moves from roles like dietary aide, housekeeping, or activities assistant within the same facility are also a common way to transition into direct care work while building toward full certification.
Where can I find and apply to care assistant jobs in South Dakota?
You can find and apply to care assistant jobs in South Dakota on Migrate Mate, which lists current openings across the state. Search the listings for roles that match your experience, credentials, and preferred location, then apply directly to the ones that fit.
See All 30 Care Assistant Jobs in South Dakota
Find roles in South Dakota that match your experience and apply in just a few clicks.
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