Dietitian Jobs in South Dakota
Dietitian jobs in South Dakota are steadily active, concentrated in hospital systems, long-term care facilities, public health programs, and school nutrition services, with openings at both entry and experienced levels. Most hiring centers on Sioux Falls, Rapid City, and Aberdeen, where established employers such as Sanford Health, Monument Health, and Avera Health maintain consistent demand. Clinical nutrition, community nutrition, and food service management are the specialties drawing the most consistent openings across the state. Scan the live roles below and apply to whichever ones fit.
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Careers With Purpose
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Facility: East Patient Building
Location: Sioux Falls, SD
Address: 1305 W 18th St, Sioux Falls, SD 57117, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $26.00 - $41.50
Department Details
Come join a dynamic and energized group of Sanford Dietitians! We are hiring for a new full time nutrition services dietitian to meet the needs of our growing RD team. This RD will primarily provide menu oversight, help support CBORD operations, train foodservice staff regarding basic nutrition education. This RD will also be the coordinator/preceptor for 3 separate dietetic interns each year during their foodservice rotations at Sanford (7 week rotations), A portion of this position will be inpatient care as this RD will help support the connection between foodservice and our inpatient dietitian team. We have a large team of specialized dietitians that are embedded throughout the Sanford Medical Center campus and we are continually expanding our services. If you are interested in learning more, we would love to review your application.
Job Summary
Plans, develops, and provides diet interventions, medical nutrition therapy, nutrition care and preventive counseling to individuals and groups in all areas of primary and specialty patient/resident care. Provides medical nutrition therapy services and monitors nutritional care of clients/patients/residents of all ages including neonatal, pediatric, adolescent, adult and geriatric as assigned. This includes determination of nutritional status through nutritional assessment, individualized care plans, provider order recommendations and implementation of nutrition therapy (including verbal orders, diet modification, nutrition support, oral nutrition supplements), education and counseling for disease and nutrition risk management, and evaluation of outcomes of medical nutrition therapy interventions. Additionally includes optimization of self-management education and skills in the care of clients/patients/residents with chronic conditions. Ability to recognize, evaluates, and provide for nutritional needs based on cultural, ethnic, and religious beliefs. Evaluates treatments or procedures for effectiveness using an evidence-based approach. Works on nutrition care protocols for the assigned area and acts as leader for the health care team in the implementation of the nutrition therapies. Educates on diet according to disease state, medical condition and health risk.
Incorporates new trends and techniques as necessary to design care plan and update standards of care educational material. Assists in tailoring clinical education and associated materials for use with clients/patients/residents, families and caregivers. Performs quality control and maintains a high standard in relation to infection control mechanisms for safety. Aware and conscious of individual's insurance coverage and reimbursement circumstances, and participates in clinical performance improvement activities, including research that tests new treatments or procedures for clinical evidence of outcomes.
Qualifications
Minimum of a bachelor’s degree in dietetics or food and nutrition through an Accreditation Council for Education in Nutrition and Dietetics (ACEND) accredited program. *(After January 1, 2024, the ACEND requires anyone taking the registration exam to become a dietitian have a master's degree. Prior to January 1, 2024, individuals qualifying to take the registration exam need to have the minimum of a bachelor's of science degree in dietetics.)
Clinical nutrition experience through an approved coordinated undergraduate program or successful completion of post graduate internship required.
Currently holds Registered Dietitian (RD) license within the applicable state(s).
Registered by the Commission on Dietetic Registration (CDR) required.
For applicable states, proof of a temporary/limited permit nutritionist license will be considered for registry eligible individuals in the event they are waiting to test for their CDR. Individuals will be allowed two exam attempts within three months of hire into their position.
Benefits
Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .
Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0272136
Job Function: Allied Health
Featured: No
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Where South Dakota roles are concentrated, by current openings.
Dietitian Job Market in South Dakota
A snapshot from current South Dakota openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Food & Beverage
- Non-Profit & Social Services
What South Dakota Employers Look For
The qualifications that appear most often in dietitian jobs across South Dakota.
- Active South Dakota dietitian licensure issued by the South Dakota Board of Medical and Osteopathic Examiners
- Registered Dietitian Nutritionist credential from the Commission on Dietetic Registration
- Bachelor's or master's degree in dietetics, nutrition, or a closely related field
- Completion of an accredited supervised practice program or dietetic internship
- Experience with electronic health records and clinical nutrition documentation systems
- Strong communication skills for patient education and interdisciplinary care team collaboration
Dietitian Jobs in South Dakota: Frequently Asked Questions
How do you become a dietitian in South Dakota?
To become a dietitian in South Dakota, you must obtain a state license through the South Dakota Board of Medical and Osteopathic Examiners. Licensure requires a qualifying degree in dietetics or nutrition, completion of an accredited supervised practice program, and passing the Commission on Dietetic Registration credentialing exam to earn the Registered Dietitian Nutritionist designation. Most South Dakota employers require both the RDN credential and an active state license before hiring.
How much do dietitians make in South Dakota?
Dietitians in South Dakota earn a median of about $64,890 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $50,260 for the lowest 10% to over $88,710 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire dietitians in South Dakota?
Companies currently hiring dietitians in South Dakota include Sanford Health, Sioux Center Health, and Avera Health, per current listings on Migrate Mate as of August 2026. Large integrated health systems anchored in Sioux Falls and Rapid City, including Sanford Health and Avera Health, tend to post the most consistent volume of dietitian openings across inpatient, outpatient, and community nutrition settings.
Which South Dakota cities have the most dietitian jobs?
The cities with the most dietitian openings in South Dakota are Sioux Falls, Pierre, and Spearfish. Sioux Falls dominates because it is home to Sanford Health and Avera Health, two of the largest health systems in the region, while Rapid City draws demand from Monument Health and the surrounding Black Hills communities, and smaller cities like Aberdeen benefit from regional hospital and public health program hiring.
Are there remote dietitian jobs in South Dakota?
Yes, but they're rare. Most dietitian work is tied to direct patient care, food service oversight, or on-site clinical settings that require physical presence. About 14% of dietitian openings tied to South Dakota are remote or hybrid as of August 2026, and those positions are most commonly found in telehealth nutrition counseling, corporate wellness consulting, and public health education roles that do not require hands-on patient contact.
How can I get hired as a dietitian in South Dakota with little or no experience?
The most realistic entry path is applying directly to new-graduate dietitian roles at Sanford Health or Avera Health, both of which periodically bring on new RDNs through structured onboarding programs in their clinical nutrition departments. Entry-level food service management and nutrition assistant roles at long-term care facilities across the state offer a practical way in for candidates still completing their internship. Earning your RDN credential before applying and targeting community health organizations or school district nutrition programs in smaller cities like Aberdeen or Watertown can also reduce competition compared to larger metro roles.
Where can I find and apply to dietitian jobs in South Dakota?
You can find and apply to dietitian jobs in South Dakota on Migrate Mate, which lists current openings across the state. Search through the roles available, find the ones that match your experience and preferred setting, and apply directly to whichever positions fit.
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