Nursing Jobs in South Dakota
Nursing jobs in South Dakota are in steady demand across hospital systems, long-term care facilities, and rural critical access clinics, with openings at every level from new graduate to experienced charge nurse. The busiest hiring markets are Sioux Falls, Rapid City, and Aberdeen, home to major health systems like Sanford Health, Monument Health, and Avera Health. The most consistent openings are in med-surg, critical care, emergency nursing, and long-term care. See the openings below and apply to the ones that match your experience.
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Are you looking for a rewarding career in Skilled Nursing? We are currently searching for a Licensed Nursing Home Administrator to join our friendly, caring and supportive team!
Avantara Milbank is currently seeking a compassionate and professional Nursing Home Administrator that will be responsible for the leadership and management of the nursing home. The Administrator will work closely with the dynamic and highly qualified leadership team to drive the overall success of the facility.
We offer great benefits including:
Competitive wages.
Bonus opportunities.
Tuition reimbursement.
Internal growth opportunities.
Comprehensive benefits package.
401K with employer match.
Employee concierge program.
And more!
As a Licensed Nursing Home Administrator, you will lead and direct the facility's overall operation in accordance with residents’ needs, government regulations the communities’ policies, and procedures. Your work will ensure our residents receive the high standard of care they have grown to expect at Avantara Milbank by instilling a positive and inclusive facility culture, setting and attaining facility wide goals, creative problem solving and overseeing all aspects of facility operation. Our residents will depend on your knowledge, skills, and attention to detail to ensure they are comfortable and safe.
Experience and skills Required:
Leadership and mentoring;
Development and implementation of a facility management system;
Administration, management, supervision and coordination of all departments to insure appropriate care;
Oversight of a facility quality assurance process;
Financial management of a health care facility;
Knowledge of pertinent local, state, federal and other regulations and ability to implement and maintain compliance with these regulations governing the facility, patient/resident care, and reimbursement;
Experience in developing professional relationships and representing the facility in professional and community activities;
Participation in educational programs for continued professional development.
To be eligible for consideration applicants should have:
Bachelor’s Degree in Healthcare Management or related field.
An unencumbered State of South Dakota Nursing Home Administrator License (LNHA).
Prior Administrator or Department Director experience in a Skilled Nursing Facility.
Avantara Milbank is an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disability, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by federal, state, or local law.
Avantara Milbank never requests or send money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of our recruitment process.
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Find Nursing JobsNursing Jobs by City in South Dakota
Where South Dakota roles are concentrated, by current openings.
Nursing 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 nursing jobs across South Dakota.
- Active South Dakota registered nurse license or Nurse Licensure Compact license recognized in South Dakota
- Associate or bachelor of science degree in nursing from an accredited program
- Current BLS certification, with ACLS or PALS required for critical care and emergency roles
- One or more years of clinical experience in a relevant acute care or specialty setting
- Strong electronic health record proficiency, particularly Epic or Cerner platforms
- Ability to work rotating shifts, nights, weekends, or on-call schedules as required
Nursing Jobs in South Dakota: Frequently Asked Questions
How do you become a nursing in South Dakota?
To become a registered nurse in South Dakota, you must complete an accredited nursing program, either an associate degree in nursing or a bachelor of science in nursing, and pass the NCLEX-RN exam. Licensure is issued through the South Dakota Board of Nursing. South Dakota participates in the Nurse Licensure Compact, so nurses licensed in other compact states can work in South Dakota without obtaining a separate state license.
How much do nursings make in South Dakota?
Nursings in South Dakota earn a median of about $38,800 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $31,110 for the lowest 10% to over $46,100 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire nursings in South Dakota?
Employers hiring nursings in South Dakota right now include Avera Health, St Benedict Health Center, and Avera St. Mary's, based on current listings on Migrate Mate as of August 2026. Sanford Health and Avera Health are the largest ongoing employers in the state, with facilities in Sioux Falls and regional campuses across smaller South Dakota communities.
Which South Dakota cities have the most nursing jobs?
The South Dakota cities with the most nursing openings are Parkston, Sioux Falls, and Pierre. Sioux Falls leads due to the concentration of large health systems like Sanford Health and Avera Health, while Rapid City is driven by Monument Health and its regional referral hospital, and smaller markets like Aberdeen draw openings from Avera St. Luke's and critical access facilities serving surrounding rural counties.
Are there remote nursing jobs in South Dakota?
Yes, but they're rare. About 0% of nursing openings tied to South Dakota are remote or hybrid as of August 2026, reflecting the hands-on nature of most clinical roles. The nursing positions most likely to have remote components are telephonic triage, care management, utilization review, and nurse case management roles within health plan or insurance organizations.
How can I get hired as a nursing in South Dakota with little or no experience?
The most realistic entry path is applying to a nurse residency or new graduate program at a major South Dakota health system. Sanford Health and Avera Health both run structured residency programs in Sioux Falls designed for nurses with a fresh RN license and limited clinical hours. Roles like patient care technician, certified nursing assistant, or medical assistant at these same systems also open doors to internal hiring. Completing your NCLEX promptly and obtaining your South Dakota Board of Nursing license before applying gives you a clear edge over candidates still in the testing process.
Where can I find and apply to nursing jobs in South Dakota?
You can find and apply to nursing jobs in South Dakota on Migrate Mate, which lists current openings from employers across the state. Search the roles that match your specialty and experience level, then apply directly to the ones that fit. No signup is needed to see the listings.
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