Physician Assistant Jobs in South Dakota
Physician assistant jobs in South Dakota concentrate in primary care, family medicine, and hospital-based specialties, with strong demand across rural health clinics and tribal health systems that serve the state's dispersed population. Most hiring is in Sioux Falls, Rapid City, and Aberdeen, where established systems like Sanford Health, Monument Health, and Avera Health anchor the market at every level from new graduate to senior clinician. Orthopedics, urgent care, and surgical assistance are among the most consistently in-demand specialties statewide. Find a role that fits below and apply directly.
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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: Black Hills Haines Urg Care
Location: Rapid City, SD
Address: 1730 Haines Ave, Rapid City, SD 57701, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Job Summary
The Occupational Medicine Nurse Practitioner provides advanced nursing care focused on the prevention, evaluation, treatment, and management of work-related injuries and illnesses. The NP works in collaboration with physicians, employers, safety personnel, and healthcare providers to promote employee health, ensure regulatory compliance, and support safe return-to-work strategies. Evaluate, diagnose, and treat work-related injuries and illnesses in accordance with occupational health standards and regulatory guidelines.
Conduct pre-employment, periodic, and return-to-work physical examinations.
Perform functional capacity evaluations (FCEs), drug and alcohol testing, TB screenings, immunizations, and other health surveillance exams.
Collaborate with employers to support workers' compensation claims and return-to-work planning.
Educate patients on injury prevention, ergonomics, safe work practices, and chronic disease management.
Maintain detailed documentation in compliance with OSHA, DOT, and state/federal guidelines.
Communicate with case managers, safety officers, and HR departments to coordinate employee care.
Participate in wellness and health promotion programs tailored to the workplace.
Assist in the development of occupational health protocols and policies.
Ensure timely and appropriate referral to specialty care as needed.
Qualifications
Master’s or Doctorate degree from an accredited Nurse Practitioner program.
If APRN was licensed prior to August 1, 1995, master's degree in nursing is preferred.
Experience in occupational medicine, urgent care, emergency medicine, or internal medicine preferred.
Current licensure as a Registered Nurse and Nurse Practitioner in each state of practice.
Current Drug Enforcement Administration (DEA) permit to prescribe controlled substances in each state of practice.
State Controlled Substance License (if required by State)
National board certification as a Family (FNP-BC) or (FNP–C), Adult-Gerontology Primary Care (AGPCNP-BC) or (A-GNP), Adult (ANP-C).
Obtains and subsequently maintains required specific competencies and certifications as outlined on privilege form.
Privileging documents and related credentialing requirements will supersede this job description in defining minimum qualifications, criteria, and scope of practice, if variation between documents exists.
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-0272511
Job Function: Advanced Practice Provider
Featured: No
Visas Accepted: N/A
See All 17 Physician Assistant Jobs in South Dakota
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Find Physician Assistant JobsPhysician Assistant Jobs by City in South Dakota
Where South Dakota roles are concentrated, by current openings.
Physician 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 physician assistant jobs across South Dakota.
- Active South Dakota physician assistant license issued by the South Dakota Board of Medical Examiners
- National Commission on Certification of Physician Assistants certification, including passing PANCE
- Master's degree or higher from an ARC-PA accredited physician assistant program
- Current DEA registration and state-level prescribing authority where required by employer
- Basic Life Support and Advanced Cardiovascular Life Support certification from an accredited provider
- Experience with electronic health records such as Epic, Cerner, or comparable clinical platforms
Physician Assistant Jobs in South Dakota: Frequently Asked Questions
How do you become a physician assistant in South Dakota?
To become a physician assistant in South Dakota, you must earn a master's degree from an ARC-PA accredited program, pass the PANCE, and apply for licensure through the South Dakota Board of Medical Examiners. The board requires proof of certification, a completed application, and background check. South Dakota also requires a written collaborative agreement with a supervising physician before you can begin practicing, which most employers arrange as part of the hiring process.
How much do physician assistants make in South Dakota?
Physician assistants in South Dakota earn a median of about $133,200 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $104,660 for the lowest 10% to over $158,020 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire physician assistants in South Dakota?
Employers hiring physician assistants in South Dakota right now include Avera Health, Sanford Health, and 77 Consultants, based on current listings on Migrate Mate as of August 2026. South Dakota's market is anchored by large integrated health systems that operate both urban clinics and rural outreach sites, giving physician assistants exposure to a wide range of care settings across the state.
Which South Dakota cities have the most physician assistant jobs?
The cities with the most physician assistant openings in South Dakota are Sioux Falls, Pierre, and Aberdeen. Sioux Falls drives the largest share of listings as home to Sanford Health and Avera Health's flagship campuses, while Rapid City reflects Monument Health's regional footprint in western South Dakota, and smaller markets like Aberdeen see steady demand from rural health systems serving surrounding agricultural communities.
Are there remote physician assistant jobs in South Dakota?
Yes, but they're rare. Physician assistant work is fundamentally hands-on and patient-facing, which limits remote arrangements to a small share of roles. About 0% of physician assistant openings tied to South Dakota are remote or hybrid as of August 2026, and those positions are most commonly in telehealth urgent care, behavioral health consultation, or care management review rather than primary clinical practice.
How can I get hired as a physician assistant in South Dakota with little or no experience?
The most realistic entry path is applying to new-graduate or early-career postings at Sanford Health and Avera Health, both of which recruit directly from ARC-PA accredited programs and offer structured onboarding for new clinicians. Candidates coming from adjacent roles such as medical assistant, EMT, or RN also transition into PA positions after completing their degree. Having your South Dakota Board of Medical Examiners application started and a collaborative agreement ready before you interview signals readiness that most new-grad candidates lack.
Where can I find and apply to physician assistant jobs in South Dakota?
You can find and apply to physician assistant jobs in South Dakota on Migrate Mate, which lists current openings across the state. Search the listings for roles that match your specialty, experience level, and preferred location, then apply directly to the positions that fit.
See All 17 Physician Assistant Jobs in South Dakota
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