Full-Time
RN – Recovery Room
Monument Health
1,001-5,000 employees
Integrated non-profit health system with hospitals
Compensation Overview
$37 - $46.25/hr
Company Does Not Provide H1B Sponsorship
Rapid City, SD, USA
In Person
On-site in Rapid City, South Dakota; no remote work.
Bachelor's
 Medical, Clinical & Veterinary (1) |
|---|
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- Education - Completion of a nursing education program that is approved by a board of nursing
- Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer
- Registered Nurse (RN) - South Dakota Board of Nursing
- Collects comprehensive data pertinent to the Healthcare consumer’s health and/or the situation.
- Analyzes the assessment data to determine the diagnosis or the issues.
- Identifies expected outcomes for a plan individualized to the Healthcare consumer of the situation.
- Develops a plan that prescribes strategies and alternatives to attain expected outcomes.
- Implements the identified plan. Ensures patient progression along plan.
- Coordination of Care – coordinates care delivery.
- Health Teaching and Health Promotion – employs strategies to promote health and a safe environment.
- Consultation – the advanced practice registered nurse and the nursing role specialist provide consultation to influence the identified plan, enhance the abilities of others and effect change.
- Evaluates progress toward attainment of outcomes.
- Follows the ANA Standards of Professional Performance (2010) including systematically enhancing the quality and effectiveness of nursing practice; Attains knowledge and competency that reflects current nursing practice; Evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations; Interacts with and contributes to the professional development of peers and colleagues; Collaborates with patient, family and others in the conduct of nursing practice; Integrates ethical provisions in all areas of practice; Integrates research findings into practice; Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services; Provides leadership in the professional practice setting and the profession; Practices in an environmentally safe and healthy manner; Supports purpose, vision, and values of Monument Health; Practices within the legal scope of a Registered Professional Nurse as outlined by the state in which employment occurs and delivers competent care consistent with standards / policies, laws, regulators/accreditation/certifying organizations; Abides by the Provisions of the Code of Ethics for Nurses (ANA 2010).
- Proficiently uses applicable technology and software to:
- Support and document nursing activities and patient care.
- Access other work-related applications necessary to be an engaged and active associate of the organization, such as company email, iLearn modules, employee engagement surveys, benefits and compensation information, and policies and procedures.
- Continuously seeks out opportunities to improve the quality of patient care delivery through innovative and creative problem solving.
- All other duties as assigned.
- Experience - 5+ years of Registered Nurse Experience
- Education - Bachelors degree in Nursing
Monument Health is a non-profit, integrated healthcare system serving Western South Dakota and Eastern Wyoming. It operates a network of hospitals, specialty clinics, and primary care practices that work together to deliver coordinated care across medical disciplines such as orthopedics, dermatology, hospital medicine, and hospice care. Services are accessed through the clinician network, with care coordinated across providers to improve quality and patient outcomes while managing costs. Revenue comes from patient services, and any surplus is reinvested into facilities, technology, and patient care rather than distributed to shareholders. Its hospital-and-clinic network is governed by a community-based Board of Directors, emphasizing rural, community-focused health services. The goal is to make healthcare more accessible and effective for the communities it serves, balancing high-quality care with responsible cost management.
Company Size
1,001-5,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Rapid City, South Dakota
Founded
1973
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Simplify's Take
What believers are saying
- June 10, 2026 opened a new Rapid City emergency campus, expanding corridor access.
- July 2026 Gillette clinic takeover prevents service loss and broadens eastern Wyoming revenue.
- July 2026 children's expansion and March 2026 Spearfish upgrades deepen pediatrics and inpatient capacity.
What critics are saying
- Sanford Health's 168-bed Rapid City campus begins construction in 2027, attacking Monument's core market.
- CEO Paulette Davidson warned Sanford's expansion could strip $40 million annually by 2025.
- Monument still faces a 300-nurse shortage; persistent vacancies threaten service quality and growth.
What makes Monument Health unique
- Mayo Clinic Care Network access gives Monument Health specialist credibility without Sioux Falls dependence.
- The Rapid City Medical Center acquisition adds outpatient depth and physician density in 2026.
- Local nursing pipelines with BHSU, SDSU, and DWU reduce recruiting dependence over time.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
401(k) Retirement Plan
Paid Time Off Accrual Bank
Flexible Work Hours
Tuition assistance/reimbursement
Company News
Monument Health breaks ground on Children's Expansion at Rapid City Hospital. July 23, 2026 RAPID CITY, S.D. (July 23, 2026) - Monument Health broke ground today on the Children's Hospital Expansion at Monument Health Rapid City Hospital, marking the start of construction on a $48 million project that will transform care for mothers, babies and children across western South Dakota and eastern Wyoming. The 63,000 square foot addition will include 19 Labor, Delivery, Recovery and Postpartum (LDRP). The LDRP model allows a family to remain in one room throughout labor, delivery, recovery and postpartum care rather than moving between units, supporting continuity of care and a more comfortable experience for new families. The Neonatal Intensive Care Unit will move from an open bay environment to 25 private and semi private rooms, made up of 17 private rooms and four twin bays. The change gives families more privacy and a better healing environment during what is often an extended and difficult stay. "This expansion has been years in the making, and it reflects a promise Monument Health made to the families of western South Dakota and eastern Wyoming," said Paulette Davidson, President and CEO of Monument Health. "As our region grows, so does the need for specialized care for our smallest and most vulnerable patients. This is Monument Health investing in the future of our communities." As labor and delivery and NICU services move into the new space, Monument Health will backfill and expand pediatric services within the existing Children's footprint. Areas that will benefit from the additional space include the Pediatric Intensive Care Unit, inpatient pediatrics, outpatient pediatric laboratory services, pediatric sedation services, pediatric chemotherapy and infusion services and retinopathy of prematurity exams. Monument Health Foundation began raising funds for the Children's Expansion in 2022 and has worked steadily with donors and community members to build support for the project. The generosity of donors and community members carried the Foundation to its full fundraising goal of $7.1 million for the project. Construction is expected to run from August 2026 through February 2028. About Monument Health Headquartered in Rapid City, S.D., Monument Health is a community-based health care system with a mission to make a difference, every day. The system offers care in 31 medical specialties and serves 14 communities across western South Dakota and in eastern Wyoming. With over 6,300 physicians and caregivers, Monument Health is composed of 5 hospitals and more than 40 medical clinics and specialty centers. Monument Health is a member of the Mayo Clinic Care Network.
Monument Health expands operations in Gillette. July 1, 2026 RAPID CITY, S.D. (July 1, 2026) - Monument Health today announced it will lease the Gillette, Wyo., clinic and equipment formerly home to Hoskinson Health & Wellness Clinic, operating a multi-specialty clinic and employing providers and staff. The announcement follows Hoskinson's decision to cease operations. Monument Health and the Hoskinson team are working together to minimize any disruption to patient care as the transition progresses. "From the beginning, our goal was to bring Mayo Clinic-level care to the people of Gillette. This transition to a Mayo Clinic Care Network member means that vision is now a reality. We are grateful to Monument Health for stepping in and making sure this community continues to have access to the care it deserves," said the Hoskinson Family. As a member of the Mayo Clinic Care Network, Monument Health providers have direct access to Mayo Clinic expertise and resources, a connection that now extends to the Gillette community. A finalized list of providers will be shared as transition details are confirmed. Patients are encouraged to continue scheduling appointments as normal. "The people of Gillette deserve access to high-quality care close to home, and that is exactly what this clinic has provided," said Paulette Davidson, President and CEO of Monument Health. "We are proud to expand our presence into eastern Wyoming and committed to making sure these patients continue to have a place to go for the care they need." The clinic is staffed by 15 physicians and a full support team and operates from a state-of-the-art facility, now part of Monument Health's regional system spanning 31 specialties, 5 hospitals and more than 40 clinics and specialty centers across western South Dakota and eastern Wyoming. An official opening date will be shared as details are finalized. About Monument Health Headquartered in Rapid City, S.D., Monument Health is a community-based health care system with a mission to make a difference, every day. The system offers care in 31 medical specialties and serves 14 communities across western South Dakota and eastern Wyoming. With more than 6,300 physicians and caregivers, Monument Health is composed of 5 hospitals and more than 40 medical clinics and specialty centers. Monument Health is a member of the Mayo Clinic Care Network. About Hoskinson Health & Wellness Clinic Hoskinson Health & Wellness Clinic is a full-service primary care and wellness clinic in Gillette, Wyoming, founded by the Hoskinson family with a commitment to bringing advanced, preventive care to the region. The clinic pairs evidence-based medicine with a patient-centered approach, emphasizing trust, collaboration and the belief that patients who are active partners in their health achieve better outcomes. Hoskinson Health offers primary care, healing therapy and wellness services to Gillette and the surrounding communities.
Monument Health named Partner of the Year by Wellvana at inaugural CARE Awards. June 25, 2026 RAPID CITY, S.D., June 2026 - Monument Health has been named Partner of the Year in the Community Hospital segment at Wellvana's 11th annual Accountable Care Symposium, held last month in Denver, Colorado. The recognition came as part of the inaugural CARE Awards, which stand for Champions of Accountability, Results and Excellence and replace Wellvana's longtime Pioneer Awards. Monument Health is a member of Wellvana's Accountable Care Organization, a national network of health systems, community hospitals and independent practices working to improve patient outcomes and reduce unnecessary costs through the Medicare Shared Savings Program. Wellvana serves approximately one million Medicare patients across 40 states and collectively saved Medicare $327 million in 2024. Award candidates were evaluated on some of the most demanding markers of value-based care performance, including readmission rates, avoidable emergency department visits, wellness visit completion, clinical documentation accuracy and shared savings. Monument Health ranked among the top performers across Wellvana's entire national network regardless of geography or resources. Among the metrics that earned Monument Health this recognition: an avoidable emergency department visit rate of 177.4 per 1,000, reflecting strong primary care access and care coordination that keeps vulnerable populations connected to the right care in the right setting. Monument Health also launched a Next Day ED Follow-Up Program that produced measurable, sustained reductions in ED utilization, driven by workflow redesign, team training and community partnerships. Wellvana's CEO Susan Diamond noted that the organizations being honored have spent years building real systems, real workflows and real cultures committed to better patient outcomes. The CARE Awards signal a shift in how Wellvana views its partner network: no longer trailblazers exploring uncharted territory, but proven standard-bearers demonstrating what accountable care looks like when executed with discipline and commitment to patients. About Monument Health Monument Health is a community-based health system headquartered in Rapid City, South Dakota, serving 14 communities across western South Dakota and eastern Wyoming. Monument Health includes 5 hospitals, more than 40 clinics and specialty centers, and more than 6,300 physicians and caregivers across 31 specialties. Monument Health is a member of the Mayo Clinic Care Network.
Monument Health announces executive leadership appointments. June 5, 2026 Rapid City, S.D. (June 5, 2026) - Monument Health announces two appointments to its Executive Leadership Team, effective Monday, June 8, 2026. Paula McInerney-Hall has been promoted to General Counsel for Monument Health. She most recently served as Associate General Counsel and has been with the organization for almost two and a half decades. Throughout her 24 years of service, Paula has demonstrated an unwavering commitment to Monument Health's mission, navigating complex legal landscapes with exceptional expertise, integrity, and deep institutional knowledge. Her leadership has been instrumental in protecting the organization and supporting its growth as a regional health care leader. As General Counsel, Paula will serve as chief legal advisor for Monument Health and will join the Executive Leadership Team. In this role, she will provide executive leadership and direction across all corporate legal matters; advise on complex transactional matters, regulatory compliance, and governance; and partner with executive leaders to integrate sound legal frameworks into the organization's overarching strategy. "Monument Health has been my professional home for nearly a quarter of a century, and the organization's mission and people are part of who I am," said Paula. "I am honored to take on this expanded role and look forward to partnering with my colleagues on the Executive Leadership Team to continue making a difference for the families, friends and neighbors we serve every day." Ross McKie has been named Vice President, Philanthropy for Monument Health. McKie has served on Monument Health's System Board and Rapid City Hospital Board since 2012, including terms as both Board Chair and Vice Chair, and chaired the organization's Corporate Responsibility Committee for nearly a decade. A University of South Dakota business graduate, he has owned several Rapid City businesses and is a founding director of Black Hills Community Bank, where he has held leadership roles since 2007. His broader civic leadership includes service with the Children's Home Society, the Performing Arts Center of Rapid City, and as an honorary commander at Ellsworth Air Force Base. McKie had recently entered retirement before agreeing to lead the Foundation. As Vice President, McKie will serve as the executive leader of the Foundation and join the Executive Leadership Team, guiding the Foundation's major gifts, signature events, Annual Giving, Children's Miracle Network, the WeCare caregiver giving program, and clinical engagement. Philanthropic support at Monument Health makes possible the care, programs, and moments of compassion that go beyond what reimbursement covers - bringing advanced care closer to home for families across the Black Hills, supporting children's care through Children's Miracle Network, comforting patients and their families through Northern Hills Hospice, and standing alongside caregivers in times of need through WeCare. "Being involved with Monument Health, its leadership, and its caregivers has been one of the most meaningful experiences of my life," said Ross. "Having the opportunity to continue to serve in this new role is both an honor and an exciting challenge. I came out of retirement because I believe deeply in the mission of Monument Health and the difference philanthropy can make. We will earn trust, build relationships, and create the philanthropic support needed to strengthen Monument Health for generations to come." "I am incredibly pleased to welcome Paula and Ross into these expanded leadership roles," said Paulette Davidson, President and CEO of Monument Health. "Paula's 24 years of dedicated service and exceptional legal expertise, paired with Ross' decades of governance experience and deep commitment to our community, strengthen our Executive Leadership Team and Monument Health's ability to serve our patients, families and caregivers for years." About Monument Health Monument Health is a community-based health system headquartered in Rapid City, South Dakota. With five hospitals, more than 40 clinics and specialty centers, and more than 6,300 physicians and caregivers across 31 specialties, Monument Health serves 14 communities across western South Dakota and eastern Wyoming. Monument Health is a member of the Mayo Clinic Care Network.
Monument Health investment delivers first full year of graduates from West River Health Science Center. June 1, 2026 RAPID CITY, S.D. (June 1, 2026) - In its first full year of operation, the West River Health Science Center, a nursing pathway partnership between Black Hills State University and South Dakota State University, graduated 122 registered nurses across two classes. This milestone was made possible in part by Monument Health's $2 million investment to expand the facility in 2022. Sixty-two of those graduates have committed to joining Monument Health. Across four regional nursing programs this academic year, 195 new nurses are entering the workforce, and at least 87 have committed to Monument Health. That group spans South Dakota State University, Dakota Wesleyan University, and Western Dakota Tech, representing both registered nurses and licensed practical nurses. DWU's placement numbers are still growing as that class moves toward its official August graduation and July pinning ceremony. The DWU connection runs deeper than a partnership on paper. Their Rapid City nursing program is housed in Monument Health's Turbine Building, the same location where high school CNA students completed their skills review this spring. "Western South Dakota has a real and persistent need for nurses, and these partnerships are how we meet it," said Trina Allen, Vice President of Human Resources at Monument Health. "By the time many of these graduates accept an offer, they have had a financial relationship with us for two or three years. We've built this pipeline intentionally, and this year is proof it's working." Scholarship programs have been central to that strategy. Thirty-two students across SDSU and DWU received Monument Health nursing scholarships this academic year, and 21 WDT graduates were Build Dakota Scholarship recipients, a designation that carries a commitment to work in South Dakota. The workforce pipeline extends all the way to high school. This school year, roughly 80 students from Central High School, Spearfish High School, Rapid City Christian, and Custer High School enrolled in Monument Health's CNA Pathway. Sixty-two tested for certification this spring, and 44 passed on their first attempt, a first-time pass rate more than 10 percent higher than last year. Every student who did not pass has already signed up to try again. Placing student CNAs requires scheduling flexibility that has not always been fully available. Monument Health is addressing that through its new Career Development and Planning Center, which will include a student float pool designed to accommodate school schedules across the system. Across every level of education, from high school certification to four-year nursing degrees, the region's health care workforce is growing. About Monument Health Monument Health is a community-based health system headquartered in Rapid City, South Dakota. The organization serves 14 communities across western South Dakota and eastern Wyoming through five hospitals, more than 40 clinics and specialty centers, and 31 specialties. Monument Health's team of more than 6,300 physicians and caregivers is dedicated to making a difference in the lives of those they serve. Monument Health is a member of the Mayo Clinic Care Network.