Full-Time
RN – Inpatient Cardiac Unit
Posted on 2/21/2026
Monument Health
1,001-5,000 employees
Integrated non-profit health system with hospitals
Compensation Overview
$34 - $42.50/hr
Company Does Not Provide H1B Sponsorship
Rapid City, SD, USA
In Person
 Medical, Clinical & Veterinary (1) |
|---|
- 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
- Certifications - Registered Nurse (RN) - South Dakota Board of Nursing
- Physical Requirements - Very Heavy work - exerting over 25 pounds of force constantly (67-100% of the time) and/or more than 50 pounds frequently (34-66% of the time) and/or more than 100 pounds of force occasionally (up to 33% of the time) and/or more than 100 pounds of force seldomly to move objects
- Physical Requirements - Requires the ability to work designated shift lengths (including 8 and 12 hours), which may include night shifts or occasional irregular hours
- Preferred - Experience - 5+ years of Registered Nurse experience
- Preferred - Education - Bachelor of Science in Nursing
- Utilizes the ANA Nursing Process (2010) to perform the following functions: 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 and ensures patient progression along the 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 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
Simplify's Take
What believers are saying
- DOD SkillBridge partnership attracts military talent like John Karel through December 2025.
- Added 31 physicians across 15 specialties July-October 2025, including Dr. Enos.
- Leased cinema property to Doug Markworth, preserving Spearfish community asset.
What critics are saying
- Regional Health captures high-acuity patients, eroding Pennington County market share.
- Rural stabilization fund excludes Custer Hospital, forcing service cuts in 6-12 months.
- Construction delays overrun Spearfish Phase Two $80M budget by 30% in 12-18 months.
What makes Monument Health unique
- Monument Health operates clinically integrated non-profit network across Western South Dakota.
- Spearfish Hospital expansion adds 19 inpatient rooms and ICU completed March 2026.
- Mayo Clinic Care Network membership enhances specialized care access in 31 specialties.
Help us improve and share your feedback! Did you find this helpful?
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 Spearfish Hospital recognized by Chartis as a Top 100 Rural & Community hospital. March 24, 2026 Spearfish, S.D. (March 24, 2026) - Monument Health Spearfish Hospital announced it has been named among the 2026 Top 100 Rural & Community Hospitals by The Chartis Center for Rural Health. Chartis' annual Top 100 award program honors outstanding performance among the nation's rural hospitals based on the results of the Chartis Rural Hospital Performance INDEX(R). "It's an honor and a privilege for our teams to serve the community," said Thomas Worsley, Spearfish Market President. "As we have worked diligently to provide great care, particularly in the midst of a transformational campus construction project, it's a great honor to be recognized amongst these other fine hospitals." "The delivery of care within rural communities is more complex today than at any point in recent memory. This year's Top 100 Critical Access Hospitals and Top 100 Rural & Community Hospitals have emerged as true leaders - committed to their mission through a powerful combination of resilience, dedication, and innovation," said Michael Topchik, Executive Director of The Chartis Center for Rural Health. "We're delighted to recognize this year's winners and celebrate their Top 100 status." Now in its 16th year, the INDEX is the industry's most comprehensive and objective assessment of rural hospital performance. Leveraging a methodology that utilizes publicly available data, the INDEX is used nationwide by rural hospitals, health systems with rural affiliates, hospital associations, and state offices of rural health to measure and monitor performance across a variety of areas impacting hospital operations, quality, patient perspective, and finance. 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 5,600 physicians and caregivers, Monument Health is composed of 5 hospitals and 40 medical clinics and specialty centers. Monument Health is a member of the Mayo Clinic Care Network. About Chartis The challenges facing US healthcare are longstanding and all too familiar. Monument Health is Chartis, and Monument Health believe in better. Monument Health work with more than 900 clients annually to develop and activate transformative strategies, operating models, and organizational enterprises that make US healthcare more affordable, accessible, safe, and human. With more than 1,350 professionals, Monument Health help providers, payers, technology innovators, retail companies, and investors create and embrace solutions that tangibly and materially reshape healthcare for the better. Its family of brands - Chartis, Jarrard, Greeley, and HealthScape Advisors - is 100% focused on healthcare and each has a longstanding commitment to helping transform healthcare in big and small ways. Learn more.
First Spearfish Hospital Expansion phase complete. March 24, 2026 Phase One construction of the Spearfish Hospital Expansion is complete and Monument Health began caring for patients in its newly opened facility this month. This milestone has long been in the works, requiring the coordination and cooperation of internal and external stakeholders, construction companies, city officials and, especially, Spearfish Caregivers and community members. Seeing it come to life has been incredibly exciting for its entire organization. The addition to Spearfish Hospital includes 19 inpatient rooms, 15 of which are designated for medical surgical care and four for the ICU. The space is lighter, brighter and more modern than what Monument Health had before. Rich blue walls and seafoam green accents create a calm, healing atmosphere with artwork to match. Centrally located nurse stations allow Caregivers to keep a close eye on the patient rooms. Private rooms with individual bathrooms are a meaningful upgrade, both for patient comfort and for safety. On the main floor, 22 Surgery Pre/Post rooms offer flexible bed spaces for patients checking in for surgery, recovering immediately after a procedure, or awaiting discharge or transfer. These rooms are filled with natural light and furnished to feel as welcoming and comfortable as possible. The basement level is home to a brand-new, much larger cafeteria that will serve Caregivers, guests and patients. Caregivers will also enjoy a new Starbucks machine, a small but welcome addition. Phase Two will bring a new surgical wing, with construction expected to take around 14 months. Once that is complete, the final phase will transform the existing surgical wing into a modernized Emergency Department, nearly doubling capacity from 7 to 13 beds. Monument Health is proud of the progress and grateful to the many people who helped bring Phase One across the finish line. There will be more updates as this $80 million project continues to transform health care in the Northern Hills communities and across its organization. Story by Kory Lanphear
Monument Health among nation's top performing hospitals, 14 years in a row for treatment of heart attack patients. March 18, 2026 Rapid City, S.D., (March 18, 2026) - Monument Health Rapid City Hospital has received the American College of Cardiology's NCDR Chest Pain ̶ MI Registry Platinum Performance Achievement Award for 2025, marking 14 consecutive years receiving the honor. Rapid City Hospital is one of only 323 hospitals nationwide to receive the honor. This award recognizes Monument Health's unwavering commitment to delivering the highest level of care for patients experiencing heart attacks. It reflects the dedication of the Cardiology team at Rapid City Hospital to meet-and exceed-rigorous national standards for treatment. By consistently providing care that aligns with the clinical guidelines of the American College of Cardiology and the American Heart Association, Rapid City Hospital is helping ensure that its patients receive timely life-saving care they deserve when every second matters. To receive the Chest Pain ̶ MI Registry Platinum Performance Achievement Award, Monument Health Rapid City Hospital has demonstrated sustained achievement in the Chest Pain ̶ MI Registry for two consecutive years (2023 and 2024) and performed at the highest level for specific performance measures. Full participation in the registry engages hospitals in a robust quality improvement process using data to drive improvements in adherence to guideline recommendations and overall quality of care provided to heart attack patients. "It is an honor to award Monument Health Rapid City Hospital with the Platinum Performance Award for their valuable national leadership and dedication to meeting comprehensive performance measures in patient care," said Michael C. Kontos, MD, FACC, chair of the NCDR Chest Pain - MI Registry Steering Subcommittee, and cardiologist at Virginia Commonwealth University Medical Center. "The receipt of this award indicates thatMonument Health remains committed to providing top quality, guideline-driven care for heart attack patients. Their success ensures patients are receiving the highest quality cardiovascular care." The Centers for Disease Control estimates that over 800,000 Americans suffer a heart attack each year. A heart attack occurs when a blood clot in a coronary artery partially or completely blocks blood flow to the heart muscle. Treatment guidelines include administering aspirin upon arrival and discharge, timely restoration of blood flow to the blocked artery, smoking cessation counseling and cardiac rehabilitation, among others. "Earning the American College of Cardiology NCDR chest pain-MI registry platinum performance award for the 14th consecutive year represents an extraordinary milestone for Monument Health. Very few hospitals across the country consistently achieve this level of performance in the treatment of heart attack patients," said Joseph Tuma, M.D., FACC, FSCAI, Interventional Cardiologist. "This recognition is a testament to the dedication, collaboration and expertise of our entire Cardiology care team, who remained deeply committed to continuous quality improvement, patient-centered care and a culture of excellence. We are honored to receive this award and proud of the team whose work makes this achievement possible" Chest Pain ̶ MI Registry empowers health care provider teams to consistently treat heart attack patients according to the most current, science-based guidelines and establishes a national standard for understanding and improving the quality, safety and outcomes of care provided for patients with coronary artery disease, specifically high-risk heart attack patients. The American College of Cardiology (ACC) is the global leader in transforming cardiovascular care and improving heart health for all. As the preeminent source of professional medical education for the entire cardiovascular care team since 1949, ACC credentials cardiovascular professionals in over 140 countries who meet stringent qualifications and leads in the formation of health policy, standards and guidelines. Through its world-renowned family of JACC Journals, NCDR registries, ACC Accreditation Services, global network of Member Sections, CardioSmart patient resources and more, the College is committed to ensuring a world where science, knowledge and innovation optimize patient care and outcomes. Learn more at www.ACC.org or follow @ACCinTouch. 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 5,600 physicians and caregivers, Monument Health is composed of 5 hospitals and 40 medical clinics and specialty centers. Monument Health is a member of the Mayo Clinic Care Network.
Partnering with the DOD SkillBridge program. Through its partnership with Elevate Rapid City, Monument Health is participating in the Department of Defense's SkillBridge Military Transition Program. This federal initiative helps Monument Health attract exceptional talent while supporting military families' transition to civilian careers and community membership. SkillBridge, according to its website, is an opportunity for service members to gain valuable civilian work experience through specific industry training, apprenticeships or internships during the last 180 days of service. DOD SkillBridge connects transitioning service members with industry partners in real-world job experiences. The program addresses its critical need to attract and retain Caregivers across all roles within its health care system. Military professionals bring proven leadership skills, discipline and adaptability that translate exceptionally well to health care environments. Monument Health recently welcomed retired Master Sgt. John Karel, PMP, who brings with him over 20 years of distinguished Air Force experience. Most recently he served as Senior Advisor to the Director of Public Works at Yokota Air Base in Western Tokyo, Japan. There, he led 739 engineers in the Air Force's third-largest Public Works Directorate and guided an $89 million construction project that saves $15 million annually in utility costs. John holds an MBA in Finance and began his four month internship this summer in Fiscal Services with Jennifer Schmaltz, VP Finance and Vince King, Director Financial Services. After two and a half months, John pivoted to work with Dave Ellenbecker, VP Facilities Management and Plant Operations and the Project Management team where he will continue until his SkillBridge stint concludes. "What's truly surprised me is how many parallels I've found between Monument Health and the Air Force," John says. "The transition has felt remarkably seamless, especially since both organizations share similar core values. Monument Health's emphasis on the individual Caregiver reflects the same commitment the military had to taking care of its people. That shared ethos has made this shift not just smooth - but meaningful." SkillBridge interns don't just fill positions - they bring their families to become permanent community members and neighbors. This creates lasting community connections that extend far beyond the workplace, directly supporting its mission to impact its communities. Monument Health provide essential relationships and support during one of life's most significant professional transitions, helping service members understand both the similarities and differences between military and civilian health care careers. "The SkillBridge program has been an invaluable experience," John says. "Monument Health has been fantastic, and I've enjoyed working with every Caregiver. Even if a direct employment opportunity doesn't work out, I'll always look back on this time fondly and appreciate being part of this community." John's SkillBridge internship ends Dec. 12, after which he will seek an employment opportunity at an organization of his choosing.
Monument Health welcomes orthopedic surgeon to Spearfish orthopedics. RAPID CITY, S.D. (Oct. 16, 2025) - Monument Health is pleased to announce the addition of Jake Enos, M.D., to its Orthopedics & Sports Medicine practice in Spearfish. Dr. Enos brings fellowship training in orthopedic sports medicine to the northern Black Hills, enhancing the practice's ability to serve area athletes and active community members. Dr. Enos joins Monument Health's established orthopedics team, which includes Richard Little, M.D., FAAOS, and Scott Franssen, D.O. The team offers comprehensive surgical services utilizing cutting-edge technologies at their East Colorado Boulevard location. The practice provides both orthopedic surgical services and advanced sports medicine care, including athletic training services and strength and conditioning programs for area athletes. "Dr. Enos's expertise in sports medicine perfectly complements our commitment to keeping our communities active and healthy," said Thomas Worsley, Spearfish Hospital President. "His fellowship training means our athletes and active patients have access to the most current techniques in sports injury prevention, treatment, and rehabilitation." Dr. Enos completed his orthopedic sports medicine fellowship at the University of Wisconsin Hospitals & Clinics in Madison, following his orthopedic surgery residency at the University of Kansas Medical Center. He earned his medical degree from the University of Nevada School of Medicine in Reno. The addition of Dr. Enos supports Monument Health's growing orthopedic services in the northern Black Hills region. The practice is positioned for continued expansion, with two additional orthopedic surgeons scheduled to join the team in 2026, further increasing access to specialized musculoskeletal care. In addition to Dr. Enos, Monument Health has welcomed 31 new physicians between July 1 - Oct. 1, 2025. Those 31 new physicians joining Monument Health this quarter represent 15 medical specialties: Cardiothoracic & Vascular Surgery | Colon & Rectal Surgery | Endocrinology | Family Medicine | Gastroenterology | Gynecologic Oncology | Hospital Medicine | Internal Medicine | Neurology | Obstetrics & Gynecology | Orthopedic Surgery | Otolaryngology | Psychiatry | Pulmonary/Critical Care | Sleep Medicine