PermanentPosted today
Assistant Supervisory Nurse (Specialty Clinic)
Indian Health Service · Pine Ridge, SD
$98k–$128k/ year
New this week
Healthcare jobs in South Dakota
545 open roles with published pay from 7 employers in South Dakota, the pay each profession gets here, the hospitals, the license rules and the tax picture, in one place.
- Compact stateNurse Licensure Compact
- NoneState income tax on wages
- Central / MountainTime zone
- 61hospitals in the CMS directory
- 545roles with published pay
- $36median pay per hour
- $24–$48typical published range
- 7employers hiring
RN postings in South Dakota carry a median of $39.38 per hour (about $81,910 a year), −18% against the US posted median of $47.81. That is #36 of 41 states with at least 10 RN postings.
CMS lists 61 hospitals in South Dakota across 52 cities, 59 of them acute care, critical access or children's hospitals. 13 of the 18 rated hospitals have 4 or 5 stars.
South Dakota is in the Nurse Licensure Compact and has no tax on wage income. Central / Mountain time.
What healthcare pays in South Dakota
Pay by profession for South Dakota, with the source behind every figure.
| Profession | Typical range / hr | Median / hr | Per year | vs US | Based on |
|---|---|---|---|---|---|
| Registered Nurse | $30–$48 | $39.38 | $81,910 | −18% | 222 postings |
| Licensed Practical Nurse | $22–$48 | $31.88 | $66,310 | +1% | 96 postings |
| Certified Nursing Assistant | $18–$26 | $22.88 | $47,590 | +0% | 56 postings |
| Medical Assistant | $20–$41 | $24.59 | $51,147 | −5% | 34 postings |
| Radiologic Technologist | $27–$40 | $33.38 | $69,430 | −15% | 17 postings |
| Surgical Technologist | $26–$38 | $31.75 | $66,040 | −15% | 10 postings |
| Diagnostic Medical Sonographer | $31–$51 | $40.19 | $83,595 | −15% | 10 postings |
| Clinical Social Worker | $29–$44 | $36.62 | $76,170 | −15% | 10 postings |
| Occupational Therapist | $34–$51 | $42.62 | $88,650 | −12% | 9 postings |
| Physical Therapist | $35–$59 | $46.25 | $96,200 | −6% | 8 postings |
| MRI Technologist | $32–$51 | $41.06 | $85,415 | −14% | 8 postings |
| Registered Dietitian | $28–$42 | $35 | $72,800 | −8% | 8 postings |
| Speech-Language Pathologist | $32–$51 | $40.38 | $83,990 | −18% | 6 postings |
| Pharmacy Technician | $19–$28 | $23.81 | $49,525 | −10% | 6 postings |
| CT Technologist | $29–$46 | $37.75 | $78,520 | −20% | 5 postings |
| Respiratory Therapist | $28–$44 | $36.62 | $76,170 | −12% | 5 postings |
| Nuclear Medicine Technologist | $36–$54 | $44.62 | $92,810 | −10% | 5 postings |
| Medical Laboratory Scientist | $24–$45 | $34 | $70,720 | −14% | 4 postings |
| Medical Coder | $25–$42 | $31.75 | $66,040 | +1% | 3 postings |
| Nurse Manager & Leadership | $39–$64 | $54.32 | $112,986 | −9% | 3 postings |
Postings: the range employers published, collected October 15, 2026. The range shown is the typical span, from the 25th to the 75th percentile. The comparison column is against the national figure measured the same way. Annual pay is hourly pay times 2,080 hours. Employer-by-employer tables and month-by-month history arrive with your Shift Report.
Hiring now in South Dakota
545 roles with published pay (466 permanent, 79 per diem). 313 were posted in the last 30 days.
PermanentPosted today
RN | Emergency Department
Monument Health · Rapid City, SD
$35.00–$43.75/ hour
New this week
For youUpdated weekly
590+ more healthcare roles for you in South Dakota
Most are never shown on this page. Tell us your role and get the full list, with the pay on every one, in your inbox within 24 hours.
- Free
- No card
- Email only, no calls
PermanentPosted today
Licensed Practical Nurse- Primary Care
Veterans Health Administration · Rapid City, SD
$48k–$88k/ year
New this week
PermanentPosted today
Pharmacy Technician - Outpatient
Veterans Health Administration · Hot Springs, SD
$58k–$75k/ year
Top 25% payNew this week
PermanentPosted today
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Comprehensive Breast Clinic
Avera Health · Sioux Falls, SD
$20.00–$41.25/ hour
Top 25% payNew this week
PermanentPosted yesterday
Dietitian | Pediatric Specialty Clinic
Avera Health · Sioux Falls, SD
$28.00–$42.00/ hour
Top 25% payNew this week
PermanentPosted today
RN | 10th St Urgent Care
Monument Health · Spearfish, SD
$32.00–$40.00/ hour
New this week
PermanentPosted today
Registered Nurse (RN) | Adult Psychiatry Clinic
Avera Health · Sioux Falls, SD
$27.75–$41.25/ hour
New this week
PermanentPosted today
Registered Nurse (RN) | Podiatry Clinic
Avera Health · Yankton, SD
$27.75–$41.25/ hour
New this week
PermanentPosted today
Pharmacy Technician-In-Training Apprenticeship
Avera Health · Sioux Falls, SD
$19.25–$26.75/ hour
New this week
PermanentPosted yesterday
Registered Nurse - Emergency Department
Veterans Health Administration · Fort Meade, SD
$72k–$135k/ year
Top 25% payNew this week
PermanentPosted yesterday
Endovascular RN | Cath Lab
Monument Health · Rapid City, SD
$40.20–$49.00/ hour
Top 25% payNew this week
Browse South Dakota jobs by profession
- Registered Nurse222
- Licensed Practical Nurse96
- Certified Nursing Assistant56
- Radiologic Technologist17
- CT Technologist5
- Respiratory Therapist5
- Surgical Technologist10
- Physical Therapist8
- Occupational Therapist9
- Speech-Language Pathologist6
- Medical Coder3
- Pharmacy Technician6
- Medical Laboratory Scientist4
- MRI Technologist8
- Diagnostic Medical Sonographer10
- Nuclear Medicine Technologist5
- Nurse Manager & Leadership3
- Registered Dietitian8
- Clinical Social Worker10
- Medical Assistant34
Who is hiring in South Dakota
Employers with the most roles carrying published pay.
| Employer | Roles | Median pay / hr | Most hired |
|---|---|---|---|
| Avera Health | 400 | $35 | RN (134), LPN / LVN (71) |
| Monument Health | 118 | $36 | RN (82), LPN / LVN (22) |
| Veterans Health Administration | 13 | $44.91 | RN (3), Pharmacist (2) |
| Indian Health Service | 5 | $54.32 | Nurse Leader (2), RN (2) |
| Aspen Dental | 5 | $29.50 | Office Manager (2), Dentist (2) |
| Acadia Healthcare | 3 | $30 | LPN / LVN (2), RN (1) |
| Air National Guard Units | 1 | $49.49 | Social Worker (1) |
Employers reporting wage offers in South Dakota
| Employer | Wage offers | Median / hr | Professions |
|---|---|---|---|
| Sanford Health | 8 | $32.30 | Lab Scientist (8) |
| Sanford | 6 | $32.81 | Lab Scientist (5), RN (1) |
| Monument Health Rapid City Hospital, Inc. | 5 | $40.22 | RN (4), Lab Scientist (1) |
| Avant Healthcare Professionals, LLC. | 1 | $33 | RN (1) |
| Avera McKennan | 1 | $62.56 | Pharmacist (1) |
| Mercy Health Services | 1 | $32.18 | Lab Scientist (1) |
| SD Dental PC | 1 | $93.75 | Dentist (1) |
Employer-reported wage offers in PERM and LCA filings with the U.S. Department of Labor, decided July 2025 – June 2026. These are wage offers, not job postings, and staffing firms appear alongside hospitals.
Cities in South Dakota
| City | Roles | Median pay / hr | Most hired |
|---|---|---|---|
| Sioux Falls | 191 | $36.50 | RN |
| Rapid City | 100 | $33.30 | RN |
| Aberdeen | 51 | $36.50 | RN |
| Yankton | 45 | $36.50 | RN |
| Pierre | 35 | $36.62 | CNA |
| Mitchell | 26 | $33.12 | RN |
| Milbank | 11 | $38.62 | RN |
| Gregory | 10 | $32.63 | CNA |
| Parkston | 10 | $29.69 | CNA |
| Spearfish | 8 | $39.38 | RN |
| Gettysburg | 8 | $32.88 | LPN / LVN |
| Sturgis | 5 | $36 | RN |
| Hot Springs | 4 | $28.23 | Pharm Tech |
| Fort Meade | 4 | $49.58 | RN |
| Custer | 4 | $34.65 | RN |
City guides
Pay by city
Hospitals in South Dakota
How South Dakota's hospital market is built.
- 61hospitals listed by CMS
- 54with emergency services
- 11Birthing-Friendly designated
- 13rated 4 or 5 stars
By type
- Critical access: 39
- Acute care: 19
- Other: 1
- Children's: 1
- Psychiatric: 1
By ownership
- Nonprofit: 45
- Government and federal: 11
- For-profit: 5
Where the hospitals are
| City | Hospitals | Rated 4+ stars |
|---|---|---|
| Sioux Falls | 6 | 4 |
| Rapid City | 3 | 0 |
| Yankton | 2 | 0 |
| Aberdeen | 2 | 2 |
| Watertown | 1 | 0 |
| Brookings | 1 | 1 |
| Pierre | 1 | 0 |
| Fort Meade | 1 | 1 |
Highest-rated hospitals
- Avera Heart Hospital Of South Dakota, Sioux Falls · 5 of 5 stars
- Avera St Benedict Health Center - Cah, Parkston · 5 of 5 stars
- Sanford Usd Medical Center, Sioux Falls · 5 of 5 stars
- Sioux Falls Va Medical Center, Sioux Falls · 5 of 5 stars
- Va Black Hills Healthcare System, Fort Meade · 5 of 5 stars
- Avera Mckennan Hospital & University Health Center, Sioux Falls · 4 of 5 stars
- Avera Queen Of Peace, Mitchell · 4 of 5 stars
- Avera St Lukes, Aberdeen · 4 of 5 stars
- Brookings Health System, Brookings · 4 of 5 stars
- Community Memorial Hospital, Redfield · 4 of 5 stars
Hospitals in South Dakota with open jobs nearby
Source: CMS Hospital General Information, public data. This is a directory of hospitals, not a list of our clients. Star ratings are the CMS overall rating and cover acute care, critical access and children's hospitals that are rated.
Licensing in South Dakota
What the compact means here
South Dakota is part of the Nurse Licensure Compact (NLC). A registered nurse or LPN/LVN whose primary state of residence is a compact state can hold one multistate license and practice in South Dakota without applying again. You still follow the nurse practice act of South Dakota, the state where the patient is.
If you are joining from another state
- Confirm that your home state is a compact state and that your license is multistate. Check the status on the license verification at Nursys or with your board.
- If you live in another compact state, you can start work in South Dakota on your multistate license. Your recruiter confirms the facility requirements before you accept.
- If you move your primary state of residence to South Dakota, you apply for a South Dakota license as your new home state. Ask the South Dakota board how long you may keep practicing on the old license while it processes.
- If your home state is not in the compact, apply for a South Dakota license by endorsement. Start before you accept a start date, because verification and background checks take time.
Other healthcare professions
Allied health, pharmacy, therapy, laboratory and imaging licenses and certifications are issued state by state and are not covered by the nurse compact. Some states accept national certification, others require their own license. Ask your recruiter which credential South Dakota requires for your role before you commit to dates.
Compact status changes as states implement the law. This reflects our records as of October 15, 2026. Confirm eligibility with the South Dakota board of nursing or at nursecompact.org before you accept a role. Nurse Licensure Compact guide · Compact license map · Our agency licenses
Taxes and take-home pay in South Dakota
South Dakota does not tax wage income at the state level. Federal income tax, Social Security and Medicare still apply, so your take-home pay is higher than the same gross pay in a state that taxes wages. Travel assignments add a second question, your tax home, which decides whether housing and meals stipends are tax-free. Run your own numbers in the take-home pay calculator and the travel nurse pay calculator.
Working with Valorem Health in South Dakota
Email only, pay up front, and no cold calls.
- 1Tell us what and where
Your profession and a city in South Dakota. It takes a minute.
- 2Get your Shift Report
An email within 24 hours on business days, with pay at named employers and the roles open now.
- 3Reply to what fits
One click on a role. Nothing is submitted without your written OK.
- 4One recruiter, start to finish
The same person from the first email to the first shift. They write only after you reply.
Your recruiter in South Dakota
- Kayla Robinson, Recruiter, Travel Nursing
Neighboring states
Where a nurse working near the South Dakota line might also look.
Common questions
Is South Dakota a compact nursing state?
South Dakota is part of the Nurse Licensure Compact (NLC). A registered nurse or LPN/LVN whose primary state of residence is a compact state can hold one multistate license and practice in South Dakota without applying again. You still follow the nurse practice act of South Dakota, the state where the patient is. Check your own eligibility with your state board of nursing or at nursecompact.org.
How do I get a nursing license in South Dakota?
If you live in another compact state, your multistate license already lets you work here. Otherwise apply to the South Dakota board of nursing by endorsement: verify your licenses, complete the background check and plan on several weeks.
Does South Dakota tax wages?
No. South Dakota has no state income tax on wages. Federal income tax, Social Security and Medicare still apply.
How much do RNs make in South Dakota?
The median RN pay is $39.38 per hour, about $81,910 a year, based on 222 RN postings with published pay. The typical range runs from $30 to $48 per hour.
How many hospitals are in South Dakota?
CMS lists 61 hospitals in South Dakota, 59 of them acute care, critical access or children's hospitals. Hospital facts on our pages come from the CMS Hospital General Information file.
Who is hiring in South Dakota?
7 employers published roles with pay in South Dakota, led by Avera Health with 400. The list above shows the employers with the most roles.
Does Valorem Health place healthcare staff in South Dakota?
Yes. We place nurses, allied health professionals and hospital office staff in all 50 states and DC, including South Dakota. Your recruiter contacts you by email only, and only after you ask.
What does it cost me?
Nothing. Candidates never pay, because employers pay us. Your Shift Report is free and so is the recruiter who sends it.
Free for every candidate
What do RNs get paid in South Dakota? Get the report.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
Get your free pay report
310+ Registered Nurse roles in South Dakota, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your RN pay reportSouth Dakota · pay published by employers and employer-reported wage offers in federal filings
1Pay for your role at other employers
- Indian Health ServiceLower Brule, SD · 2 postings$54.32/ hr$47–$61
- Veterans Health AdministrationFort Meade, SD · 3 postings$49.58/ hr$32–$65
- Monument Health Rapid City Hospital, Inc.Rapid City, SD · 4 wage offers$40.98/ hr$36–$50
- Avera HealthSioux Falls, SD · 134 postings$40.50/ hr$28–$60
Median pay per hour, with the range each employer published or reported in federal filings.
2What they are offering now
Low$30Median$39.38High$48
222 RN postings with published pay in South Dakota, 151 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 222 RN roles
- RN | Emergency DepartmentPermanent$35.00–$43.75/ hour
- RN | 10th St Urgent CarePermanent$32.00–$40.00/ hour
+ 220 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.