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Arial; mso-bidi-theme-font:minor-bidi; mso-font-kerning:1.0pt; mso-ligatures:standardcontextual;} Join a highly skilled orthopedic trauma team providing advanced care at a busy regional trauma center serving western South Dakota and the surrounding region. This is an exciting opportunity for a Nurse Practitioner or Physician Assistant to practice in a high-acuity, fast-paced environment focused exclusively on orthopedic trauma and emergency care. You'll work alongside experienced orthopedic trauma surgeons while gaining meaningful operative, inpatient, emergency department, and clinic experience. Position Highlights Full-time Orthopedic Trauma APP position Trauma and emergency-based practice with no elective responsibilities Work closely with an experienced multidisciplinary orthopedic trauma team First assist opportunities in the operating room Participate in a dedicated orthopedic trauma follow-up clinic Excellent work-life balance with a predictable annual schedule Schedule 164 twelve-hour shifts annually 24/7 team coverage Typical shifts: 6:30 AM - 6:30 PM 6:30 PM - 6:30 AM Responsibilities Evaluate and manage orthopedic trauma patients in the emergency department and inpatient setting. Round daily on hospitalized orthopedic trauma patients. First assist orthopedic trauma surgeons during operative procedures. Provide fracture management, splinting, casting, wound care, postoperative management, and other procedures within scope of practice. Participate in a dedicated orthopedic trauma follow-up clinic. Coordinate care with trauma surgery, emergency medicine, nursing, rehabilitation, and case management teams. Educate patients and families on treatment plans, recovery expectations, and injury prevention. Maintain accurate and timely clinical documentation. Cases You'll See Pelvic and acetabular fractures Upper and lower extremity fractures Bread-and-butter hand injuries Routine pediatric fractures Additional orthopedic trauma and emergency cases requiring surgical and inpatient management Qualifications Graduate of an accredited Nurse Practitioner or Physician Assistant program. Current or eligible South Dakota NP or PA license. National certification as an NP or NCCPA certification for PAs. Orthopedic trauma, orthopedic surgery, emergency medicine, or surgical experience preferred but not required. New graduates with a strong interest in orthopedic trauma are encouraged to apply. Strong clinical judgment, communication skills, and a commitment to patient-centered care. Benefits Competitive compensation Comprehensive medical, dental, and vision insurance Annual CME stipend Paid malpractice insurance with tail coverage