Avera St. Mary's
Community hospital in Pierre, SD
- $41k–$104k/yr posted pay across 14 roles
- Sign-on bonus up to $100,000 on 11 roles
- Hiring rotating and days
- New grads welcome on 4 roles
From 17 postings and nurse reviews · Employer research Oct 8, 2026Sources
The short version
Nurses posting about this hospital describe clear communication between nurses, staffing ratios that hold up, and a real focus on emergency preparedness.
If you are moving hereSources
As of 2026Source: allnurses.comDoug Ekeren is the Regional President and CEO, so you can see who sits at the top of the chain before you apply.
For experienced nursesSources
The campus is changing shape: in February 2025 the hospital announced it would raze the 1951 School of Nursing building while keeping the South Building and skywalk.
If you are moving hereSources
Who it fits
Best fit
- New grads: 4 of 17 roles welcome new grads
- LPNs and LVNs: 4 of 17 roles accept an LPN or LVN
- Nurse practitioners: 3 of 17 roles are advanced practice roles
Nursing here
Units hiring now
- Family practiceDays 11 open
- ICURotating 11 open
- Med surgRotating 11 open
- ORRotating 11 open
Same Day Surgery PACU
Avera St. Mary's · Pierre, SD
Registered Nurse role operates on Day Shift schedule.
Sources
Avera St. Mary's · Pierre, SDAs of 2026-10
What nurses say
Themes from public reviews
Summaries of published reviews, with the original sources.
- Staffing and emergency focus
- The facility is recognized for effective nursing communication, maintaining solid staffing ratios, and prioritizing emergency preparedness.
Sources
As of 2026Source: allnurses.com
What to ask
- How is base pay set for the role, and which differentials apply?
- When would a sign-on bonus have to be repaid?
- Which shifts are open, and what are the weekend, holiday and call rules?
- How long is orientation, and will I have one preceptor?
- What is the usual patient load, and how often do nurses float?
Living in Pierre, SD
Pierre, South Dakota's capital, sits along the Missouri River with a quiet, small-town feel despite its governmental role. Wide prairie skies and easy access to outdoor recreation define daily life. Nurses who prefer tight-knit communities and open space over urban bustle will find a welcoming, unhurried pace.
Browse roles in Pierre- State price level · South Dakota
- 11% below the national average
- State index 88.6 (100 = national)
- Median gross rent
- $983/mo
- rent and tenant-paid utilities
- Median household income
- $77,672/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Common questions
Does Avera St. Mary's hire new grads?
4 of 17 roles welcome new grads.
Is there a sign-on bonus?
Yes, on 11 of 17 roles, up to $100,000.
Which shifts are open?
Of the 15 roles with a stated shift, 9 are rotating shifts, 5 are day shifts and 1 is an evening shift.
Which units are hiring?
Family practice (1), ICU (1), med surg (1) and OR (1).
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to Avera St. Mary's, and we tell you what happens next.
Current openings at Avera St. Mary's
- Sign-on bonus
- RN
- Rotating days/evenings/nights/weekends (United States of America)
- New grads welcomed
- Sign-on bonus
- RN
- Varied shifts; 80hrs/2wks.
- Sign-on bonus
- RN/LPN
- Day shift
- Sign-on bonus
- RN/LPN
- Day shift
- CRNA
- The weekday shifts are 0630 to 1500
- Sign-on bonus
- CRNA
- 0630 to 1500
- Sign-on bonus
- CRNA
- 0630 to 1500
- Sign-on bonus
- RN
- Rotating day/night shifts, 7a-7p and 7p-7a; 72hrs/2wks
- RN
- Rotating days/evenings/nights/weekends/holidays
- Per diem
Nursing Assistant | PRN
$21–$26/hr
- New grads welcomed
- CNA
- Rotating days/evenings/nights/weekends/holidays
- Per diem
Nursing Assistant
$21–$26/hr
- Sign-on bonus
- CNA
- 8-hour rotating
- New grads welcomed
Nursing Assistant
$21–$26/hr
- Sign-on bonus
- CNA
- Rotating shift
- New grads welcomed
Nursing Assistant
$21–$26/hr
- Sign-on bonus
- CNA
- 2:00pm-10:30pm with wknd and hol rotation; 64hrs/2wks
Sources
- allnurses.com/hospitals/south-dakota/pierre/avera-st-marys-hospital-r4287
The short version, What nurses say · as of 2026
- avera.org/locations/avera-st-marys/about-avera-st-marys-hospital
The short version
- avera.org/news-media/search-news-about-avera/2025/avera-st-marys-says-farewell-to-school-of-nursing-building
The short version
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