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33 nursing jobs 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.

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Avera St. Mary's workplace
Avera St. Mary's — a workplace named in a current Pierre postingView Avera St. Mary's →

Find a nursing job in Pierre

Hiring here: Avera St. Mary's (17) · American Traveler (2) · Avera McKennan (2) · CVS Health (2) · TNAA Healthcare (2) · Avantara (1)

Avera St. Mary's

Pierre, SD

  • Sign-on bonus
  • CRNA
  • 0630 to 1500
1 / 2

Registered Nurse (RN)

STGi

Pierre, SD

  • RN
1 / 2

Licensed Practical Nurse, LPN

Avantara logoAvantara

Pierre, SD

$28–$33/hr

  • Sign-on bonus
  • LPN
  • Night shift
  • Tuition reimbursement
1 / 2
  • NP
  • Monday - Friday 8am - 5pm with no call
  • Medical and Radiation Oncology
1 / 3
  • Sign-on bonus
  • RN
  • Day shift
  • Floating required

Avera St. Mary's

Pierre, SD

  • Sign-on bonus
  • RN
  • Varied shifts; 80hrs/2wks.
Avera McKennan logo

Avera McKennan

Pierre, SD

  • NP
  • Primarily days with possible weekends/evenings/holidays
A photo of Avera St. Mary's

Avera St. Mary's

15 open roles

Registered Nurse (RN) - New Grad - May 2027

Pierre, SD · Posted last week

$33/hr

  • Sign-on bonus
  • RN
  • Rotating days/evenings/nights/weekends (United States of America)
  • New grads welcomed
  • Sign-on bonus
  • CRNA
  • 0630 to 1500
  • CRNA
  • The weekday shifts are 0630 to 1500

Nursing Assistant

Pierre, SD

$21–$26/hr

  • Sign-on bonus
  • CNA
  • 8-⁠hour rotating
  • New grads welcomed
  • RN
  • Rotating days/evenings/nights/weekends/holidays
  • Per diem

Nursing Assistant

Pierre, SD

$21–$26/hr

  • Sign-on bonus
  • CNA
  • Rotating shift
  • New grads welcomed
  • RN
  • Per diem
  • LPN
  • Rotating shift
  • Per diem

Nursing Assistant | PRN

Pierre, SD

$21–$26/hr

  • New grads welcomed
  • CNA
  • Rotating days/evenings/nights/weekends/holidays
  • Per diem
  • Sign-on bonus
  • RN
  • 12-⁠hour rotating
  • Sign-on bonus
  • RN
  • Rotating day/night shifts, 7a-7p and 7p-7a; 72hrs/2wks

Nursing Assistant

Pierre, SD

$21–$26/hr

  • Sign-on bonus
  • CNA
  • 2:00pm-10:30pm with wknd and hol rotation; 64hrs/2wks

State of South Dakota

Pierre, SD

  • RN
  • Night shift
  • Agency contract

Avera at Home

Pierre, SD

  • NP
  • Day Shift (United States of America)
CVS Health logo

CVS Health

Pierre, SD

Sr. Manager - Business Compliance

$68,000–$199,000/year

  • RN
  • ADN accepted

Veterans Health Administration

Pierre, SD · Health system employer

  • New grads welcomed
  • RN
  • 8-⁠hour days
Vibra Travels LLC logo

Vibra Travels LLC

Pierre, SD · Staffing partner

RN - Telemetry

$2,789/week

  • RN
  • Travel contract
TNAA Healthcare logo

TNAA Healthcare

Pierre, SD · Staffing partner

Telemetry RN

$2,177/week

  • RN
  • Day shift
  • Travel contract
American Traveler logo

American Traveler

Pierre, SD · Staffing partner

  • RN
  • 12-⁠hour evenings
  • Travel contract
CVS Health logo

CVS Health

Pierre, SD

Manager, Practice Transformation

$54,000–$159,000/year

  • RN
TNAA Healthcare logo

TNAA Healthcare

Pierre, SD · Staffing partner

RN LD

$2,678/week

  • RN
  • Day shift
  • Travel contract
American Traveler logo

American Traveler

Pierre, SD · Staffing partner

  • LPN
  • 8-⁠hour evenings
  • Travel contract

Working and living in Pierre

· 33 open roles

Posted hourly pay

RN
$31/hr median
$22–$33/hr middle half · 10 postings
LPN
$27/hr median
$20–$28/hr middle half · 5 postings

See roles with listed pay

Living costs

Median gross rent
$983/mo
Rent and tenant-paid utilities
Median household income
$77,672/yr
All local households, not nurse pay

Census ACS 2024

Open to new grads

5 postings explicitly welcome new grads.

Browse new grad roles

New to our board this week

0 current postings first appeared here in the past seven days.

Browse current openings

Credentials accepted

  • CRNA3
  • NP3
  • RN18
  • LPN7
  • CNA4

One posting may accept more than one credential.

Shifts listed

  • Days12
  • Rotating9
  • per-diem4
  • Evenings3
  • Nights2

Postings may list several shifts or leave the shift unspecified.

Living in Pierre

Relocating to Pierre offers nurses an unhurried lifestyle defined by wide prairie skies, Missouri River recreation, and virtually nonexistent drive times.

More about life here

With average commutes running around ten minutes and effortless parking at local clinical facilities, shift work fits smoothly into daily life. Down time centers on the water: kayaking or hiking at LaFramboise Island Nature Area, camping and spotting bald eagles at Oahe Downstream State Recreation Area, and spending summer afternoons on the beaches of Farm Island.

In town, local culture revolves around civic landmarks like the South Dakota State Capitol and casual hangouts like Drifters, Zesto, and Mad Mary's. The primary tradeoff is geographic isolation.

Pierre is a small capital city where commercial options and specialized entertainment require traveling significant distances across the state, and social circles can initially feel insular. For healthcare professionals seeking a safe, nature-focused community where work-life balance is supported by zero gridlock, Pierre provides a grounded and welcoming landing spot.

Sources
As of Sep 16, 2026
Neighborhoods

Most residents live directly within Pierre's compact town limits, where neighborhoods consist primarily of established single-family homes and scattered low-rise apartment options. For those seeking scenic water views and more space who do not mind a commute of roughly twenty-five minutes, the outlying Spring Creek area north along the reservoir is a well-regarded rural residential alternative.

Sources
As of Sep 16, 2026Source: facebook.com
Housing

Housing options in Pierre consist primarily of detached single-family dwellings alongside a limited supply of rental apartment complexes and duplexes. Available properties range from mid-century neighborhood houses close to state government and healthcare offices to larger waterfront or acreage properties out toward Spring Creek.

Sources
Getting around

Commuting in Pierre is exceptionally brief and straightforward, with average drive times hovering around ten minutes across the city. Traffic congestion is virtually nonexistent, and healthcare staff traveling to local clinical facilities rely on personal vehicles with ample and easily accessible surface parking.

Sources
As of Sep 16, 2026Source: livability.com
Food and dining

Dining revolves around established local mom-and-pop staples and casual riverside hangouts. Popular local gathering spots include Drifters for drinks and casual fare, Deb's Feed Store, Mad Mary's, and Zesto for seasonal soft serve and quick bites.

Sources
Outdoors

Outdoor recreation centers heavily on the Missouri River and Lake Oahe, offering extensive fishing, boating, and kayaking. Within thirty minutes of town, outdoor enthusiasts frequent four major parks: Farm Island State Recreation Area with eight miles of trails and swimming beaches, Oahe Downstream State Recreation Area known for campgrounds and eagle watching, Cow Creek, and Okobojo Point.

In-town green spaces include Steamboat Park with river fishing docks and an 18-hole disc golf course, as well as hiking on LaFramboise Island Nature Area.

Sources
Arts and culture

Cultural life in the capital city features civic history and family-oriented science attractions. Highlights include touring the historic South Dakota State Capitol, walking downtown's Trail of Governors to view bronze statues of past leaders, and visiting the Cultural Heritage Center, South Dakota National Guard Museum, and interactive South Dakota Discovery Center.

Sources
Seasons and weather

Pierre experiences a continental climate marked by cold, windy winters with significant seasonal snowfall that requires proper vehicle winterization. Summers are warm and sunny, bringing extensive river and boating activity, while shoulder seasons transition quickly across the open prairie landscape.

Sources
For families

Pierre offers a calm, safe setting where parents routinely let children walk and ride bikes across neighborhood streets. Community amenities catering to young families include the hands-on science exhibits at the South Dakota Discovery Center, community disc golf and playgrounds at Steamboat Park, and protected beach areas at Farm Island.

Sources
What locals say

Locals appreciate the strong community safety, easy pace of life, and freedom that allows kids to walk and bike around town without worry. On the flip side, residents note that the small-town social environment can feel cliquey for newcomers, and the city's isolated location means driving considerable distances to access larger commercial hubs or extensive nightlife.

Sources

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