Rapid City, SD 57701 • (24.7 miles) • Full Time • 10/14/2026

OverviewRock Creek Integrated Solutions is building a PRN team of Speech-Language Pathologists to support patients in hospice, home-based, and clinical settings. This role can be done fully remote through telehealth. Some of the patients we serve are in the Rapid City, South Dakota area, so the ability to see patients in person there is a big plus. You take the visits that fit your schedule and are paid per visit.This is a great fit for SLPs who want flexible extra caseload, or who want to keep their adult and medical skills active alongside another role.Pay: $60+ per visit (PRN contract)DutiesEvaluate and treat swallowing, communication, and cognitive-communication needs via telehealth and, when possible, in personMake safe, comfort-focused diet and feeding recommendationsTrain patients,

Rapid City, SD • (27.2 miles) • Full Time • 10/11/2026

Tax Manager / Director(Remote)Full-Time | Competitive Salary + Growth PotentialReports to:CFOAbout the CompanyMy client is a fast-growing, self-directed retirement account company with over$4.5 billion in assets under administrationand26,000+ accounts. We’re on a mission to make alternative asset investing more accessible while maintaining top-tier compliance and client service. With rapid growth projected to continue (35–40% annually), we’re looking to build out our in-house tax and compliance function as a key part of our next phase of expansion.The OpportunityWe’re seeking aTax Manager or early-stage Tax Directorto build and lead our in-house tax services function. This is a high-impact opportunity for someone who wants to take ownership of the process, develop a new business unit, and

Rapid City, SD 57701 • (24.7 miles) • Full Time • 10/14/2026

OverviewRock Creek Integrated Solutions is adding Physical Therapists to its PRN team, serving patients in hospice, home-based, and clinical settings. This role can be done fully remote through telehealth. Some of the patients we serve are in the Rapid City, South Dakota area, so the ability to see patients in person there is a big plus. Scheduling is flexible and pay is per visit.Goals range from restoring mobility to keeping patients safe and comfortable at home, so you'll adapt each plan of care to what matters most to the patient and family.Pay: $70+ per visit (PRN contract)DutiesEvaluate mobility, strength, balance, and fall risk via telehealth and, when possible, in personBuild plans of care that match each patient's goalsRecommend DME such as walkers, wheelchairs, and hospital bedsT

Rapid City, SD 57701 • (24.7 miles) • Full Time • 10/14/2026

OverviewWe're growing our PRN occupational therapy team, supporting patients across hospice, home-based, and clinical settings. This role can be done fully remote through telehealth. Some of the patients we serve are in the Rapid City, South Dakota area, so being able to see patients in person there is a big plus. You choose how many visits you take on and are paid per visit.The focus is helping patients stay as independent, safe, and comfortable as possible in their daily lives, and giving their families the tools to support them.Pay: $60+ per visit (PRN contract)DutiesAssess ADLs, functional mobility, and home safety via telehealth and, when possible, in personRecommend adaptive equipment, DME, and positioning strategiesTeach energy conservation and safe transfer techniquesTrain family m