PRN RN Case Manager, Home Health Good SamaritanPRN RN Case Manager, Home HealthBlack Hawk, SDGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
Registered Nurse (RN) Weekend Case Manager | Avera at Home Mitchell Avera HealthRegistered Nurse (RN) Weekend Case Manager | Avera at Home MitchellMitchell, SDDemonstrates ability to affect the behavior of others to follow the recommended alternatives to care which includes providing thorough instruction and disease management education to patients and/or caregivers as ordered by the physician. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Manager, Health Plan Utilization Management - RN Sanford HealthManager, Health Plan Utilization Management - RNSDRemoteGraduate from a nationally accredited nursing program required, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Actively involved in reviewing information submitted by internal or external referral sources regarding a variety of cases which have the potential to develop into complex and/or costly scenarios and assisting the finance department in understanding the financial implications of these conditions.
NewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantSD$26.01–$62.32 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerSioux Falls, SDRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Case Management Director Encompass Health Rehabilitation Hospital of Sioux FallsCase Management DirectorSioux Falls, SDFull timeJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Sioux Falls, SDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Registered Nurse (RN) - Case Manager - Transfer Center | PRN Avera HealthRegistered Nurse (RN) - Case Manager - Transfer Center | PRNSioux Falls, SD$31–$46.25 / hourThis role will also utilize the EMR and patient flow software to ensure that patients are placed in the right bed at the right time, as well as assist with level-loading patients across the Avera system to ensure access to care for all Avera patients. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) - Case Manager - Transfer Center Avera HealthRegistered Nurse (RN) - Case Manager - Transfer CenterSioux Falls, SD$31–$46.25 / hourThis role will also utilize the EMR and patient flow software to ensure that patients are placed in the right bed at the right time, as well as assist with level-loading patients across the Avera system to ensure access to care for all Avera patients. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Clinical Coordinator (RN) - Part Time with Benefits RestorixHealthClinical Coordinator (RN) - Part Time with BenefitsEureka, SDMaintains open communication with Senior Management, Regional Director, Program Director, Clinical Team, host facility staff, providers, and business office staff to ensure continuity of care. The Marketing Coordinator is responsible for developing and maintaining community relationships with current and future referral sources through direct referral source interaction and education of medical communities on services provided and patient eligibility.
RN Coordinator - Clinic Avera HealthRN Coordinator - ClinicSDDemonstrates behavior compatible with the values of Avera - continuously seeks to increase the quality and value of services provided to our customers, including patients, families, co-workers, physicians, accrediting bodies, suppliers payers, and etc. This includes maintaining current knowledge of and adherence to hospital/department policies and procedures, solving problems constructively, demonstrating loyalty and teamwork, responding to unanticipated events calmly and appropriately, and making appropriate decisions.
Registered Nurse Long Term Care Monument Health Rapid City HospitalRegistered Nurse Long Term CareSturgis, South DakotaWe are looking for RNs who are caring and empathetic yet possess strong analytical and critical thinking skills for the ability to carefully examine clinical situations using the nursing process to enhance the lives of the residents they care for each day! You will participate in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems.
PRN Registered Nurse - Emergency (Onsite) Avel eCarePRN Registered Nurse - Emergency (Onsite)Sioux Falls, SDBased in Sioux Falls, South Dakota, Avel operates a multispecialty telemedicine network, partnering with more than 650 health care systems, rural hospitals, outpatient clinics, long-term care facilities, school districts, prisons, skilled nursing facilities and law enforcement agencies to deliver innovative telemedicine care across the country. During the past three decades, Avel has developed eight distinct telehealth services, —Behavioral Health, Critical Care, Emergency, Hospitalist, Pharmacy, Specialty Care, Senior Care and School Health—in response to needs expressed by the communities and clinicians whom Avel serves.
Registered Nurse - Emergency (Onsite) - $2500 SIGN-ON BONUS Avel eCareRegistered Nurse - Emergency (Onsite) - $2500 SIGN-ON BONUSSioux Falls, SDBased in Sioux Falls, South Dakota, Avel operates a multispecialty telemedicine network, partnering with more than 650 health care systems, rural hospitals, outpatient clinics, long-term care facilities, school districts, prisons, skilled nursing facilities and law enforcement agencies to deliver innovative telemedicine care across the country. During the past three decades, Avel has developed eight distinct telehealth services, —Behavioral Health, Critical Care, Emergency, Hospitalist, Pharmacy, Specialty Care, Senior Care and School Health—in response to needs expressed by the communities and clinicians whom Avel serves.
Registered Nurse Long Term Care Monument Health.Registered Nurse Long Term CareSD$35–$43.75 / hourWe are looking for RNs who are caring and empathetic yet possess strong analytical and critical thinking skills for the ability to carefully examine clinical situations using the nursing process to enhance the lives of the residents they care for each day! You will participate in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems.
NewManager Nurse | Operating Room Monument Health Rapid City HospitalManager Nurse | Operating RoomRapid City, South DakotaCertifications - Advanced Cardiac Life Support (ACLS) Certification - American Heart Association (AHA); Basic Life Support (BLS) Certification - American Heart Association (AHA); Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA); Trauma Nursing Core Course (TNCC) Certification - Accredited University or accredited training professionals. Demonstrates ongoing growth and development of self through active self-reflection, personal competency development strategies, and role modeling the “Grow myself, grow my team, and grow Monument Health (G3) Leadership Competencies” to promote our Monument Health vision and mission.
RN - Registered Nurse - Inpatient Rehab Program Specialist - Part Time Sanford HealthRN - Registered Nurse - Inpatient Rehab Program Specialist - Part TimeSioux Falls, South DakotaGraduate from an accredited nursing program preferred, including, but not limited to, American Association of Colleges of Nursing (AACN), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Grant administration responsibilities may include: assist project team in grant post award activities, maintain grant and contract files, review contracts, develops progress reports, and reviews closed grant for completeness.
Registered Nurse Long Term Care Monument HealthRegistered Nurse Long Term CareSturgis, South DakotaWe are looking for RNs who are caring and empathetic yet possess strong analytical and critical thinking skills for the ability to carefully examine clinical situations using the nursing process to enhance the lives of the residents they care for each day! You will participate in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems.
RN Case Manager - Inpatient Days Sanford HealthRN Case Manager - Inpatient DaysSioux Falls, SD$36.50–$51 / hourRequired in Fargo Network and Sioux Falls Network or employees hired after January 2025 who do not possess a Bachelors degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelors degree in Nursing within five years of hire into position. Graduate from an accredited nursing program including but not limited to those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
Family Medicine Nurse Practitioner / Physician Assistant (NP/PA) - South Dakota Commonwealth Medical ServicesFamily Medicine Nurse Practitioner / Physician Assistant (NP/PA) - South DakotaCrazy Horse, South DakotaWorking collaboratively with family medicine physicians, hospitalists, and multidisciplinary care teams, this role focuses on evaluation, diagnosis, treatment, and coordination of care for acute and chronic medical conditions in the inpatient setting. The Inpatient Family Medicine Nurse Practitioner or Physician Assistant provides comprehensive inpatient medical care to hospitalized patients across the lifespan, as appropriate to training and privileging.
RN Case Manager - Inpatient Days - Peds Sanford HealthRN Case Manager - Inpatient Days - PedsSioux Falls, South DakotaRequired in Fargo Network and Sioux Falls Network, or employees hired after January, 2025, who do not possess a Bachelor’s degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor’s degree in Nursing within five years of hire into position. Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
Gastroenterology Nurse Practitioner / Physician Assistant (NP/PA) - South Dakota Commonwealth Medical ServicesGastroenterology Nurse Practitioner / Physician Assistant (NP/PA) - South DakotaRapid City, South DakotaWorking collaboratively with gastroenterologists and the multidisciplinary hospital team, this role supports consultation services, ongoing inpatient management, and coordination of care for medically complex patients. The Inpatient Gastroenterology Nurse Practitioner or Physician Assistant provides specialized inpatient care for patients with gastrointestinal, hepatic, biliary, and pancreatic disorders.
NewManager Nurse | Operating Room Monument HealthManager Nurse | Operating RoomRapid City, South DakotaCertifications - Advanced Cardiac Life Support (ACLS) Certification - American Heart Association (AHA); Basic Life Support (BLS) Certification - American Heart Association (AHA); Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA); Trauma Nursing Core Course (TNCC) Certification - Accredited University or accredited training professionals. Demonstrates ongoing growth and development of self through active self-reflection, personal competency development strategies, and role modeling the “Grow myself, grow my team, and grow Monument Health (G3) Leadership Competencies” to promote our Monument Health vision and mission.
RN Navigator - Pediatric Hematology & Oncology - Children''s Specialty Clinic Sanford HealthRN Navigator - Pediatric Hematology & Oncology - Children''s Specialty ClinicSioux Falls, SD$34–$51 / hourRequired in Fargo Network and Sioux Falls Network or employees hired after January, 2025, who do not possess a Bachelor's degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor's degree in Nursing within five years of hire into position. Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
Nursing Supervisor - RN - Pulmonary Clinic Sanford HealthNursing Supervisor - RN - Pulmonary ClinicSioux Falls, South DakotaFor Rural Health Network facilities only, employees hired after January, 2025, who do not possess a Bachelor’s degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor’s degree in Nursing within five years of hire into position. Additionally for Rural Health Network facilities, for current employees, leadership may have considered acceptable qualifications and work experience equivalency based on facility size, rural market, and business need, prior to new Sanford education requirements.
Registered Nurse (RN) - Case Manager - Transfer Center AveraRegistered Nurse (RN) - Case Manager - Transfer CenterSioux Falls, South DakotaThis role will also utilize the EMR and patient flow software to ensure that patients are placed in the right bed at the right time, as well as assist with level-loading patients across the Avera system to ensure access to care for all Avera patients. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) - Case Manager - Transfer Center | PRN AveraRegistered Nurse (RN) - Case Manager - Transfer Center | PRNSioux Falls, South DakotaThis role will also utilize the EMR and patient flow software to ensure that patients are placed in the right bed at the right time, as well as assist with level-loading patients across the Avera system to ensure access to care for all Avera patients. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
RN Case Manager - Home Health & Hospice Sanford HealthRN Case Manager - Home Health & HospiceSouth DakotaGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
RN Case Manager - Home Health Sanford HealthRN Case Manager - Home HealthSioux Falls, South DakotaGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
RN Case Manager - Home Health & Hospice - PT Sanford HealthRN Case Manager - Home Health & Hospice - PTSD$34–$51 / hourGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Facility: Chamberlain Beebe Bldg Location: Chamberlain, SD Address: 110 W Beebe Ave, Chamberlain, SD 57325, USA Shift: 8 Hours - Day Shifts Job Schedule: Part time Weekly Hours: 24.00 Salary Range: $34 - $51.
RN Case Manager - Hospice - Full Time Days Sanford HealthRN Case Manager - Hospice - Full Time DaysSioux Falls, South DakotaGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
RN Case Manager - Home Health - FT Sanford HealthRN Case Manager - Home Health - FTSioux Falls, SDGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Facility: 12th & Kiwanis Location: Sioux Falls, SD Address: 2710 W 12th St, Sioux Falls, SD 57104, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $34 - $51 Pay Info: Sign on BONUS for eligible applicants!
RN Case Manager - Home Health/Hospice - FT Sanford HealthRN Case Manager - Home Health/Hospice - FTVermillion, SDGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Facility: Vermillion HH & Hospice Location: Vermillion, SD Address: 848 E Cherry St, Vermillion, SD 57069, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $34 - $51 Pay Info: Sign on BONUS for eligible applicants!
PRN RN Case Manager, Home Health Sanford HealthPRN RN Case Manager, Home HealthRapid City, SDGraduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Facility: GSS SD Rapid City Hm Hlth Location: Rapid City, SD Address: 1851 City Springs Rd, Rapid City, SD 57702, USA Shift: Day Job Schedule: PRN Weekly Hours: Varies.
Registered Nurse (RN) - Case Manager - Homecare AveraRegistered Nurse (RN) - Case Manager - HomecareSioux Falls, South DakotaStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Demonstrates ability to affect the behavior of others to follow the recommended alternatives to care which includes providing thorough instruction and disease management education to patients and/or caregivers as ordered by the physician.
Flex Licensed Practical Nurse (LPN) | Long Term Care | PRN AveraFlex Licensed Practical Nurse (LPN) | Long Term Care | PRNGettysburg, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Under the direction of the Director of Nursing/LTC Clinical Coordinator the LPN is responsible for the planning and coordination of direct resident care services.
NewChief Nursing Officer CNO Vibra HealthcareChief Nursing Officer CNORapid City, South DakotaFull timeDevelops hospital-wide systems, and policies and procedures describing how patient’s nursing care needs are assessed, evaluated and met which entails overall responsibility and accountability for the development of staffing plans and development and implementation of departmental budgets. Directly supervises the following positions: Nursing staff, including, but not limited to, RN, LPN/LVN, CNA, Nursing Supervisors/Charge Nurses, Unit Secretaries, and Telemetry Monitor Technicians.
Nursing Supervisor - Dermatology and Plastic Surgery Clinics Sanford HealthNursing Supervisor - Dermatology and Plastic Surgery ClinicsSioux Falls, South DakotaFor Rural Health Network facilities only, employees hired after January, 2025, who do not possess a Bachelor’s degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor’s degree in Nursing within five years of hire into position. Additionally for Rural Health Network facilities, for current employees, leadership may have considered acceptable qualifications and work experience equivalency based on facility size, rural market, and business need, prior to new Sanford education requirements.
Nursing Supervisor - Dermatology and Plastic Surgery Clinics - FT Sanford HealthNursing Supervisor - Dermatology and Plastic Surgery Clinics - FTSioux Falls, SD$34–$51 / hourFor Rural Health Network facilities only, employees hired after January 2025 who do not possess a Bachelors degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelors degree in Nursing within five years of hire into position. Graduate from a nationally accredited nursing program preferred, including but not limited to Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing (NLN) Commission for Nursing Education Accreditation (CNEA).
Nursing Supervisor - Aberdeen Specialty Clinic - Full Time Sanford HealthNursing Supervisor - Aberdeen Specialty Clinic - Full TimeAberdeen, SD$34–$51 / hourGraduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). For Rural Health Network facilities only, employees hired after January, 2025, who do not possess a Bachelor's degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor's degree in Nursing within five years of hire into position.
Case Manager Encompass Health Rehabilitation Hospital of Sioux FallsCase ManagerSioux Falls, SDFull timeJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Hospital Coordinator | Medical/Surgical Monument Health Rapid City HospitalHospital Coordinator | Medical/SurgicalSpearfish, South DakotaCurrent Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Facilitates communication among the organization's personnel, patients and families, public, medical staff, law enforcement, media and other institutions.
Hospital Coordinator | Medical/Surgical Monument Health.Hospital Coordinator | Medical/SurgicalSD$40.60–$50.75 / hourCurrent Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Facilitates communication among the organization's personnel, patients and families, public, medical staff, law enforcement, media and other institutions.
Medical Director TriWest Healthcare AllianceMedical DirectorSioux Falls, SDRemotePart timeCollaborates with VA, military treatment facility and network providers and TriWest staff to assure timely, appropriate and high quality care. Independent Thinking / Self-Initiative: Thinks critically with ability to focus on things which matter most to achieving outcomes.
Clinical Quality Study Analyst TriWest Healthcare AllianceClinical Quality Study AnalystSioux Falls, SDRemoteFull timeTechnical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Hospital Coordinator | Medical/Surgical Monument HealthHospital Coordinator | Medical/SurgicalSpearfish, South DakotaCurrent Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Facilitates communication among the organization's personnel, patients and families, public, medical staff, law enforcement, media and other institutions.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationSioux Falls, SDRemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Lead Case Manager Monument Health Rapid City HospitalLead Case ManagerRapid City, South DakotaAssists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the healthcare team and patient/family in decision making. Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
Health Services Administrator (HSA) South Dakota State GovernmentHealth Services Administrator (HSA)Pierre, SD$95,000–$110,000 / yearSelected individuals must possess the physical ability to successfully complete the practical self-defense exam, which involves the following: lift arms above head and kick as high as own waist; stabilize another person to accomplish a controlled take down; use arms, palms of hands, shins, and feet to deliver blows; withstand impact (slow speed or with a safety bag) on own body from strikes/blows; rotate body 90 degrees with feet planted for striking with foot or using a defensive tactic; get down on one or both knees and up again with multiple repetitions. Supervision is exercising span and control over subordinate staff to include coaching, mentoring, daily monitoring, performance management (planning, reviewing, and evaluating), resolving complaints/grievances, responsibility for scheduling and leave approval, and providing input that could affect pay, status, or tenure.
A&G Clinical Specialist HealthfirstA&G Clinical SpecialistSD$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.