FULL_TIME

FEED

OTHER

In support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

TriWest Healthcare Alliance

Autism Services Navigator

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UNKNOWN

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.

CenterWell

Home Health Clinical Manager

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Current 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.

HOUR

Monument Health.

Hospital Coordinator | Medical/Surgical

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The Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.

Transition of Care Coordinator RN/LCSW

Monument Health Rapid City Hospital

Assists 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. The Lead Case Manager is a is a hospital based professional that provides clinically based care management to support the delivery of effective and efficient patient and family centered care in the acute care hospital setting.

Lead Case Manager

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

Pharmacy Careers

Remote Clinical Review Pharmacist

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Assists 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.

Monument Health

JOB SUMMARY: The general duty of the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center (VAMC) in accordance with the terms and conditions of the Veteran Affairs Primary Care Program, and to supervise the Community Based Outpatient Clinic's (CBOC’s) day-to-day delivery of medical care. •Establish a collaborative practice agreement with clinic APRN/PA and provide oversight and mentorship to other providers Manage medical care, basic mental screenings, medication adjustments, mild depression, anxiety, and loss/grief issues, and continuity of care with the VAMC for patients enrolled in the VA Primary Care Program.

STG International, Inc.

Primary Care Physician (PCP)

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Job Summary: Collaborates with the multidisciplinary care team to bring together an established plan for patient admission process, coordination, plan of care, and assists with the transitions between levels of care to promote the best possible patient outcome. Acts as liaison with hospitals and other health care services to provide plan of care advice and lobby on behalf of the patients to various payor sources.

Avera Health

Nursing Case Manager

Job Summary : ​​​​Collaborates with the multidisciplinary care team to bring together an established plan for patient admission process, coordination, plan of care, and assists with the transitions between levels of care to promote the best possible patient outcome. Primarily days with possible weekends/evenings/holidays (United States of America) Marshall County Healthcare Center Avera is seeking applicants to join our team!

Avera

Remote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.

Appeals Pharmacist (Remote)

Clinical Operations is responsible for supporting the timely and quality sale, installation, and monitoring of Cardinal Health products and services may also provide product and service education to facilitate technology adoption and workflow change management. Support Customers Clinically to Drive Competitive Differentiation: Conduct state of the art Live/Virtual trainings for external/internal customers and provide relevant clinical knowledge tools/support.

YEAR

Cardinal Health Inc

Senior Clinical Consultant - OR Products

Develops 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.

Vibra Healthcare

Chief Nursing Officer CNO

[AW]-iCims

Has a baccalaureate degree in social work from an institution accredited by the Council on Social Work Education; or a baccalaureate degree in psychology, sociology, or other field related to social work and is supervised by an MSW as described in paragraph (b)(3)(i)(A); and. Provides and coordinates psychosocial, counseling, care coordination and social services for patients and families at Huron Regional Medical Center across numerous departments including hospice and dialysis.

Utilization Management Nurse Jobs in South Dakota

Autism Services Navigator TriWest Healthcare Alliance

Home Health Clinical Manager CenterWell

Hospital Coordinator | Medical/Surgical Monument Health.

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Hospital Coordinator | Medical/Surgical Monument Health Rapid City Hospital

Lead Case Manager Monument Health Rapid City Hospital

Remote Clinical Review Pharmacist Pharmacy Careers

Lead Case Manager Monument Health

Hospital Coordinator | Medical/Surgical Monument Health

Primary Care Physician (PCP) STG International, Inc.

Nursing Case Manager Avera Health

Nursing Case Manager Avera

Appeals Pharmacist (Remote) Pharmacy Careers

Senior Clinical Consultant - OR Products Cardinal Health Inc

Chief Nursing Officer CNO Vibra Healthcare

Social Worker (MSW) Huron Regional Medical Center

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