217 Results for

Case Management Jobs in South Dakota

Jobs

Registered Nurse (Rn) Case Manager | Avera Health Plans Medical Management Avera Health

Sioux Falls, SD

$31–$46.25 / hour

Identifies cases that qualify for complex/chronic condition case management and/or service coordination, based on, but not limited to, the evaluation of the following data: claims, hospital reports, risk stratification, utilization management, pharmacy reports, and referrals from internal health plan staff, clinic staff, hospital discharge planners, members and providers. Performs utilization management activities of selected services, including preauthorizations, inpatient admissions, continued stay reviews and retro reviews using established medical guidelines, clinical information and clinical education to determine medical appropriateness for coverage.

4 days ago

Case Management Referral Coordinator Paradigm Management Services LLC

South Dakota, SD

Remote

$20–$21 / hour

This position demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, including injured workers, payors, clients, providers, stakeholders, and internal teams. The ideal candidate is highly organized, self‑motivated, and comfortable working independently while collaborating closely with a virtual team to ensure referrals are processed efficiently and accurately.

5 days ago

Case Management Referral Coordinator Paradigm

pierre, SD

Remote

$20–$21 / hour

5 days ago

Director of Case Management - Inpatient Rehab Jobot

Sioux Falls, SD

$95,000–$110,000 / year
Quick Apply

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. A focused inpatient rehabilitation hospital in Sioux Falls dedicated to coordinated care, stronger discharge outcomes, and a positive culture shift within Case Management.

6 days ago

Registered Nurse (RN) Case Manager | Avera Health Plans Medical Management Avera

Sioux Falls, South Dakota

5 days ago

Manager, Case Management Special Programs TriWest Healthcare Alliance

Sioux Falls, SD

Remote

Full time

Technical Skills: Knowledge of TRICARE policies and procedures, Case Management, Utilization Management, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community resources, alternative funding programs, medical management systems, and protected health information; proficiency with the use of medical necessity criteria to evaluate care requests; working knowledge of medical coding. Problem Solving / Analysis: Thorough knowledge of health care delivery, UM, CM, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations.

9 days ago

Case Management Supervisor RN CorVel Corp

Huron, SD

Remote

$77,960–$120,368 / year

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management.

30+ days ago

Case Management Director Ironside Human Resources

Sioux Falls, South Dakota

Case Management Director Qualifications: Active RN license strongly preferred; licensed Social Workers with medical case management experience will also be considered. A rehabilitation hospital in Sioux Falls, South Dakota is seeking a Case Management Director to join its leadership team!

7 days ago

Case Management Director Encompass Health Rehabilitation Hospital of Sioux Falls

Sioux Falls, SD

Full time
Quick Apply

Join 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.

4 days ago

Case Management Pharmacist (Remote) Pharmacy Careers

Sioux Falls, South Dakota

Remote

Remote Case Management Pharmacist – Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication reviews, care coordination, and adherence support — all from a remote setting. Our case-management pharmacists improve outcomes, reduce readmissions, and support patients across the continuum of care.

27 days ago

Case Management Specialist State of South Dakota

Rapid City, SD

Knowledge, Skills, & Abilities: Knowledge of: basic theories, principles, and methods of social work and methods of assessment, intervention, and treatment; concepts related to clients' rights, confidentiality, and professional ethics; principles and techniques of conducting interviews and acquiring information from clients who are in need of services; cultural, economic, physical, social, and psychological factors that influence family dynamics and interpersonal relationships. Job Summary: This position is responsible for assessing and determining eligibility for a variety of in-home services that would benefit individuals at risk of having to leave their own homes and providing information and referral services to the public and family members about aging and community resources.

19 days ago

Registered Nurse (RN) Case Manager | Avera Health Plans Medical Management Avera Health

Sioux Falls, SD

$31–$46.25 / hour

30+ days ago

Family And Child Case Manager Boys Town

North Sioux City, SD

$20.50–$23 / hour

PHYSICAL REQUIREMENTS, EQUIPMENT USAGE, WORK ENVIRONMENT: Reasonably expected to have and maintain sufficient strength, agility, and endurance to perform during stressful (physical, mental and emotional) situations encountered on the job without compromising their health and well-being or that of their fellow employees, youth, or families. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference.

24 days ago

Case Management Director Encompass Health Corp.

Sioux Falls, SD

30+ days ago

Program Management Lead Citigroup Inc

Sioux Falls, SD

$97,360–$146,040 / year

Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency. We use automated processing, including artificial intelligence, for our legitimate business interests (or our reasonable and appropriate business purposes) to identify and align the candidate's skills and abilities with a specific job opening.

18 days ago

RN Case Manager - Inpatient Days Sanford Health

Sioux Falls, South Dakota

$36.50–$51 / hour

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).Minimum of two years’ clinical experience preferred. Required 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.

30+ days ago

Director Product Management - AI / ML Platform CVS Health Corp

$100,000–$231,540 / year

A&BC leverages advanced analytics, machine learning, modeling, and hypothesis-driven approaches to transform data into actionable, customer-centric insights driving growth, health outcome improvements, and access to health care across all our businesses in CVS Health. 8+ years of product management experience building enterprise software, platforms, or AI/ML and Generative AI products, including experience taking complex technical products from concept through launch, adoption, and iteration.

27 days ago

Registered Nurse (Rn) - Case Manager - Transfer Center | PRN Avera Health

Sioux Falls, SD

$31–$46.25 / hour

This 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.

30+ days ago

Registered Nurse (RN) Case Manager | Avera at Home Avera

Sioux Falls, South Dakota

Student 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.

30+ days ago

Registered Nurse Case Manager RN Interim HealthCare Inc

Rapid City, SD

$33–$40 / hour

As an RN Case Manager, you'll have the opportunity to care for patients throughout their healthcare journey-developing personalized care plans, coordinating with an interdisciplinary team, and helping patients safely recover where they feel most comfortable: at home. Operating through 300+ offices, our commitment to nurses is expressed through our passion to put patients first; a culture that values and appreciates nurses; and our ongoing efforts to advocate for nurses in ways that elevate their profession and reward their sacrificial work.

30+ days ago

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Case Management Jobs in South Dakota

Registered Nurse (Rn) Case Manager | Avera Health Plans Medical Management Avera Health

Case Management Referral Coordinator Paradigm Management Services LLC

Case Management Referral Coordinator Paradigm

Director of Case Management - Inpatient Rehab Jobot

Registered Nurse (RN) Case Manager | Avera Health Plans Medical Management Avera

Manager, Case Management Special Programs TriWest Healthcare Alliance

Case Management Supervisor RN CorVel Corp

Case Management Director Ironside Human Resources

Case Management Director Encompass Health Rehabilitation Hospital of Sioux Falls

Case Management Pharmacist (Remote) Pharmacy Careers

Case Management Specialist State of South Dakota

Registered Nurse (RN) Case Manager | Avera Health Plans Medical Management Avera Health

Family And Child Case Manager Boys Town

Case Management Director Encompass Health Corp.

Program Management Lead Citigroup Inc

RN Case Manager - Inpatient Days Sanford Health

Director Product Management - AI / ML Platform CVS Health Corp

Registered Nurse (Rn) - Case Manager - Transfer Center | PRN Avera Health

Registered Nurse (RN) Case Manager | Avera at Home Avera

Registered Nurse Case Manager RN Interim HealthCare Inc

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