8 Results for

Clinical Specialist Jobs in South Dakota

Jobs

Rapid City, SD

li>Coordinate the teaching of daily living skills: this includes but not limited to; grocery shopping, hygiene, maintaining clean housing, utilizing public transportation, maintaining self-care, exploring employment opportunities, instruct clients in the act of self-administration of prescription and nonprescription medication. West River Mental Health has been providing mental health care in Western South Dakota since 1948 and is the largest, most advanced community mental healthcare facility in the region.

30+ days ago

$83,100–$120,360 / year

Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case.

30+ days ago

Sioux Falls, SD

Remote

Full time

Technical 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.

30+ days ago

Sioux Falls, SD

$43–$71 / hour

The Clinical Specialist helps develop and maintain EMR"s utilized for service line documentation of care delivery; completes policy review and provides updates as warranted; reviews billing and coding as well as intermittently assist in denial management. We have primarily an in-house therapy model that covers multiple services lines with a leadership team that includes clinical and operational expertise.

18 days ago

Sioux Falls, SD

Remote

If you are applying to perform work for Medtronic, Inc. (Medtronic) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. We seek out and hire a diverse workforce at every level: We need fresh ideas and inclusive insights to continue to be an innovative industry leader thats why we make it a point to seek out, attract and develop employees who are patient-centric, passionate, and who represent the same wide variety of life experiences as our patients.

30+ days ago

Rapid City, SD

$33.60–$42 / hour

p>Neonatal Resuscitation Program (NRP) Course - American Academy of Pediatrics (AAP) and Pediatric Advanced Life Support (PALS) Healthcare Provider Certification - American Heart Association (AHA)- Required for caregiver assigned to Pediatric/Neonatal Specialty Educator role.

Certifications - Registered Respiratory Therapist (RRT) - National Board for Respiratory Care (NBRC); Respiratory Care Practitioner (RCP) - South Dakota Board of Medical and Osteopathic Examiners; Basic Life Support (BLS) Certification- American Heart Association (AHA) - Within 60 days of hire or transfer*.

9 days ago

Rapid City, South Dakota

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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..

**Neonatal Resuscitation Program (NRP) Course - American Academy of Pediatrics (AAP) and Pediatric Advanced Life Support (PALS) Healthcare Provider Certification - American Heart Association (AHA)- Required for caregiver assigned to Pediatric/Neonatal Specialty Educator role**.

10 days ago

Remote

This individual is accountable for selling and growing the strategic components of the ACM portfolio - spanning Acute Care & Patient Monitoring device sales and Digital Health Home solutions- across VA Medical Centers (VAMCs), DoD Military Treatment Facilities (MTFs), and Indian Health Service accounts within their region.

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).

16 days ago

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Clinical Specialist Jobs in South Dakota

Clinical Specialist (Case Manager) West River Mental Health

Appeals and Grievances Clinical Specialist Healthfirst

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

Therapy Clinical Consultant Sanford Health

Principal EP Mapping Specialist, CAS - Sioux Falls, SD Medtronic Plc

Respiratory Care Clinical Quality Educator Monument Health.

Respiratory Care Clinical Quality Educator Monument Health Rapid City Hospital

Senior Government Sales Representative - ACM Medtronic Plc

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