RN - Registred Nurse - Local Traveler Good SamaritanRN - Registred Nurse - Local TravelerKanaranzi, MNRemote$32–$48Graduate 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). 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.
NewLicensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USAGarretson, SDRemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor‑led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
LPN - Licensed Practical Nurse - Local Traveler Good SamaritanLPN - Licensed Practical Nurse - Local TravelerKanaranzi, MNRemote$24–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
Recruiter / Healthcare / Remote / Great earning potential Omega RecruitingRecruiter / Healthcare / Remote / Great earning potentialSioux Falls, SDRemoteWe have a tried-and-true recipe for success that has allowed us to become an industry leader and one of the largest and most successful executive search firms in the country, with an extensive and ever-growing network of search consultants. This is an excellent opportunity for someone who has an entrepreneurial mindset, is goal-oriented, has a competitive spirit, and thrives on the opportunity to have unlimited earning potential in a commission-driven position.
Healthcare Operational Consulting Senior Manager - Remote Eligible Eide Bailly LLPHealthcare Operational Consulting Senior Manager - Remote EligibleSioux Falls, SDRemote$140,000–$205,000 / yearA typical day as a Healthcare Operational Consulting Senior Manager might include: Provides onsite and offsite consulting services related to healthcare financial, operational and industry issues including project management and delivery. For extra assistance in your job search journey, explore EB Career Resources-a complimentary external tool that offers career exploration, resume workshops, interview prep and other professional development options.
Healthcare Operational Consulting Manager - Remote Eligible Eide Bailly LLPHealthcare Operational Consulting Manager - Remote EligibleSioux Falls, SDRemote$100,000–$145,000 / yearA typical day as a Healthcare Operational Consulting Manager might include: Provides consulting services related to healthcare financial, operational and industry issues including project management and delivery. For extra assistance in your job search journey, explore EB Career Resources-a complimentary external tool that offers career exploration, resume workshops, interview prep and other professional development options.
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligibleSioux Falls, SDRemote$95,000–$135,000 / yearLocation: Any state with an Eide Bailly office Work Arrangement: In-office, hybrid, or remote with the ability to come into an Eide Bailly office as needed Typical Day in the Life In this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety of healthcare facilities, while also supporting other reimbursement initiatives as needed. A typical day as a Healthcare Reimbursement Manager might include the following: Overseeing cost report preparation and reimbursement engagements to ensure objectives are met, including supporting staff development, addressing client needs, and maintaining engagement profitability.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareSDRemote$81,000–$115,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
Staff Engineer - Full Time - Remote Experity IncStaff Engineer - Full Time - RemoteSDRemote$121,400–$161,500 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Joining us means doing meaningful work that directly improves the healthcare experience for millions-from helping families access care quickly to ensuring clinics run smoothly behind the scenes.
NewClient Success Manager - Full Time - Remote Experity IncClient Success Manager - Full Time - RemoteSDRemote$66,900–$90,000 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
NewPACS Technical Support Management Manager - Full Time - Remote Experity IncPACS Technical Support Management Manager - Full Time - RemoteSDRemote$90,900–$110,000 / yearCommunicate and collaborate effectively with other functional leaders by solving business challenges together, identifying growth opportunities, and collaborating to drive efficiency and effectiveness across the organization, while focusing on support. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Sioux Falls, South DakotaRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
Medical Science Liaison (MSL) - Neuromuscular (ND, SD, NE, IA, MN, WI) Remote Novartis AGMedical Science Liaison (MSL) - Neuromuscular (ND, SD, NE, IA, MN, WI) RemoteSDRemote$145,600–$270,400 / yearThe primary responsibility of the MSL is to engage with customers - customer engagements may include but are not limited to: emerging data discussions, clinical trial activities, uncovering barriers in patient journey, understanding market dynamics within their territory, exploration of areas of unmet medical need, pipeline discussions, educating on disease state and product, capturing adverse events, and capturing medical insights through all stages of product lifecycle. Maintain in-depth knowledge of assigned therapeutic area and Novartis compounds to serve as a medical resource to customers and internal colleagues (in accordance with Working Practice Documents).Maintain in-depth knowledge of internal policies and external regulations (e.g., field medical Working Practice Document (WPD), travel policy, expense policy, state and local laws, institutional policies) and how they affect day-to-day responsibilities.
Remote Prior Authorization Pharmacist Pharmacy CareersRemote Prior Authorization PharmacistSioux Falls, South DakotaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital pharmacists with strong clinical judgment are encouraged to apply. A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies.
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift CareHarmonyRemote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day ShiftSioux Falls, SDRemote$43,000–$58,000CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Case Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Sioux Falls, South DakotaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Case management, MTM, or managed care experience preferred — retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Sioux Falls, South DakotaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior managed care or utilization management experience preferred — retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.
Recruiter (Remote - Sioux Falls, SD) LRS HealthcareRecruiter (Remote - Sioux Falls, SD)Sioux Falls, SDRemoteConduct initial phone screens with candidates in order to qualify candidates to open positions, then works internally with Account Managers to identify where the caregiver might be a qualified fit to work at. This role can either be a long-term fit for someone who enjoys the role of sourcing new talent, or can be an opportunity to learn the profession and develop the skillset necessary to advance to the Account Manager role.
REMOTE MDS Coordinator MDS SolutionsREMOTE MDS CoordinatorSioux Falls, South DakotaRemotePromote highest degree of quality care through QI/QM data with facility team and identify trends to assist facility in advancing facility processes, improve resident outcomes, and optimize reimbursement. Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident.
Remote Bilingual Customer Support Specialist CLEAResult Consulting, Inc.Remote Bilingual Customer Support SpecialistSDRemoteYou will support multiple programs using multiple platforms, providing a range of services, including customer service, visit scheduling, customer enrollment, program offering education, tech support, online support, and/or status updates. This isn't your typical call center job - we are an inbound contact center helping utility customers save money, make their homes more energy efficient and help our climate improve through change!
Remote Processing Specialist CLEAResult Consulting, Inc.Remote Processing SpecialistSDRemoteAny offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant's skills and prior relevant experience, certain degrees and certifications (e.g. In this remote role, you will be responsible for ensuring the Integrated Customer Service (ICS) team meets program deliverables by processing rebates accurately.
Remote Outbound Sales Specialist CLEAResult Consulting, Inc.Remote Outbound Sales SpecialistSDRemoteDrive success in a high-volume, outbound sales environment using a fast-paced dialer to speak to utility customers and encourage them to enroll in energy saving programs where they can save money on their bill. Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant's skills and prior relevant experience, certain degrees and certifications (e.g.
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.
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.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerSioux Falls, SDRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
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.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerSDRemoteIn this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadSioux Falls, SDRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Clinical Education Training Specialist TriWest Healthcare AllianceClinical Education Training SpecialistSioux Falls, SDRemoteFull timeAssist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.
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 Specialist (Home-Based) - Prior Authorization Sanford HealthUtilization Management Specialist (Home-Based) - Prior AuthorizationSDRemote$27.50–$38.50 / hourGraduate 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). Workflows may include patient chart review, and assisting with and managing of insurance coverage and denials, prior authorizations, scheduled procedures, same-day readmission reviews, as well as length of stay.
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.