- Cognizant (Pierre, SD)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Pierre, SD)
- …a part of our caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Communities is good for the Soul. Join Us!** The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Pierre, SD)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Sanford Health (Sioux Falls, SD)
- …business need, prior to new Sanford education requirements. Three years' experience as a registered nurse (RN) in a clinical role preferred. Thorough ... skilled in the functions of the applicable technical software setting and process/ utilization improvement. Improves clinical patient care processes for quality… more
- Avera (Sioux Falls, SD)
- …**May Be eligible for a $10,000 Sign on Bonus** **Student Loan Repayment:** This Registered Nurse (RN) position may be eligible for Avera's Student Loan ... hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse (RN) - Board of Nursing Upon Hire **Preferred… more
- Humana (Pierre, SD)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CVS Health (Pierre, SD)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... we do it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization… more
- Avera (Mitchell, SD)
- …undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse (RN) - Board of Nursing An active license ... and manage any personnel/patient issues in the absence of clinical leaders. + Coordinates utilization of resources...the absence of clinical leaders. + Coordinates utilization of resources including staff, ancillary staff, equipment and… more
- Evolent (Pierre, SD)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Sharecare (Pierre, SD)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Lincoln Financial (Pierre, SD)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- STG International (Pierre, SD)
- …the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. *Comply ... into the VA health care system. *Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership… more
- Avera (Sioux Falls, SD)
- …services. **What you will do** + Learns and maintains proficient understanding and utilization of the EMR (LSS). + Provides accurate, completed, legible and timely ... medical record. + Works collaboratively as a team member with the physician, nurse (s), and receptionists in a clinic setting to provide exceptional patient care. +… more
- Avera (Sioux Falls, SD)
- …undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse (RN) - Board of Nursing An active license ... situations with regards to appropriate plan of care, critical clinical thinking skills, and patient education. + Documents the...for complete patient continuum of care while ensuring appropriate utilization of resources. + Is a resource for staff… more