- Evolent (Pierre, SD)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents, and other health care ... Nurse Anesthetist. The CRNA is an advanced practice nurse who utilizes specialized education and clinical ... nursing skills to administer anesthesia care throughout the medical center. Responsibilities The VA Midwest Health Care Network… more
- CVS Health (Pierre, SD)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- Datavant (Pierre, SD)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Amergis (Aberdeen, SD)
- …disability examinations for veterans in accordance with VBA guidelines. + Review medical records and document findings using standardized templates. ... We are seeking a compassionate anddetail-oriented Nurse Practitioner (NP) to join our team insupporting disabled veterans through the Veterans BenefitsAdministration… more
- Good Samaritan (Sioux Falls, SD)
- …risk program. Will complete chart reviews, documentation of findings, referral for medical director review and required reporting. Will perform healthcare ... and external departments to ensure all aspects of workflow are completed. Will review the risk score adjustment information for medical chart record requests… more
- Fujifilm (Pierre, SD)
- **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
- Sanford Health (Rapid City, SD)
- …is preferred * Must be eligible for licensure as a Physician Assistant or Nurse Practitioner in the State of South Dakota and possess NCCPA or ANCC certification ... **Job Summary** The Physician Assistant (PA) provides expert clinical guidance in a specialized field and coordinates patient care quality initiatives. This role… more
- Sanford Health (Rapid City, SD)
- …is preferred * Must be eligible for licensure as a Physician Assistant or Nurse Practitioner in the State of South Dakota and possess NCCPA or ANCC certification ... and tail coverage **Job Summary** The Physician Assistant (PA) provides expert clinical guidance in a specialized field and coordinates patient care quality… more
- Cardinal Health (Pierre, SD)
- …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of… more
- Oracle (Pierre, SD)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more
- Highmark Health (Pierre, SD)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent conducts… more
- Sanford Health (Sioux Falls, SD)
- …patients needing follow-up. *Physician Assistant or Adult Gerontology Acute Care Nurse Practitioner Preferred* **Job Summary** The Physician Assistant (PA) provides ... physicians, assessing patients, and treating injuries and ailments. Obtains a thorough medical history from patient and dependent on patient population and setting,… more
- Avera (Pierre, SD)
- …Assist with daily nursing tasks within the radiology department. Start IV Review Planet Heart results with patients & provide education Assist with medication ... with physicians. + Develops nursing care plans by obtaining medical histories; examining patients; documenting patient physical condition, psychological status,… more
- CenterWell (Pierre, SD)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Sanford Health (Canton, SD)
- …clinics, and ER. **Job Summary** The Physician Assistant (PA) provides expert clinical guidance in a specialized field and coordinates patient care quality ... physicians, assessing patients, and treating injuries and ailments. Obtains a thorough medical history from patient and dependent on patient population and setting… more
- Veterans Affairs, Veterans Health Administration (Union County, SD)
- …high level of coordination to avoid patients having to make multiple trips to the medical center or clinic. Daily review of return to clinic orders, queries, and ... reports. Advanced knowledge of medical terminology specific to understand medical diagnosis and procedures sufficient to communicate clinical staff… more
- Avera (Pierre, SD)
- …patients. Work where you matter.** **A Brief Overview** Accountable for directing clinical planning, application and follow-up of medical equipment and supplies ... **Location:** Avera Home Medical Equipment-Pierre **Worker Type:** Regular **Work Shift:** As...visits to perform quality control checks on equipment, and review with the customer proper use and safety factors.… more
- Datavant (Pierre, SD)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued ... necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...to author appeal letter Identification of referrals to the medical director for review + Select appropriate… more
- STG International (Pierre, SD)
- …into the VA health care system. *Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership ... Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in... Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse… more