- Mitsubishi Chemical Group (Pierre, SD)
- ** Compliance Case Manager (2082)** + Title: Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: ... as they are today. Job Purpose Mitsubishi Chemical Group is seeking a ** Compliance Case Manager ** to join a team committed to excellence, continuous… more
- Avera (Sioux Falls, SD)
- …as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation with Utilization Review staff on ... Transfer Center RN and accepting physician. The Transfer Center Case Manager reviews patients for medical necessity,...who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act.… more
- Select Medical (Sioux Falls, SD)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. +… more
- Highmark Health (Pierre, SD)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Pierre, SD)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... including patient education, regular check-ins, and addressing potential barriers to compliance . + Take ownership of intricate patient cases involving multiple… more
- Avera (Sioux Falls, SD)
- …call time involved May be eligible for a sign on bonus Hospital at Home RN Case Manager : Delivers Nursing Care in the patients home by developing a nursing ... Provide all cares to include lab draws, nebulizer treatments, wound care, case management, discharge planning and as needed cares. Responsible for the care… more
- Avera (Sioux Falls, SD)
- …departments. Provides follow-up contact with patient as indicated to ensure compliance with recommendations - medications, lab/x-ray, specialists visits, PCP visits, ... clinic care team education on changing payor requirements. Collaborates with payer Case Managers for additional services when appropriate. + Participates in regular… more
- Cardinal Health (Pierre, SD)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Provide caseload coverage outside of assigned duties as needed. + Ensure compliance with company and manufacturer policies. **_Qualifications_** + 3-6 years of… more
- Avera (Mitchell, SD)
- …employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please ... contact HR Now at ###. Additional Notices: For TTY, dial 711 Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity. more
- Sanford Health (Sioux Falls, SD)
- …geriatric patients/residents. Interviews potential residents and assesses residents in compliance with regulations, policy and procedure. Uses assessment information ... for admission and continued stay in the hospice community. Establishes a service plan for each resident and evaluates on an on-going basis. Ability to communicate with patients/residents, family members and others on the health care team. Must demonstrate… more
- Sumitomo Pharma (Pierre, SD)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Manager , Compliance , Training & Strategic Alliance (CTSA), PVRM** . The ... Associate Manager , Compliance , Training & Strategic Alliance (CTSA),... issues and significant quality issues originating with the case processing vendor and License Partner. + Participate in… more
- Travelers Insurance Company (Pierre, SD)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- CDM Smith (Watertown, SD)
- …**Job Description:** CDM Smith is seeking a Senior Data Privacy and IT Compliance Specialist to join our Corporate Business Technology team. This role is critical ... in safeguarding our information assets and ensuring compliance with data privacy regulations and IT security standards....Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Walgreens (Rapid City, SD)
- …and ensures compliance with employment laws. + Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision. ... events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and… more
- Lumen (Pierre, SD)
- …we digitally connect the world and shape the future. **The Role** The Manager , Information Security leads the Information Security Identity team that is responsible ... requirements and coordinating information security risk assessments to ensure compliance with corporate policy, standards, procedures and industry best practices.… more
- Highmark Health (Pierre, SD)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- CDM Smith (Aberdeen, SD)
- …Description:** CDM Smith is seeking to fill an exciting position for a Project Manager in our established and growing power generation sector. The Project Manager ... by our marketing team. * Leading and managing a multi-discipline engineering and compliance team to deliver required compliance and engineering deliverables to… more
- Datavant (Pierre, SD)
- …+ Build and maintain strong working relationships with engineering, UX/UI, security, compliance , and other relevant stakeholders. **About You** + **You have 5+ years ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- Datavant (Pierre, SD)
- …or engineering** ideally working in a healthcare (or a similar industry) where security / compliance play a major role in how things get designed & developed + **You ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- Datavant (Pierre, SD)
- …or engineering** ideally working in a healthcare (or a similar industry) where security / compliance play a major role in how things get designed & developed + **You ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more