- Merck & Co. (Sioux Falls, SD)
- …distribution (Oncology group purchasing organizations, wholesalers, and specialty pharmacies). Review and evaluate patterns for products purchased and prescribed ... the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.… more
- Evolent (Pierre, SD)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… 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
- CenterWell (Pierre, SD)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... to work every other holiday.** The **Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for...Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services +… more
- Sanford Health (Rapid City, SD)
- …care, or related clinical settings preferred. Current licensure as a Registered Nurse and Nurse Practitioner in each state of practice. Current Drug ... Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Hospitalist Nurse Practitioner provides advanced nursing care to hospitalized patients, working… more
- Sanford Health (Webster, SD)
- …as include hospital rounds. **Retention Incentives Available** **Job Summary** The Nurse Practitioner (NP) or Physician Assistant (PA) provides service to patients ... physicians, assessing patients, and treating injuries and ailments. Obtains a thorough medical history from patient and dependent on patient population and setting… more
- Sanford Health (Rapid City, SD)
- …year of leadership/management experience preferred. Experience in medical necessity review preferred. Currently holds an unencumbered registered nurse (RN) ... **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a high-impact, data-driven program that… 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
- Highmark Health (Pierre, SD)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... Preferred + Associate's or Bachelor's Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… 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
- 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
- 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
- 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
- Aveanna Healthcare (Sioux Falls, SD)
- …* Achieve clinical and metrics provided by the executive team * Review weekly/monthly clinical performance reports to assure nursing expectations are being ... Nurse within the last 5 years; in a clinical care setting preferred * Current CPR accredited by...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. As an employer… 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
- 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
- Sanford Health (Sioux Falls, SD)
- …physician investigator. Prepare case report forms and source documents for sponsor review . Abstract data from medical records, clinic, consultation and referral ... personnel to the research process. Advanced nursing position that involves clinical patient contact, research study coordination and study data management. Must… more
- Zurich NA (Pierre, SD)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist, you will manage supplier performance and work product in… more
