- Avera (Rapid City, SD)
- …volume records and equipment records). + Provides detailed reports to management as requested. + Consults with radiologist, physicians and other patient-care ... regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable....regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable.… more
- Humana (Pierre, SD)
- …by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or post-acute care… more
- Avera (Aberdeen, SD)
- …matrix/patient estimator tools and posts payments correctly to the payment processing system . + Maintains customer relations at a very positive level as evidenced ... patients of telephone consumer protection act, insurance information, referring physicians, and CMS required documentation) such as IMMs, MOON, and OBVs, etc. +… more
- CVS Health (Pierre, SD)
- …codes that are submitted to the Centers for Medicare and Medicaid Services ( CMS ) for the purpose of risk adjustment processes are appropriate, accurate, and ... compliance with internal policies and procedures as well as regulatory guidance from CMS , OIG or other Regulatory body. **Required Qualifications** + Minimum of 1… more
- Avera (Aberdeen, SD)
- …Best-in-State Employers List (https://www.avera.org/news-media/news/2019/avera-forbes-best-in-state/) . CMS 5 Star Facility ... nursing staff immediately on status or changes in patient conditions, pain management , and other important concerns. + Assists with restocking supplies and… more
- Avera (Milbank, SD)
- …is in compliance with state, federal, and regulatory agencies, including CMS /ESRD-Renal Network, and Quality Assurance and Process Improvement efforts. + Coordinates ... dialysis process and procedures related to that process, including care and management of dialysis accesses. **Essential Qualifications** The individual must be able… more
- ISC2 (Pierre, SD)
- …career, eager to learn, and capable of contributing to solution design, system integrations, and continuous platform improvement. This position is not available to ... & Implementation** + Contribute to the design of scalable, maintainable system architectures under senior guidance. + Design configurations, integrations, and… more
- Avera (Mitchell, SD)
- …**A Brief Overview** Assists in drug preparation, storage, distribution, and inventory management within a variety of pharmacy environments. It is recommended this ... to maintain an efficient, accurate, and high-quality medication delivery system . + Demonstrates proficient knowledge of medications, calculations, regulation, and… more
- Avera (Sioux Falls, SD)
- …policies, code set changes and translate into technical specifications for the system . + Data management : Provides analysis and documentation that supports ... and technical stakeholders to translate complex business needs into efficient system solutions, while maintaining the integrity and performance of Epic applications.… more
- Humana (Pierre, SD)
- …but not limited to: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate CMS logic. + Assisting with ... Analyst will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies.… more