- CVS Health (Pierre, SD)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CenterWell (Pierre, SD)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- CenterWell (Pierre, SD)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a… more
- CVS Health (Pierre, SD)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Indian Health Service (Fort Thompson, SD)
- …The purpose of this position is to provide case management services, perform utilization reviews, and serve as a clinical nurse when needed. The incumbent ... Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov) Directly supports patients, providers, and… more
- Sharecare (Pierre, SD)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Indian Health Service (Rosebud, SD)
- …Unit in Rosebud, SD. The purpose of this position is to provide patient case management by a nurse specialist, registered nurse , for an identified patient ... population, to ensure continuity, coordination, and comprehensive management of patient care, and to promote cost effectiveness of care through utilization and… more
- CVS Health (Pierre, SD)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized accreditation… more
- CVS Health (Pierre, SD)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... in **Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Avera (Sioux Falls, SD)
- …Provide all cares to include lab draws, nebulizer treatments, wound care, case management , discharge planning and as needed cares. Responsible for the care planning, ... utilization of services, coordination of care, and the education...and the education of the interdisciplinary teams in the management of patient care services. Develops all patient care… more
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