Disease Management Case Manager jobs in South Dakota

Disease Management Case Manager coordinates the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge. Acts as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively. Being a Disease Management Case Manager responsibilities include but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. Requires an associate's degree/bachelor's degree, and is licensed to practice nursing. Additionally, Disease Management Case Manager typically reports to a supervisor or manager. Disease Management Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)

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Registered Nurse (RN) - Case Manager - Medical Management
  • Avera Health Plans
  • Baltic, SD FULL_TIME
  • Join the team at Avera!

    Award Winning Health Care

    Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.

    Culture

    Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

    You Belong At Avera

    Competitive pay, front-loaded PTO and options for free health insurance, sign-on bonuses, various shifts to fit your lifestyle and opportunities for career growth.

    Avera is looking for a Registered Nurse (RN) - Case Manager to join our Team!

    Position Highlights

    Paid Time Off (PTO) available on Day 1!

    Options for Free Health Insurance!

    This position has the opportunity to work remotely!

    Positive Work Environment

    Be part of an organization where we practice the mission in our daily operations and demonstrate our pride by delivering excellent care.

    Job Summary

    The RN Case Manager is a specialized nurse that identifies members who would benefit from complex/chronic condition case management and/or service coordination.

    The RN Case Manager develops and facilitates the member’s plan of care. In collaboration with physicians, population health staff, employers, community organizations, hospital-based case managers/utilization review staff, clinic-based care coordinators/preauthorization staff, and Insurance Division staff, the RN Case Manager encourages the best possible outcome in the most cost effective manner in accordance with standards set forth by National Committee for Quality Assurance (NCQA).

    The RN Case Manager will need to be knowledgeable in various aspects of all health plan lines of business, inclusive of commercial, marketplace, and self-funded clients.

    The position requires interaction with health system stakeholders, key opinion leaders, vendors, delegated entities, healthcare providers, policy makers, and accreditation and government organizations.

    Education and/or Experience

    Graduate from an accredited RN program (Associate’s degree or Bachelor of Science degree).

    Four years of professional nursing practice experience preferably in the acute care setting.

    Case-management, disease-management, care coordination or equivalence preferred.

    Proficient in Microsoft Word, Excel, Access and Power Point.

    Familiarity with data extraction tool is desirable.

    Licensure/Certification/Registration

    Licensed as a Registered Nurse in the state of South Dakota and/or meeting the requirements of the enhanced Nursing Compact Licensure (eNCL) required.

    Registered Nurse in the state of Minnesota or within 120 days of employment required.

    Certification in Case Management, Managed Care Nursing or a related specialty to be completed within 2 years of hire date.

    Work Schedule

    Monday - Friday; 80 hours every 2 weeks

    8:00 am - 5:00 pm

    Pay

    The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

    $29.50- $44.25 per hour

    What Makes Avera Special?
  • 2 Days Ago

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Registered Nurse (RN) - Case Manager - Medical Management
  • Avera Health Plans
  • Hartford, SD FULL_TIME
  • Join the team at Avera!Award Winning Health CareAvera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Orga...
  • 3 Days Ago

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Registered Nurse (RN) - Case Manager - Medical Management
  • Avera Health Plans
  • Lennox, SD FULL_TIME
  • Join the team at Avera!Award Winning Health CareAvera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Orga...
  • 3 Days Ago

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Registered Nurse (RN) - Case Manager - Medical Management
  • Avera Health Plans
  • Canton, SD FULL_TIME
  • Join the team at Avera!Award Winning Health CareAvera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Orga...
  • 3 Days Ago

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Registered Nurse (RN) - Case Manager - Medical Management
  • Avera Health Plans
  • Renner, SD FULL_TIME
  • Join the team at Avera!Award Winning Health CareAvera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Orga...
  • 3 Days Ago

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Registered Nurse (RN) - Case Manager - Medical Management
  • Avera Health Plans
  • Sioux Falls, SD FULL_TIME
  • Join the team at Avera!Award Winning Health CareAvera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Orga...
  • 3 Days Ago

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NP or PA | PRN | Cone Health Occupational Health
  • Cone Health
  • Burlington, NC
  • Overview: LOCATION: All Cone Health Occupational Health sites CITY: Greensboro, Kernersville, Burlington JOB DETAILS: Sc...
  • 6/11/2024 12:00:00 AM

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WVU-Disease Management Coordinator -70168
  • West Virginia University Health System
  • Moorefield, WV
  • Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the...
  • 6/9/2024 12:00:00 AM

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WVU-Disease Management Coordinator -70168
  • WVU Medicine
  • Keyser, WV
  • Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the...
  • 6/8/2024 12:00:00 AM

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Outpatient Case Manager / Disease Management
  • Regal Medical Group, Inc.
  • Covina, CA
  • Job Description Position Summary: The Outpatient Case Manager is responsible for the assessment, treatment planning, int...
  • 6/8/2024 12:00:00 AM

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LICENSED CLINICAL SOCIAL WORKER
  • Empower U Inc
  • Miami, FL
  • Job Description Job Description DESCRIPTION The Licensed Clinical Social Worker is responsible for conducting detailed a...
  • 6/8/2024 12:00:00 AM

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Nursing Supervisor
  • APLA Health
  • Los Angeles, CA
  • Job Details Job Location Michael Gottlieb Health Center - West Hollywood, CA Position Type Full Time Education Level 2 Y...
  • 6/8/2024 12:00:00 AM

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NP or PA | PRN | Cone Health Employee Health
  • Cone Health
  • Greensboro, NC
  • Overview: LOCATION: All Cone Health Employee Health and Occupational Health sites CITY: Greensboro, Kernersville, Burlin...
  • 6/7/2024 12:00:00 AM

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Health Educator (US)
  • Elevance Health
  • Los Angeles, CA
  • Health Educator Location: This position will primarily be work from the home. The ideal candidate will live within 50 mi...
  • 6/7/2024 12:00:00 AM

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disease Management Case Manager jobs
$71,794 to $83,169

Disease Management Case Manager in Detroit, MI
Providers can directly refer members to our case management program at any time.
January 02, 2020
Disease Management Case Manager in Duluth, MN
A case manager can help a patient understand the benefits of following a treatment plan and the consequences of not following the plan outlined by the physician.
January 09, 2020
Disease Management Case Manager in Rock Island, IL
Our Complex Case Managers are Registered Nurses and / or Social Workers.
February 19, 2020