5 Registered Nurse (RN) - Case Manager - Medical Management Jobs in Springs, SD
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Avera McKennan Hospital & University Health Center
Springs, SD | Part Time
$75k-89k (estimate)
2 Weeks Ago
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Avera McKennan Hospital & University Health Center
Springs, SD | Part Time
$75k-89k (estimate)
2 Weeks Ago
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Registered Nurse (RN) - Case Manager - Medical Management
$78k-94k (estimate)
Full Time | Insurance
2 Weeks Ago
Avera Health Plans is Hiring a Registered Nurse (RN) - Case Manager - Medical Management Near Springs, SD
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 Organization by CHIME.
CultureBe 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 AveraCompetitive 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 HighlightsPaid Time Off (PTO) available on Day 1!
Options for Free Health Insurance!
This position has the opportunity to work remotely!
Positive Work EnvironmentBe part of an organization where we practice the mission in our daily operations and demonstrate our pride by delivering excellent care.
Job SummaryThe 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?
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 Organization by CHIME.
CultureBe 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 AveraCompetitive 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 HighlightsPaid Time Off (PTO) available on Day 1!
Options for Free Health Insurance!
This position has the opportunity to work remotely!
Positive Work EnvironmentBe part of an organization where we practice the mission in our daily operations and demonstrate our pride by delivering excellent care.
Job SummaryThe 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?
Job Summary
JOB TYPE
Full Time
INDUSTRY
Insurance
SALARY
$78k-94k (estimate)
POST DATE
06/08/2024
EXPIRATION DATE
07/06/2024
WEBSITE
averahealthplans.com
HEADQUARTERS
SIOUX FALLS, SD
SIZE
25 - 50
FOUNDED
1999
CEO
JIM BRECKENRIDGE
REVENUE
$200M - $500M
INDUSTRY
Insurance
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