Case Manager Jobs in South Dakota
Case Manager jobs in South Dakota are concentrated in Sioux Falls, Rapid City, and Aberdeen, where employers like Sanford Health, Avera Health, and the South Dakota Department of Social Services maintain steady demand across behavioral health, child welfare, and medical case management. Openings range from entry-level positions to senior care coordinator roles, with behavioral health and substance use disorder specialties seeing the most consistent activity. Find a role that fits below and apply directly.
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Showing 5 of 7+ Case Manager jobs
Location:
Worker Type:
RegularWork Shift:
Day Shift (United States of America)Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$31.00 - $46.25Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
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.
What you will do
- Identifies cases that qualify for complex/chronic condition case management and/or service coordination, based on, but not limited to, the evaluation of the following data: claims, hospital reports, risk stratification, utilization management, pharmacy reports, and referrals from internal health plan staff, clinic staff, hospital discharge planners, members and providers.
- Creates and executes unique, care plans that ensure the best possible individualized health care goals for the chronic and/or complex member are met in accordance with NCQA assessment standards and requirements.
- Performs utilization management activities of selected services, including preauthorizations, inpatient admissions, continued stay reviews and retro reviews using established medical guidelines, clinical information and clinical education to determine medical appropriateness for coverage.
- Performs end to end management and authorization of all transplant members, in all phases of transplant (pre, inpatient, post). This includes authorization requests, case management services, claims inquiries, and network steerage.
- Reviews and interprets key clinical and operational data in order to provide feedback and assist with the utilization management of healthcare services.
- Effectively communicate and collaborate with other departments within the health plan including, but not limited to, clinical denials, appeals, network determination, and quality of care issues.
- Understands and educates key stakeholders on benefit plan design, network status, and appropriate claims processing for approved services.
- Directs and transitions care to network providers and coordinates service to ensure cost-effective, high-quality outcomes.
- Advocates for member’s health by identifying age appropriate health screening(s), advising of wellness coverage benefits and facilitating member compliance with recommended screenings.
- Researches and identifies community resources to assist in addressing all facets of social determinants of health.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Required Education, License/Certification, or Work Experience:
- Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire and
- Certified Case Manager (CCM) - Commission for Case Manager Certification (CCMC) within 3 Years or
- Certified Managed Care Nurse (CMCN) - American Board of Managed Care Nurses (ABMCN) within 3 Years
- 4-6 years Nursing experience in acute care setting
Preferred Education, License/Certification, or Work Experience:
- Case management, disease management, care coordination or equivalent
Expectations and Standards
- Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
- Promote Avera’s values of compassion, hospitality, and stewardship.
- Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship
Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.
Location:
Worker Type:
RegularWork Shift:
Day Shift (United States of America)Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$31.00 - $46.25Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
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.
What you will do
- Identifies cases that qualify for complex/chronic condition case management and/or service coordination, based on, but not limited to, the evaluation of the following data: claims, hospital reports, risk stratification, utilization management, pharmacy reports, and referrals from internal health plan staff, clinic staff, hospital discharge planners, members and providers.
- Creates and executes unique, care plans that ensure the best possible individualized health care goals for the chronic and/or complex member are met in accordance with NCQA assessment standards and requirements.
- Performs utilization management activities of selected services, including preauthorizations, inpatient admissions, continued stay reviews and retro reviews using established medical guidelines, clinical information and clinical education to determine medical appropriateness for coverage.
- Performs end to end management and authorization of all transplant members, in all phases of transplant (pre, inpatient, post). This includes authorization requests, case management services, claims inquiries, and network steerage.
- Reviews and interprets key clinical and operational data in order to provide feedback and assist with the utilization management of healthcare services.
- Effectively communicate and collaborate with other departments within the health plan including, but not limited to, clinical denials, appeals, network determination, and quality of care issues.
- Understands and educates key stakeholders on benefit plan design, network status, and appropriate claims processing for approved services.
- Directs and transitions care to network providers and coordinates service to ensure cost-effective, high-quality outcomes.
- Advocates for member’s health by identifying age appropriate health screening(s), advising of wellness coverage benefits and facilitating member compliance with recommended screenings.
- Researches and identifies community resources to assist in addressing all facets of social determinants of health.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Required Education, License/Certification, or Work Experience:
- Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire and
- Certified Case Manager (CCM) - Commission for Case Manager Certification (CCMC) within 3 Years or
- Certified Managed Care Nurse (CMCN) - American Board of Managed Care Nurses (ABMCN) within 3 Years
- 4-6 years Nursing experience in acute care setting
Preferred Education, License/Certification, or Work Experience:
- Case management, disease management, care coordination or equivalent
Expectations and Standards
- Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
- Promote Avera’s values of compassion, hospitality, and stewardship.
- Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship
Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.
See All 7 Case Manager Jobs in South Dakota
Find roles in South Dakota that match your experience and apply in just a few clicks.
Find Case Manager JobsCase Manager Jobs by City in South Dakota
Where South Dakota roles are concentrated, by current openings.
Case Manager Job Market in South Dakota
A snapshot from current South Dakota openings, updated as new roles post.
Who's Hiring
What South Dakota Employers Look For
The qualifications that appear most often in case manager jobs across South Dakota.
- Active South Dakota social work license (LSW or LCSW) or eligibility for licensure through the South Dakota Board of Social Work Examiners
- Bachelor's degree in social work, psychology, human services, or a closely related field
- Experience conducting assessments, developing care plans, and coordinating community resources
- Familiarity with state and federal programs including Medicaid, Medicare, and Title IV-E child welfare funding
- Strong documentation skills and proficiency with electronic health record or case management software
- Valid driver's license and reliable transportation for field-based and home visit responsibilities
Case Manager Jobs in South Dakota: Frequently Asked Questions
How do you become a case manager in South Dakota?
Most case manager roles in South Dakota require at least a bachelor's degree in social work, psychology, or a related human services field, and many positions require licensure through the South Dakota Board of Social Work Examiners. To qualify for a Licensed Social Worker designation, you complete an accredited program and pass the Association of Social Work Boards exam. Clinical roles typically require a master's degree and supervised hours toward LCSW licensure. Healthcare case management roles may also require a Certified Case Manager credential.
Which companies hire case managers in South Dakota?
South Dakota case manager roles are posted by Avera Health, Interim HealthCare, and West River Mental Health and others right now, based on current listings on Migrate Mate as of October 2026. Large integrated health systems and state human services agencies account for a significant share of openings, particularly in behavioral health, child protective services, and hospital discharge planning.
Which South Dakota cities have the most case manager jobs?
Sioux Falls, Rapid City, and Britton are the South Dakota cities with the most case manager openings. Sioux Falls leads because it is home to Sanford Health and Avera Health, two of the largest employers in the state, while Rapid City supports a substantial caseload through regional hospital networks and tribal health programs serving western South Dakota communities.
Are there remote case manager jobs in South Dakota?
Yes, but they are less common than in purely desk-based fields because case management often requires in-person assessments, home visits, and face-to-face coordination with clients and providers. About 50% of case manager openings tied to South Dakota are remote or hybrid as of October 2026, with telephonic case management and utilization review roles being the most likely to offer fully remote schedules.
How can I get hired as a case manager in South Dakota with little or no experience?
The most realistic entry path is applying for case aide, community health worker, or social services specialist roles at Sanford Health, Avera Health, or the South Dakota Department of Social Services, which regularly bring on candidates who are completing their degrees or recently graduated. Volunteering or interning with tribal social services or community mental health centers in South Dakota also builds the hands-on assessment experience employers look for. Obtaining your LSW license as soon as you are eligible gives you a meaningful edge over candidates who delay the credential.
Where can I find and apply to case manager jobs in South Dakota?
You can find and apply to case manager jobs in South Dakota on Migrate Mate, which lists current openings from employers actively hiring in the state. Search the listings, find roles that match your background and preferred location, and apply directly to the ones that fit.
See All 7 Case Manager Jobs in South Dakota
Find roles in South Dakota that match your experience and apply in just a few clicks.
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