Registered Nurse Case Manager Jobs in South Dakota
Registered Nurse Case Manager jobs in South Dakota are concentrated in Sioux Falls, Rapid City, and Aberdeen, where health systems like Sanford Health, Monument Health, and Avera Health maintain large regional operations and steady hiring pipelines. Demand is strongest in utilization review, discharge planning, and workers' compensation case management, with openings at every level from early-career RNs transitioning into case management to senior coordinators overseeing complex chronic care populations. Scan the live roles below and apply to whichever ones fit.
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Showing 4 of 13+ Registered Nurse 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 13 Registered Nurse Case Manager Jobs in South Dakota
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Find JobsRegistered Nurse Case Manager Jobs by City in South Dakota
Where South Dakota roles are concentrated, by current openings.
Registered Nurse Case Manager Job Market in South Dakota
A snapshot from current South Dakota openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What South Dakota Employers Look For
The qualifications that appear most often in registered nurse case manager jobs across South Dakota.
- Active registered nurse license recognized by the South Dakota Board of Nursing
- Associate or bachelor's degree in nursing from an accredited program
- Minimum two years of clinical nursing experience in an acute or post-acute setting
- Certified Case Manager credential preferred or required by most South Dakota health systems
- Proficiency with electronic health record platforms such as Epic or Cerner
- Strong knowledge of insurance authorization, discharge planning, and utilization review processes
Registered Nurse Case Manager Jobs in South Dakota: Frequently Asked Questions
How do you become a registered nurse case manager in South Dakota?
You first need an active RN license issued or recognized by the South Dakota Board of Nursing, which requires passing the NCLEX-RN exam after completing an accredited nursing program. From there, most South Dakota employers expect at least two years of clinical experience before moving into case management. Earning the Certified Case Manager credential strengthens your candidacy significantly, and large systems like Sanford Health and Avera Health often prefer applicants who already hold it.
How much do registered nurse case managers make in South Dakota?
Registered nurse case managers in South Dakota earn a median of about $78,060 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $54,040 for the lowest 10% to over $98,220 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire registered nurse case managers in South Dakota?
Companies currently hiring registered nurse case managers in South Dakota include Sanford Health, Avera Health, and Interim HealthCare, per current listings on Migrate Mate as of October 2026. South Dakota's market is anchored by large integrated health systems that hire case managers across inpatient, outpatient, and home health settings throughout the state.
Which South Dakota cities have the most registered nurse case manager jobs?
Sioux Falls, Rapid City, and Brookings hold the most registered nurse case manager openings in South Dakota. Sioux Falls drives the largest share of listings as the state's most populous city and home to Sanford Health and Avera Health headquarters, while Rapid City's volume reflects Monument Health's regional hub, and smaller markets like Aberdeen benefit from Avera's network of rural facilities and regional medical centers.
Are there remote registered nurse case manager jobs in South Dakota?
Yes, but they're limited. About 0% of registered nurse case manager openings tied to South Dakota are remote or hybrid as of October 2026, reflecting the largely clinical and care-coordination nature of the role. The functions most often performed remotely are telephonic utilization review, insurance authorization follow-up, and workers' compensation case management, where direct patient contact is not required.
How can I get hired as a registered nurse case manager in South Dakota with little or no experience?
The most realistic entry path is transitioning from a clinical bedside role, since South Dakota employers like Sanford Health and Avera Health almost always require hands-on RN experience before moving into case management. Starting in med-surg, telemetry, or discharge coordination positions builds the clinical foundation that case management teams look for. Volunteering for utilization review or care transition projects within your current unit, and pursuing the Certified Case Manager credential early, signals readiness to hiring managers at South Dakota health systems.
Where can I find and apply to registered nurse case manager jobs in South Dakota?
You can find and apply to registered nurse case manager jobs in South Dakota on Migrate Mate, which lists current openings across the state. Search the listings to find roles that match your experience, specialty, and preferred location, then apply directly to the ones that fit.
See All 13 Registered Nurse Case Manager Jobs in South Dakota
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