Case Manager

Current Employees:

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Primary Location

Rapid City, SD USA

Department

RCH Care Management

Scheduled Weekly Hours

20

Starting Pay Rate Range

$34.40 - $43.00

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

It all begins with heart—and that’s how you’ll approach each day. As a Case Manager at Monument Health, you’ll be a key part of the team, delivering compassionate, patient-centered care. You’ll experience a workplace built on teamwork, respect, professionalism, and most importantly, a meaningful career that truly makes a difference—day in and day out.

As a hospital-based Case Manager, you’ll coordinate with medical staff, patients, families, and the healthcare team to assess needs, plan care, facilitate services, and advocate for patients—ensuring high-quality, cost-effective outcomes. You'll set goals aligned with Monument Health’s mission and work to support personalized care plans that meet the unique needs of patients in our communities.

Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you’ll join us.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Coordination of services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions to include facilitation of payer authorization and transportation.
• Conduct patient triage for hospitalized individuals to facilitate their smooth transition to suitable care settings, including both post-acute and acute care environments.
• Applies critical thinking to support providers in developing care plan recommendations for hospitalized patients.
• Partners with providers and Physician Advisors/Medical Directors to escalate cases for review on complex cases in compliance with Conditions or Participation and Escalation standards.
• Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians and community resources as necessary. Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care.
• Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations.
• Supports the Medical Staff Quality Review process by identification of issues related to quality indicators set forth by the Medical Staff.
• Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their current needs and desires.
• Maintains a working knowledge and relationship with community resources and payer benefits that link the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and Medicaid to facilitate appropriate reimbursement, education and guidance to assist the Healthcare team and patient/family in decision making.
• Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care to include offering guidance to patients / families regarding applications for funding, guardianship and charity care programs as needed.
• Evaluates current treatment plan to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition.
• Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patient’s Healthcare needs based on the best practice standards to ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines and True North metrics.
• All other duties as assigned.

Additional Requirements

Required:Education - Completion of a nursing education program that is approved by a board of nursing

Certification - Registered Nurse (RN) - South Dakota Board of Nursing

Preferred:

Education - Bachelors in Nursing

Experience - 2+ years of Acute Experience; 2+ years of Registered Nurse Experience

Certification - Commission for Case Management Certification (CCMC) - Accredited University or accredited training professionals

Physical Requirements:

Medium work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

Job Category

Patient Services

Job Family

Care Coordination

Shift

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference. Every day.

Monument Health is committed to Equal Opportunity and Affirmative Action. We consider all qualified applicants for employment without discrimination based on race, color, religion, sex, national origin, disability, or protected veteran status.