Manager, Health Plan Utilization Management - RN

**Careers With Purpose**
**Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**
**Facility:** Remote SD (Central Time)
**Location:** Remote, SD
**Address:**
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Department Details**
Oversee health plan utilization management department operations including prior authorization, and concurrent review focusing on improving care quality and outcomes across a diverse member population while ensuring compliance with CMS, NCQA, and state/federal guidelines.
**Job Summary**
Responsible for the day to day oversight of department function both in terms of provision of service and providing direct supervision of all departmental staff. Maintains a standardization of utilization management process to ensure all policies and procedures are followed effectively a...