- Sanford Health (Sioux Falls, SD)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- Sanford Health (SD)
- …- $28.00 **Department Details** Opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Cardinal Health (Pierre, SD)
- …urology community members and solutions to our industry partners. The _Sr. Specialist , Account Management (UroGPO Member Development)_ is responsible for ... travel (typically air travel), though will otherwise be remote (work from home ). **_Responsibilities_** + Travel to programs to present QBR's and Support Champs… more
- Sanford Health (Sioux Falls, SD)
- …three years of recent clinical nursing experience required. Experience in case management , utilization management , and/or coding preferred. Currently holds ... a dynamic and engaging team. **Job Summary** The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare… more
- Sanford Health (Sioux Falls, SD)
- …Summary** Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative. ... in a changing environment. Possesses strong public relations skills, time management skills, and positive personal relations. Communicates effectively across all… more
- Evolent (Pierre, SD)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to ... on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical...Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to… more