• Utilization Management

    Sanford Health (Sioux Falls, SD)
    …Sioux Falls, SD 57104, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $27.50 - $38.50 **Job Summary** ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
    Sanford Health (11/07/25)
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  • Clinical Documentation Specialist - Home…

    Sanford Health (SD)
    …**Location:** Remote, SD **Address:** **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $27.50 - $44 ... three years of recent clinical nursing experience required. Experience in case management , utilization management , and/or coding preferred. If working… more
    Sanford Health (10/15/25)
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  • Supervisor, Nursing, Home and Community Based…

    Good Samaritan (SD)
    …(Central Time ) **Location:** Remote, SD **Address:** **Shift:** Day **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $36.50 - $55 **Job ... **Benefits** The Good Samaritan offers an attractive benefits package for qualifying full-time and part- time employees. Depending on eligibility, a variety of… more
    Good Samaritan (10/29/25)
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  • Registered Nurse (RN) | Utilization Review

    Avera (Sioux Falls, SD)
    …Appeals Specialist to ensure tracking and trending of all Utilization Review related denials/appeals are appropriately documented. + Assists with the collection ... 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… more
    Avera (11/04/25)
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  • Release Of Information Specialist

    Avera (Aberdeen, SD)
    …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 ... limited to, processing ROI requests, handling various types of media and the utilization of HIM systems to disseminate health records. The position requires a strong… more
    Avera (10/17/25)
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  • Field Medical Director, Interventional Cardiology…

    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...state. Multiple opportunities for a flexible schedule and both part- time and full-time options available.** **What You'll… more
    Evolent (10/29/25)
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  • Pharmacy Technician | Inpatient

    Avera (Sioux Falls, SD)
    …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 ... include, but not limited to, roles as a Pharmacy Technician II, Specialist , Coordinator and Supervisor + Opportunity to collaborate with nursing staff, providers,… more
    Avera (09/21/25)
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