Utilization Management Specialist (Home-Based) - Prior Authorization

**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 ND (Central Time)
**Location:** Remote, ND
**Address:**
**Shift:** Day
**Job Schedule:** Part time
**Weekly Hours:** 20.00
**Salary Range:** $27.50 - $38.50
**Department Details**
Knowledge of oncology is preferred
**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 assure compliance with accreditation/regulatory requirements. Completes/coordinates activities relating to the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating to determination of medical necessity, authorizatio...