Utilization Management Specialist (Home-Based) - Prior Authorization
Sanford Health
About this role
Sanford Health is seeking a nurse with a nursing background and RN license to conduct medical necessity reviews, manage utilization activities, and collaborate with healthcare professionals to ensure appropriate resource utilization and compliance with regulations. The role involves reviewing patient records, supporting quality of care, and assisting with special projects related to healthcare management.
Skills
Qualifications
About Sanford Health
sanfordhealth.orgN/A
Recent company news
Sanford Health NewsSanford Sports launches in Black Hills region
18 hours ago
Sanford Health NewsSanford Health expanding world-class care in Black Hills
Nov 25, 2025
Sanford Health NewsBecker’s names Sanford Health a top workplace in health care
2 weeks ago
Sanford Health NewsVirtual care at Sanford Health reaches milestone
4 weeks ago
Sanford Health NewsSanford Health connects patients to community resources
1 month ago
About Sanford Health
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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and employee contacts for Sanford Health.
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