SiouxFallsRecruiter Since 2001
the smart solution for Sioux Falls jobs

LPN Associate Utilization Management Coordinator - Health Plan

Company: Sanford Health
Location: Sioux Falls
Posted on: September 15, 2020

Job Description:

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.See yourself at Sanford!Facility: Cherapa Place BuildingLocation: Sioux Falls, SDShift: 8 Hours - Day ShiftsJob Schedule: Full timeWeekly Hours: 40.00Job SummaryResponsible for managing the referral and authorization system for participating members and contracted providers ensuring that all services are performed at the appropriate level of care in a timely, cost-effective and efficient manner. Additionally, will serve as a liaison/consultant regarding medical coverage and policies to other health plan departments. Ability to review, analyze and summarize reports and have effective oral and written communication skills. Understanding of medical terminology, typing or word processing skills and a familiarity with computers. Demonstrate excellent telephone skills and legible handwriting. Knowledge of international classification of diseases, tenth revision (ICD-10) codes and current procedural terminology (CPT) codes. Functional understanding of the medical, administrative and management principles necessary to operate within a managed care organization. Exposed to multiple settings for utilization review, including inpatient and ambulatory.Department DetailsPrefer LPN license.QualificationsGraduate from an accredited nursing program as a Licensed Practical Nurse (LPN) or Medical Assistant (MA).One year of clinical experience preferred. Background in medical claims or other utilization review experience desired. Typing speed of 40+ words per minute (wpm) is preferred.Nationally certified or registered as a Medical Assistant (MA), or currently holds an unencumbered Licensed Practical Nurse (LPN) license with State Nursing board and/or possess multi-state licensure privileges.Certification (CMA) obtained through a nationally approved certification program for medical assistant, including but not limited to, the American Association of Medical Assistants (AAMA), or National Certified Medical Assistant (NCMA) through the National Center for Competency Testing (NCCT), etc. Registration (RMA) obtained through the American Medical Technologists (AMT) also acceptable.Additional state requirements include South Dakota (SD) registration as a MA through the SD Board of Medical and Osteopathic Examiners. North Dakota (ND) registration as an MAIII through the ND Board of Nursing. MAs working within Minnesota (MN) and Iowa (IA) do not require state registration.Obtains and subsequently maintains required department specific competencies and certifications.Sanford is an EEO/AA Employer M/F/Disability/Vet.If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .Job Function: Care CoordinationReq Number: R-27824Featured: No

Keywords: Sanford Health, Sioux Falls , LPN Associate Utilization Management Coordinator - Health Plan, Executive , Sioux Falls, South Dakota

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Geriatrics Medical Director Physician
Description: Medical Director opening in Sioux City, Iowa. This and other physician jobs brought to you by DocCafe.com Geriatrician Opening - SNF Medical DirectorGrowing Midwest Metro - Northwest Iowa 350K Earning (more...)
Company: FIDELIS PARTNERS
Location: Sioux City
Posted on: 09/13/2020

Seeking a Medical Director - Emergency Department in the Great Plans o
Description: Revive your passion for Medical Leadership We have ER leadership opportunities at our hospitals in the Great Plains of South Dakota and Nebraska. Lead our teams in working with the Indian Health Service (more...)
Company: AB Staffing Solutions, LLC
Location: Sioux Falls
Posted on: 09/17/2020

Nurse Case Manager
Description: Nurse Case ManagerWorkers CompensationDescription: Are you looking for a new challenge and change of pace Join our Workers' Compensation team as a Nurse Case Manager We foster a collaborative work environment (more...)
Company: Great West Casualty
Location: Sioux City
Posted on: 09/12/2020


Physical Medicine and Rehabilitation in SD - Physiatrist With Pain Management Needed in South Dakota
Description: Physiatry/Physical Medicine Rehabilitation opening in Sioux Falls, South Dakota. This and other physician jobs brought to you by DocCafe.com A south Dakota medical system is planning to hire a physiatrist (more...)
Company: CompHealth
Location: Sioux Falls
Posted on: 09/16/2020

Salon Manager - Singing Hills
Description: Job DescriptionGot shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more
Company: Great Clips
Location: Sioux City
Posted on: 09/13/2020

Salon Manager Singing Hills - Great Clips
Description: Salon Manager Singing Hills - Great ClipsSalon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe
Company: Great Clips
Location: Sioux City
Posted on: 09/13/2020

Assistant Store Manager
Description: Our Assistant Store Managers assist the Store Manager in developing team members who deliver excellent customer service and an overall positive
Company: O'Reilly Auto Parts
Location: Sioux Falls
Posted on: 09/18/2020

Urgent requirement for Salon Manager Singing Hills in Great Clips in Sioux City
Description: Salon Manager Singing Hills - Great ClipsSalon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe
Company: Great Clips
Location: Sioux City
Posted on: 09/12/2020

Business Development Manager
Description: Job Description: 10 10 We are looking for a Business Development Manager to join our team representing our leasing and finance division. This is an exceptional opportunity with excellent training for (more...)
Company: Transwest
Location: Sioux Falls
Posted on: 09/22/2020

Hospice Clinical Manager - Registered Nurse
Description: What You Will Do: 5,000. sign on bonus As a Hospice Clinical Manager, you will report directly to the operational leader and serve as a key member of care center operations and management team by leading (more...)
Company: Amedisys Home Health Services
Location: Sioux Falls
Posted on: 09/21/2020

Log In or Create An Account

Get the latest South Dakota jobs by following @recnetSD on Twitter!

Sioux Falls RSS job feeds