Manager, Health Plan Utilization Management - RN

**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:** Marsh Security Hlth Plan
**Location:** Marshfield, WI
**Address:** 1515 N St Joseph Ave, Marshfield, WI 54449, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Department Details**
Oversee health plan utilization management department operations including prior authorization, and concurrent review focusing on improving care quality and outcomes across a diverse member population while ensuring compliance with CMS, NCQA, and state/federal guidelines.
**Job Summary**
Responsible for the day to day oversight of department function both in terms of provision of service and providing direct supervision of all departmental staff. Maintains a standardization of util...