Remote Utilization Review RN — Clinical Communications

Cohere Health, Inc.; United States; On-site; USD 42,705 - 48,216; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) retirement plan with company match

Up to 184 hours of paid time off annually

Up to 14 weeks of paid parental leave

Job summary

Cohere Health, Inc. is searching for a Clinical Review & Correspondence RN to support utilization management operations. The role is 100% remote and includes responsibilities such as consulting with Medical Directors and preparing compliant member communications.

Ideal candidates will be registered nurses with at least 3 years of clinical experience and a Bachelor’s degree in Nursing. The position offers a flexible schedule, competitive hourly pay, and robust benefits including medical, dental, and 401(k) matching.

Qualifications

• Registered Nurse with an active, unencumbered license.
• Minimum of 3 years of clinical experience.
• Knowledge of NCQA and CMS standards.

Responsibilities

• Consult with Medical Directors on clinical determinations.
• Prepare compliant communications for members and providers.
• Document clinical information accurately and timely.

Skills

Communication skills

Clinical judgment

Time management

Analytical thinking

Education

Bachelor’s degree in Nursing

Tools

G Suite applications

Mac

Job description

Cohere Health, Inc. is searching for a Clinical Review & Correspondence RN to support utilization management operations. The role is 100% remote and includes responsibilities such as consulting with Medical Directors and preparing compliant member communications.

Ideal candidates will be registered nurses with at least 3 years of clinical experience and a Bachelor’s degree in Nursing. The position offers a flexible schedule, competitive hourly pay, and robust benefits including medical, dental, and 401(k) matching.