Clover Health
Registered Nurse (RN), Home Health Utilization Management
Remote - USA
Sponsorship not specified$92k-$120kDetected 8 days ago
EHR/EMRCommunicationCollaborationCritical ThinkingMentoringOrganizational Skills
About the role
- We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations.
- By giving doctors a holistic view of each member's complete health history, we ensure better care at a lower cost-delivering the highest value to those who need it most.
- The Utilization Management (UM) team plays a vital role in supporting Clover members throughout their care journey.
Responsibilities
- Independently manage a full caseload, demonstrating sound clinical judgment and regulatory compliance.
- Build strong partnerships with providers and internal teams to support timely, appropriate care decisions while contributing to quality improvement initiatives and team collaboration.
Compensation
- $92,300 - $120,000 USD
Benefits
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- Paid parental leave for all new parents
- About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier.
- We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
- Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
- Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity.
Equal opportunity
- We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives.
Apply directly at Clover Health →Create a free account for alerts like thisView Clover Health immigration profile
This listing is sourced directly from Clover Health's careers page and normalized into a canonical job model.