Cohere Health
RN Reviewer
United States · Mid · Full-time
Stay score
odds of building a lasting career here
Thin sponsorship signal and lottery-bound. A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.
Lottery odds assume a STEM candidate.
Personalize to your clock →Employer immigration record
from this employer's Department of Labor filings
Files H-1B transfers
Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
Community outcomes
No reports yet — be the first to help the next applicant.
About the role
- The RN Reviewer position is a crucial role in our organization - in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to guiding the strategic operations for the company.
- You will need to be an agile and comprehensive thinker and planner and be able to work in an environment that is in flux.
- This position offers the ability to make a substantive mark in simplifying the way healthcare is delivered and contributes to an up and coming company with exponential growth opportunity.
Responsibilities
- Document reviews accurately and meet production/quality goals
- Support accreditation, regulatory, and quality initiatives
Requirements
- Customer-focused mindset and ability to stay calm under pressure
- 3+ years of clinical experience
- Experience in acute or post-acute settings
- In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role.
Nice to have
- Bachelor's degree in Nursing, Business, or related field
- Knowledge of NCQA/CMS standards
- proficiency with MCG (CareWebQI a plus)
- Preferred: HEDIS abstraction, Legal RN, or Utilization Review background
Compensation
- 🏝️ Up to 184 hours (23 days) of PTO per year + company holidays
Benefits
- 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
- 📈 401K retirement plan with company match; flexible spending and health savings account
- 🏝️ Up to 184 hours (23 days) of PTO per year + company holidays
- 👶 Up to 14 weeks of paid parental leave
- The salary range for this position is $33 per hour to $35 per hour; as part of a total benefits package which includes health insurance, 401k and bonus.
- About Cohere Health:
- Review medical necessity for inpatient, concurrent, prior auth, and retrospective cases to ensure appropriate, high-quality care
- Collaborate with Medical Directors and providers to align on clinical decisions
- Apply MCG, Cohere, and coverage guidelines to ensure compliance and consistency
- Partner across teams (Operations, Product, Quality, Health Plans) to improve processes and outcomes
Company info
- We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.
Equal opportunity
- Statement:
- Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.
- #LI-Remote
- #BI-Remote
This listing is sourced directly from Cohere Health's careers page and normalized into a canonical job model.