Cohere Health
Clinical Review & Correspondence RN
United States · Mid · Full-time
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About the role
- This is a 100% remote role, and requires robust internet speeds (above 50 megabytes/second), including the ability to utilize zoom meeting software and to stream video
- The department is staffed seven days per week, 8am-8pm EST and shifts will be assigned based on need
- This is a full time, 40 hour per week opportunity
Responsibilities
- Document clinical information completely, accurately, and in a timely manner
- Maintain a thorough understanding of accreditation and regulatory requirements and ensure utilization management decision-making and timeliness standards remain in compliance
- Perform other duties as assigned
Requirements
- Minimum of 3 years of clinical experience
- Utilization Management experience required
- Knowledge of NCQA and CMS standards and requirements
- Bachelor's degree in Nursing
- Understand when and why member and provider notifications are required, including regulatory and clinical triggers for written communication
- Support verbal notification workflows when timely communication of clinical determinations is required
- In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role.
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 $31.00 - $35.00/hour; as part of a total benefits package which includes health insurance, 401k and bonus.
- About Cohere Health:
- Cohere Health's clinical intelligence platform and agentic AI-powered solutions connect health plans' strategic goals and providers' needs, optimizing the speed, cost, and quality of care.
- Cohere Health's innovations continue to receive industry wide recognition.
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.