# Clinical Review & Correspondence RN

Hiring organization: [Cohere Health](https://career.thegoodapps.co/organizations/cohere-health)

Canonical page: https://career.thegoodapps.co/jobs/64fd0ca9-ca43-4f31-84c5-10b5278020fa

Listed on Cohere Health's own careers site. Applications go to them directly.

- Employment type: full time
- Location: United States
- Salary: 31 – 35 USD per hour

## Summary

This role supports health plan utilization management by reviewing clinical cases, preparing regulatory-compliant communications to members and providers, and collaborating with medical directors on coverage decisions. It suits experienced RNs who thrive in fast-paced, independent work and understand how to apply insurance regulations and clinical guidelines to individual authorization and payment disputes.

_Our summary, not Cohere Health's wording._

## Skills named

Numbers For Mac

## Required

- Active unencumbered RN license in state of residence
- 3+ years clinical experience
- Utilization management experience
- Knowledge of NCQA and CMS standards
- Bachelor's degree in Nursing
- Experience writing member and provider correspondence in health plan setting
- Ability to work assigned shifts 8am-8pm EST across 7 days/week
- Robust internet (50+ Mbps) and Zoom proficiency

## Nice to have

- Understanding of how utilization management and case management integrate
- Familiarity with clinical algorithms and care pathways

Apply on Cohere Health's site: https://job-boards.greenhouse.io/coherehealth/jobs/7763955003