CH
$31 – $35 / hour
Listed on Cohere Health’s own careers site. You apply with them directly — we never stand between you and the employer.
What this role is
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. The full posting is on their site.
What they ask for
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