# RN Reviewer

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

Canonical page: https://career.thegoodapps.co/jobs/beef91c0-17cd-49c7-9d00-e4ec2f1ef0da

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

- Employment type: full time
- Location: United States
- Salary: 33 – 35 USD per hour

## Summary

This role reviews medical claims and prior authorization requests to ensure clinical appropriateness and cost-effectiveness, working with providers and medical directors across multiple insurance lines. It suits registered nurses with utilization management experience who want to influence healthcare delivery and processes from a clinical perspective in a fully remote setting.

_Our summary, not Cohere Health's wording._

## Skills named

Google Workspace, Zoom

## Required

- Active, unencumbered RN license in state of residence
- 3+ years of clinical experience
- Utilization Management experience
- Experience in acute or post-acute care settings
- Comfortable using Mac and Google Workspace
- Strong communication skills
- Robust internet (above 50 Mbps)

## Nice to have

- HEDIS abstraction experience
- Legal RN background
- Utilization Review background
- Bachelor's degree in Nursing, Business, or related field
- Knowledge of NCQA/CMS standards
- Proficiency with CareWebQI

Apply on Cohere Health's site: https://job-boards.greenhouse.io/coherehealth/jobs/7619659003