CH
$33 – $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 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. The full posting is on their site.
What they ask for
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