Clinical Review & Correspondence RN
Cohere Health
Location: United States, United States
**Clinical Review & Correspondence RN at Cohere Health in United States** **What you'll do** - Consult with Medical Directors on clinical determinations and medical necessity decisions - Prepare clear, accurate, and compliant member and provider communications - Understand regulatory requirements governing utilization management decisions - Document clinical information completely, accurately, and in a timely manner **What they're looking for** - Registered Nurse with active, unencumbered license in the state of residence - Experience developing member and provider correspondence within a health plan environment - Minimum of 3 years of clinical experience with Utilization Management experience - Knowledge of NCQA and CMS standards and requirements **Details** - Location: United States - Type: Not specified - Salary: Not specified
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