RN Reviewer
Cohere Health
Location: United States, United States
**RN Reviewer at Cohere Health in United States** **What you'll do** - Perform prospective, concurrent, and retrospective reviews for medical necessity - Collaborate with Medical Directors and providers on clinical decisions - Document reviews accurately and meet production/quality goals - Apply MCG, Cohere, and coverage guidelines for compliance - Partner across teams to improve processes and outcomes - Support accreditation, regulatory, and quality initiatives **What they're looking for** - Active, unencumbered RN license - 3+ years of clinical experience - Utilization Management experience - Experience in acute or post-acute settings - Knowledge of NCQA/CMS standards - Comfortable using Mac and Google Workspace **Details** - Location: United States (100% Remote) - Type: Not specified - Salary: null