About this role
The RN Reviewer position involves reviewing clinical requests from providers to determine medical necessity and ensure appropriate, cost-effective care. It supports improving healthcare delivery and involves collaboration with medical professionals in a remote setting.
Required Skills
- clinical Review
- Communication
- Collaboration
- Utilization Management
- Compliance
Qualifications
- Active RN License
- 3+ Years Clinical Experience
- Utilization Management Experience
- Bachelor's Degree in Nursing
About Cohere Health
coherehealth.comCohere Health is a healthcare technology and services company that transforms utilization management and prior authorization from an administrative burden into a strategic asset. It combines evidence-based clinical pathways, clinician-led review, and a digital platform to streamline authorization workflows, reduce delays, and improve patient access to appropriate care. Cohere partners with payers and provider organizations to lower costs, reduce unnecessary denials, and deliver measurable quality and utilization improvements. Its clinician-centric approach preserves clinical judgment while providing payers greater transparency and alignment with value-based care.
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