RN Reviewer
Cohere HealthUnited States
Posted October 22, 2025
64000 - 70000 USD year
Full Time
About the Company
Cohere Health is a clinical intelligence company that streamlines prior authorization processes to enhance patient outcomes by aligning evidence-based care paths with physicians and health plans. Their intelligent solutions reduce administrative costs while improving quality, earning recognition through awards and inclusion in top industry lists. Cohere's investors include notable firms such as Flare Capital Partners and Define Ventures.
Job Description
Cohere Health is seeking an RN Reviewer to perform prospective reviews of clinical requests, ensuring appropriate cost-effective care. This role involves collaboration with medical directors, providers, and other staff to assess medical necessity and align on clinical decisions. The position requires a comprehensive and agile thinker capable of working in a fast-paced startup environment.
Requirements
- Active, unencumbered RN license (state of residence)
- 3+ years of clinical experience
- Utilization Management experience
- Experience in acute or post-acute settings
- Comfort using Mac and Google Workspace
- Strong communication and collaboration skills
Benefits
- Fully remote opportunity
- 401K retirement plan
- Paid parental leave
- Insurance
- Paid time off
- Pet insurance
