Lead RN Reviewer

About the role

The Lead RN Reviewer in Service Operations is a crucial role within Cohere’s organization. This position involves providing supervision, coaching, mentoring, and quality auditing for the nursing staff. The Lead RN Reviewer also assists in addressing case escalations and provider issues.

Responsibilities

• Gain a deep understanding of Cohere’s product and health plan partners
• Provide general supervision over the nursing staff, including interviewing new hires, training, coaching, mentoring, quality auditing, and oversight of quality improvement plans
• Coordinate and provide day-to-day oversight and direction to clinicians
• Aid in addressing any case escalations or provider issues
• Perform other duties as assigned

Requirements

• 5+ years in healthcare, managed care, or insurance-related roles
• 1–2 years in a lead or supervisory capacity, with experience coaching or training others
• A current, active RN license (BSN preferred)
• Utilization Management experience required
• Comfort interpreting operational data and metrics to identify process improvements
• Excellent communication, collaboration, and organizational skills
• A kind, patient, and flexible leadership style suited for a remote, fast-paced environment

Qualifications

• BSN preferred

Skills

• Strong communication and collaboration skills
• Ability to interpret operational data and metrics
• Experience with utilization management

Benefits

• Medical, dental, vision, life, disability insurance, and Employee Assistance Program
• 401K retirement plan with company match; flexible spending and health savings account
• Up to 184 hours (23 days) of PTO per year + company holidays
• Up to 14 weeks of paid parental leave
• Pet insurance

Pay

The salary range for this position is $35 to $37 hourly; as part of a total benefits package which includes health insurance, 401k and bonus. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.