RN Supervisor, Concurrent Review at Cohere Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

12 Jan, 26

Salary

90000.0

Posted On

14 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Registered Nurse, Supervisory Experience, Management Experience, NCQA Knowledge, CMS Knowledge, MCG Experience, Clinical Criteria Guidelines, Prior Authorization Experience, Utilization Management Experience, Computer Skills, Remote Training Experience, Communication Skills, Organizational Skills, Team Leadership, Performance Management, Process Improvement

Industry

Software Development

Description

Opportunity Overview: Cohere’s Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The RN Supervisor, Clinical Operations position is a crucial role in our organization. In this role, you are responsible for coaching, mentoring, evaluating and developing the RN Reviewer team. The RN Supervisor will use established operational tools to ensure all RN staff are meeting or exceeding performance metrics and quality standards established by the leadership team. As an RN Supervisor, you will work closely with the leadership team at Cohere and report to the Director/Manager of Clinical Operations. You will be responsible for providing daily operational guidance to the RN Reviewers to allow them to meet or exceed operational objectives and metrics. You will leverage both your creative skills and communication skills to promote a high performing clinical team. The RN Supervisor will be highly organized in order to plan daily operational activities and provide oversight of the RN Reviewer team. You will use your professionalism, personality, and communication skills to inspire the team to meet or exceed all performance standards. At a growing organization, this is a position that offers the ability to make a substantive mark on the company and its partners with exponential growth opportunities. What you’ll do: Oversee the RN Reviewer team including one RN Team Lead Establish a plan for the day and communicate to all staff daily Manage the daily timeliness report and ensure all cases meet expected turnaround times Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency Lead weekly team meetings Capture process efficiency ideas from the team and work with the appropriate stakeholders to recommend and lead changes needed to improve nurse efficiency. Meet individually with all direct reports on bi-weekly cadence to develop solid work relationships with each team member and to share any performance feedback, positive and constructive. Working with the RN Reviewer Leads, track hourly nurse productivity, keeping the Director/Manager informed on productivity results as needed. Train and Develop new RNs who join the team. Oversee daily newsletter publication May be asked to help with other projects as needed. What you’ll need: Registered Nurse with an active and unencumbered license to practice 2-3 years of supervisory/management experience Knowledge of NCQA/CMS requirements Experience using MCG, CMS NCDs/LCDs, clinical criteria guidelines Prior Authorization or Utilization Management experience Excellent computer skills and familiarity with a Mac. Experience supervising and training in a remote work environment. Pay & Perks: 💻 Fully remote opportunity with about 10% travel 🩺 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 The salary range for this position is $80,000 to $90,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. 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. Interview Process*: Connect with Talent Acquisition for a Preliminary Phone Screening Meet your Hiring Manager and Behavioral Interview *Subject to change About Cohere Health: Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members. With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

Responsibilities

The RN Supervisor oversees the RN Reviewer team, providing daily operational guidance and ensuring performance metrics are met. This role involves coaching, mentoring, and developing the RN Reviewer team to promote high performance and efficiency.