RN Supervisor

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $85k - $95k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Cohere Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cohere Health is a company focused on transforming the prior authorization process in healthcare using advanced technologies. The company offers the Cohere Unify™ Platform, which includes artificial intelligence and machine learning capabilities to improve utilization management (UM) and facilitate quicker access to patient care. By digitizing the prior authorization process and integrating with electronic medical records, Cohere Health aims to enhance the quality of healthcare outcomes and reduce the administrative burden on providers. Their solutions help decrease denial rates and adverse outcomes through evidence-based intelligence and real-time clinical suggestions. Cohere Health's offerings are available as Platform as a Service (PaaS) or as fully outsourced solutions.

📋 Description

• Oversee the RN Reviewer team, including one RN Team Lead • Establish and communicate the daily plan to all staff • Manage the daily timeliness report and ensure cases meet expected turnaround times • Monitor nurse productivity reports and provide performance feedback • Lead weekly team meetings • Capture process-efficiency ideas and lead recommended improvements with stakeholders • Meet bi-weekly with direct reports and share performance feedback • Track hourly nurse productivity with RN Reviewer Leads and inform the Director/Manager • Train and develop new RNs • Oversee daily newsletter publication • Support other projects as needed • Report to the Director/Manager of Clinical Operations

🎯 Requirements

• 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, and 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

🏖️ Benefits

• Fully remote opportunity with about 5% travel • Medical, dental, vision, life, and disability insurance • Employee Assistance Program • 401K retirement plan with company match • Flexible spending account • Health savings account • Flex Time Off • Company holidays • Up to 14 weeks of paid parental leave • Pet insurance • Bonus included in total benefits package

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