Lead RN Reviewer

Cohere Health
4d$36 - $38Remote

About The Position

Cohere’s Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The Lead RN Reviewer in Service Operations position is a crucial role in our organization. In this role, you are responsible for coaching, mentoring, evaluating and developing the RN team. The Lead RN Reviewer 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 a Lead RN Reviewer, you will work closely with the leadership team and report to the Clinical Supervisor of Service Operations. You will be responsible for providing supervision for the RN Reviewers 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. 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.

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)
  • 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
  • Please note: the schedule will be 11am - 8pm EST.

Responsibilities

  • Gain a deep understanding of Cohere’s product and our health plan partners
  • Provide general supervision over the nursing staff. This includes interviewing new hires, training, coaching, mentoring, quality auditing and oversight of quality improvement plans initiated by the Clinical Supervisor and or Director.
  • Coordinates and provides day-to-day oversight and direction to clinicians
  • Assist in addressing any case escalations or provider issues
  • Other duties as assigned

Benefits

  • 💻 Fully remote opportunity with about 5% 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
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