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Remote RN Utilization Review Specialist

Cohere Health

Cohere Health seeks an experienced RN Reviewer to perform prospective, concurrent, and retrospective reviews ensuring medical necessity and high-quality care. You will collaborate with Medical Directors, providers, and cross-functional teams to apply MCG and Cohere guidelines, supporting cost-effective care for Commercial, Medicare, and Medicaid lines. The role is fully remote, requires strong communication, and entails 40 hours per week with flexible scheduling. #J-18808-Ljbffr

Vacancy posted 1 day ago
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