Clinical Review & Correspondence RN

Cohere Health · United States

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Company
Cohere Health
Location
United States
Salary
$31.00 - $35.00
Posted
June 4, 2026

About this job

Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes.

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Clinical Review & Correspondence RN — Cohere Health | NewLuxJob