RN Supervisor, Concurrent Review

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 Concurrent Review 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 Concurrent 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 a 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 Concurrent Review RN Supervisor will be highly organized in order to plan daily operational activities and provide oversight of the Concurrent 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 Concurrent Review team that includes Team Leads, admin support staff and RNs
• 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
• Experience performing concurrent review of acute, SNF, LTAC, IRF admissions
• Prefer experience with Medicare, Medicaid and Commercial lines of business
• 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 $85,000 to $95,000 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*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager and Behavioral Interview

*Subject to change

About Cohere Health:

Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled.  That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principals. 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.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement: 

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.  To us, it’s personal.

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