Clover Health

Lead RN, Utilization Management

Remote$100,000 - $130,000/yrPosted yesterday

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Job details

Work type
Remote
Compensation
$100,000 - $130,000/yr
Posted
yesterday
Apply on
job-boards.greenhouse.io

About this role

Active unrestricted RN license; BSN or equivalent; 5+ years clinical nursing and 3+ years in health plan/managed care/UM; experience leading or mentoring clinical staff; knowledge of InterQual/MCG, Medicare Advantage, CMS; proficiency with clinical review platforms and EHRs.

What you'll do at Clover Health:

  • coaching clinical staff
  • managing review operations
  • monitoring quality performance

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About Clover Health

Clover Health