Manager, Clinical Operations

Cohere

United States
$95,000 to $110,000 annually; bonus/equity: includ...
On-site
Clinical operations oversight
Nurse reviewer team leadership
Performance metrics monitoring
The Manager, Clinical Operations will oversee Prior Auth Nurse Reviewers, Concurrent Review Nurses, or Appeals Specialists teams, mentoring and developing team members while setting daily priorities and communicating expectations

Job Summary

  • The Manager, Clinical Operations will oversee Prior Auth Nurse Reviewers, Concurrent Review Nurses, or Appeals Specialists teams, mentoring and developing team members while setting daily priorities and communicating expectations.
  • Key responsibilities include monitoring timeliness reports, reviewing nurse productivity metrics, leading team meetings and 1:1s, identifying process improvement opportunities, and supporting recruiting and onboarding.
  • Cohere Health offers a fully remote opportunity with benefits including medical, dental, vision insurance, 401K with company match, flexible time off, and paid parental leave.

Matching Summary

The Manager, Clinical Operations will oversee Prior Auth Nurse Reviewers, Concurrent Review Nurses, or Appeals Specialists teams, mentoring and developing team members while setting daily priorities and communicating expectations.

Salary

$95,000 to $110,000 annually; Bonus/Equity: Included in total compensation; Benefits: Health insurance, 401k, and bonus

Skills & Requirements

Must-have

  • Clinical Operations oversight
  • Nurse Reviewer team leadership
  • Performance metrics monitoring
  • Process improvement identification
  • Remote work supervision

Nice-to-have

  • Empathetic teammate
  • Candid and kind communication
  • Growth-oriented environment
  • Inspire team performance

Key Requirements

  • Registered Nurse with active license
  • 5+ years supervisory/management experience
  • Knowledge of NCQA/CMS requirements
  • Experience using MCG, CMS NCDs/LCDs
  • 3+ years Prior Authorization/Utilization Management/Appeals experience
  • Excellent computer skills (Mac familiarity)
  • Experience supervising/training remote teams

Work Rights

Not specified

Tailored Resume

Cover Letter