RN Supervisor, Concurrent Review at Cohere Health

United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Registered Nurse (RN) licensure
Experience coaching, mentoring, evaluating, and developing RN teams
Ability to use operational tools to monitor performance metrics and quality standards
Strong organizational skills to plan daily activities and provide oversight
Excellent communication, creative, and interpersonal skills to inspire and guide teams
Professionalism and personality to promote high performance
Ability to work closely with leadership and report to Director/Manager of Clinical Operations

Responsibilities

Oversee the RN Reviewer team, including one RN Team Lead
Establish a daily plan and communicate it to all staff
Manage the daily timeliness report and ensure all cases meet expected turnaround times
Monitor nurse productivity reports daily, provide feedback, and manage performance for consistency
Lead weekly team meetings
Capture process efficiency ideas from the team and collaborate with stakeholders to recommend and lead improvements
Conduct bi-weekly individual meetings with direct reports to build relationships and share performance feedback (positive and constructive)
Work with RN Reviewer Leads to track hourly nurse productivity

Skills

RN Supervision

Clinical Operations

Team Leadership

Performance Metrics

Quality Standards

Operational Oversight

Mentoring

Coaching

Communication Skills

Timeliness Reporting

Cohere Health

Automates prior authorization in healthcare

About Cohere Health

Cohere Health improves the prior authorization process in healthcare, which requires providers to get approval from health plans before delivering certain services. Their platform, Cohere Unify, automates and streamlines these requests by integrating with electronic medical records and using technologies like optical character recognition and machine learning. This approach allows for faster decision-making and reduces delays in patient care. The goal is to make the prior authorization process more efficient, benefiting healthcare providers, health plans, and patients.

Boston, MassachusettsHeadquarters

2019Year Founded

$103.1MTotal Funding

LATE_VCCompany Stage

AI & Machine Learning, HealthcareIndustries

501-1,000Employees

Benefits

Health Insurance

401(k) Company Match

Performance Bonus

Remote Work Options

Risks

Increased competition from AI-driven startups like Abridge threatens market share.

Flat healthcare IT deal activity may impact future funding opportunities.

Dependency on Humana partnership poses risk if challenges arise in the relationship.

Differentiation

Cohere Health automates prior authorization, reducing delays and administrative burdens.

The Cohere Unify platform integrates with EMR and uses OCR for fax submissions.

Machine learning and AI enhance decision-making based on health plan policies.

Upsides

Humana expanded Cohere's platform use, showing trust and potential for more partnerships.

Cohere raised $50 million, indicating strong investor confidence and growth potential.

KLAS award recognition highlights effectiveness, attracting more healthcare providers.

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