Clover Health is seeking a Lead RN, Utilization Management, to coach clinical staff, oversee daily review operations, and ensure timely, accurate determinations that align with benefits, clinical criteria, and CMS requirements. You will partner with Medical Directors and teams across Clover to strengthen review consistency and improve workflows.
The ideal candidate holds an active RN license and a BSN (or equivalent), with at least five years of clinical nursing experience and three years in
#J-18808-LjbffrSenior RN, Utilization Management Remote Leadership in workfromhome at Unknown Company
This position is listed as full time and onsite.