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The Senior Manager of Data Management will lead data operations, manage a team of business and data analysts, and work with stakeholders to implement data governance and automated ETL processes. They will handle data modeling in a big data environment and ensure data accuracy.
As a Weekend RN Reviewer, you'll perform medical necessity reviews, consult with medical directors, document clinical information, and ensure compliance with healthcare policies. Your role involves collaboration across teams to optimize patient care and participate in quality improvement initiatives.
The RN Reviewer at Cohere Health conducts medical necessity reviews including inpatient, concurrent, and prior authorization assessments, working closely with Medical Directors. They ensure adherence to clinical criteria and document clinical information accurately. The role includes identifying clinical program opportunities and maintaining understanding of accreditation requirements while promoting care path concepts for optimal patient outcomes.
