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Clinical nurse conducting medical necessity reviews, preparing compliant member/provider communications, and supporting utilization management operations for a health plan.
Opportunity Overview:
The Clinical Review & Correspondence Nurse plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes.
What you’ll do:
What you’ll need:
Important to know about this role:
Pay & Perks:
💻 Fully remote opportunity with about 5% travel
🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
📈 401K retirement plan with company match; flexible spending and health savings account
🏝️Up to 184 hours (23 days) of PTO per year + company holidays
👶 Up to 14 weeks of paid parental leave
🐶 Pet insurance
The salary range for this position is $31.00 - $35.00/hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process*:
*Subject to change
About Cohere Health:
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
#LI-Remote
#BI-Remote
Clinical review nurse conducts medical necessity reviews, prepares compliant clinical determinations, and manages member/provider communications in utilization management.
Opportunity Overview:
The Clinical Review & Correspondence Nurse plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes.
What you’ll do:
What you’ll need:
Important to know about this role:
Pay & Perks:
💻 Fully remote opportunity with about 5% travel
🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
📈 401K retirement plan with company match; flexible spending and health savings account
🏝️Up to 184 hours (23 days) of PTO per year + company holidays
👶 Up to 14 weeks of paid parental leave
🐶 Pet insurance
The salary range for this position is $31.00 - $35.00/hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process*:
*Subject to change
About Cohere Health:
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
#LI-Remote
#BI-Remote
Provides medical nutrition therapy and dietetic support to patients receiving home infusion services.
Board certified allergy-immunology physician reviews disability cases and medical documentation for peer review.
Medical safety director oversees adverse event review, pharmacovigilance, and regulatory safety documentation for pharmaceutical products in clinical trials and post-market surveillance.
Emergency radiologist interprets diagnostic imaging studies (X-ray, CT, MRI) for acutely ill patients on overnight shifts with flexible 8-10 hour shift options.
Interprets musculoskeletal and diagnostic radiological imaging to provide clinical assessments and reports for patients.
Interprets medical imaging scans and provides diagnostic reports for patients during evening shifts.
Board-eligible radiologist interprets medical imaging studies and provides diagnostic reports on a flexible, non-shift schedule.
Interprets medical imaging studies and provides diagnostic reports for patients during late evening remote shifts.
Lead Clinical Research Associate oversees clinical trial monitoring, manages regional research teams, ensures protocol compliance, and coordinates study quality across multiple sites with minimal travel.
PSI is a leading Contract Research Organization with more 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees. We focus on delivering quality and on-time services across a variety of therapeutic indications.
This role focuses on leadership, mentorship, oversight, and consistency in monitoring practices rather than direct site management, with minimal to no site assignments and a low-travel model, emphasizing remote oversight and overall study quality.
All your information will be kept confidential according to EEO guidelines.
For this position, PSI is not hiring individuals who require work visa for employment or continued employment now or anytime in the future.
Lead clinical research associate who oversees trial activities, monitors compliance and data quality, and coordinates cross-functional teams across country/regional sites.
PSI is a leading Contract Research Organization with more than 25 years in the industry, offering a perfect balance between stability and innovation to both clients and employees. We focus on delivering quality and on-time services across a variety of therapeutic indications.
As a Lead Clinical Research Associate, you will hold a leadership role within the study team, overseeing and guiding the clinical team while driving trial activities at a country or regional level. You will ensure high-quality execution, compliance, and timely delivery. You will act as a key point of coordination across cross-functional teams.
This role focuses on leadership, mentorship, oversight, and consistency in monitoring practices rather than direct site management, with minimal to no site assignments and a low-travel model, emphasizing remote oversight and overall study quality.
Responsibilities:
For this position PSI is not hiring individuals who require work visa for employment or continued employment now or anytime in the future.
If you feel it is time to make your skills and knowledge visible within a growing company with true focus on its people, then PSI is the right choice for you.
For this position, PSI is not hiring individuals who require work visa for employment or continued employment now or anytime in the future.
Medical assistant monitors cardiac patients' remote vitals, logs billable care coordination time, moderates virtual exercise classes, and manages clinical workflows in an EHR system.
Medical Assistant – Cardiac Care Management
Full-Time | Remote | Clinical Operations
About Movn Health
Movn Health is redefining how people recover from heart disease. As the nation’s leading virtual cardiac rehabilitation and cardiovascular care provider, our mission is to help every person live a longer, stronger, and more confident life after a heart event. Developed in collaboration with Stanford University and grounded in decades of published clinical research, Movn delivers a recovery experience that is personalized, compassionate, and proven to improve outcomes. Our fully virtual program makes world-class cardiac rehab accessible from home — helping patients build lasting heart-healthy habits while reducing hospital readmissions and costs for our partners. At Movn Health, we believe heart care should be human, proactive, and accessible to everyone — and we’re building the future of cardiac recovery to make that vision real.
The Role
We’re looking for a Medical Assistant with a clinical eye, a bias for action, and a genuine interest in cardiac care. You’ll be embedded in our care delivery team — monitoring patient vitals daily, logging CCM time, managing our RPM practice and supporting our virtual cardiac exercise program, and keeping the clinical operation running cleanly in eClinicalWorks. This is a hands-on remote role with real clinical weight and room to grow.
What You’ll Own
RPM & CCM Monitoring
- Review the RPM vitals dashboard daily; identify and act on abnormal BP, heart rate, weight changes, and missed readings
- Initiate timely patient outreach for abnormal vitals (text first, phone follow-up by end of day) and escalate urgent concerns to the care manager
- Log asynchronous CCM time in eCW for billable care coordination activities: chart prep, post-visit follow-up, medication reconciliation, care plan updates, and provider coordination
- Keep all documentation audit-ready and consistent with CMS billing guidelines
Virtual Cardiac Exercise Program
- Moderate the weekly virtual cardiac exercise class (Tuesdays, 11 AM) — admit patients, monitor safety, assist the lead instructor
- Document attendance and create the group visit note in eCW after each session
Patient Onboarding & Chart Prep
- Oversee AI-assisted onboarding workflows — welcome communications, intake forms, chart setup — and verify accuracy
- Complete chart preparation in eCW: medications, allergies, history, vitals, care plan activation, and RPM device setup
- Monitor device inventory and coordinate reorders; confirm RPM device linkage for new patients
What You Bring
- Medical Assistant certification (CMA, RMA, or equivalent)
- 2+ years of MA experience in a clinical, telehealth, or care management setting
- eClinicalWorks (eCW) proficiency — this is our system of record for all documentation, CCM time logging, and care plan management; prior experience is required
- Working knowledge of CCM, RPM, or chronic disease management programs
- Experience in cardiology, cardiac rehab, or a cardiac-focused telehealth setting is a strong plus
- Familiarity with CCM/RPM CPT coding (99490, 99439, 99457, 99458, etc.) preferred
- Bilingual a plus
Who You Are
- You notice things others miss — a BP trend, a missing reading, a chart that isn’t quite right
- You don’t need to be managed; you manage yourself and your panel
- You care about patients, not just tasks — and it shows in how you communicate
- You’re comfortable in a fast-moving, fully remote environment and know how to stay organized without someone looking over your shoulder
- You’re curious about technology and open to AI-assisted workflows as tools that make your clinical work sharper
Compensation & Benefits
- Competitive hourly compensation commensurate with experience
- 100% remote position
- Health, dental, and vision benefits
- Paid time off and company holidays
- Mission-driven team working at the intersection of cardiac care and technology
Licensed mental health therapist provides virtual behavioral health services to women through reproductive life stages.
Licensed nurse reviews and audits clinical documentation and MDS assessments for compliance and quality assurance.
Medical monitor (gastroenterologist) oversees clinical trial safety, provides medical expertise to research teams, and ensures participant well-being across global studies.
PSI is a leading Contract Research Organization with more than 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees. We focus on delivering quality and on-time services across a variety of therapeutic indications.
PSI Medical Monitors provide medical input to global clinical studies and advise the teams and business partners, while always focusing on patients’ safety and well-being.
Home-Based in Mexico
Responsibilities:
As part of PSI’s Medical Monitoring team, you will join our international group of medical professionals, build a career on the frontline of medical science and use your knowledge and expertise to help bring new medications to patients that need them.
Provides telehealth nursing services to patients through Montu's alternative healthcare platform on a part-time basis.
Licensed neurosurgeon reviews cases and provides medical expertise for neurological surgery matters.
Telehealth physician providing remote medical consultations in internal medicine, ENT, or pulmonology via telemedicine platform.
Nurse Practitioner provides after-hours clinical care and medical decision-making for older adults on a national remote team.