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Senior RN, Utilization Management — Remote Leadership

Remote / Online - Candidates ideally in
Austin, Travis County, Texas, 73301, USA
Listing for: Clover Health
Full Time, Remote/Work from Home position
Listed on 2026-10-30
Job specializations:
  • Nursing
    RN Nurse, Director of Nursing, Charge Nurse
Salary/Wage Range or Industry Benchmark: 100000 - 130000 USD Yearly USD 100000.00 130000.00 YEAR
Job Description & How to Apply Below

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

We are currently recruiting a Senior RN, Utilization Management — Remote Leadership for our team in United States.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Senior RN, Utilization Management — Remote Leadership role in the description above.

Position Requirements
10+ Years work experience
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