Lead RN, Utilization Management
Clover Health · Remote (USA) · Full-time
Salary: USD 100,000 – 130,000 / year
Description
At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most. The Utilization Management (UM) team plays a vital role in supporting Clover members throughout their care journey. The team is made up of experienced clinicians who combine clinical expertise with data-driven insights to support evidence-based decision-making. Working closely with providers and care partners, the UM team ensures that care transitions are smooth, efficient, and always focused on improving member outcomes while maintaining compliance with CMS guidelines. As the Lead RN, Utilization Management, you will coach and develop clinical staff, oversee daily review operations, and monitor quality and vendor performance. You will partner with Medical Directors and teams across Clover to strengthen revie…
View full original posting → Source: Jobicy
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Questions about this job
Where is this Lead RN, Utilization Management job located?
It is listed as Remote (USA), so it can be done from home.
Who is hiring?
The employer shown on the listing is Clover Health.
What is the salary?
The listing shows: USD 100,000 – 130,000 / year. Confirm the exact pay, overtime and payment date with the employer before accepting.
Is it full-time or part-time?
The listing type is Full-time.
When was this job posted?
It was posted on 27 October 2026. Jobs that stay open too long are closed automatically, so apply soon if you are interested.
How do I apply?
Read the description and requirements, then click Apply now on this page (a free account is needed). You can also open the original posting to see how the employer takes applications.
Do I have to pay to apply?
No. Applying on Get Mazdoor is free, and a genuine employer does not ask for money to apply or for a "registration" or visa fee before an offer. If anyone asks you to pay, do not.
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