Nurse Liaison I - Utilization Management & Quality Review - Remote

What you’d do

Remote full-time nursing role supporting utilization management and quality review, including benefit determinations, medical necessity reviews, and benefit terminations. Ensures clinically sound, well-documented coverage decisions and compliance. Found on the employer's careers page on Oct 21, 2026. Apply through the link.

You’ll need

• RN with unrestricted license
• 3 years clinical experience
• 2 years utilization review, quality assurance, or statistical research
• Knowledge of UM/QR process
• Knowledge of managed care principles