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Utilization Review Specialist (RN) – Remote

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Quality Assurance
  • Communication
  • Time Management
  • Teamwork
  • Organizational Skills
  • Detail Oriented

Roles & Responsibilities

  • Active Florida RN License (unencumbered)
  • OASIS Certification
  • Home Health Coding Certification
  • Minimum 2 years of Home Health experience; strong knowledge of Medicare guidelines and ability to work independently in a remote setting

Requirements:

  • Review home health clinical documentation for accuracy and compliance
  • Audit OASIS documentation and care plans
  • Ensure coding accuracy and reimbursement integrity
  • Collaborate with Branch Directors, Clinical Managers, and field clinicians

Job description

Utilization Review Specialist (RN) – Remote

$65K–$85K | OASIS & Coding Certified | Florida RN License Required

Concierge Home Care | Remote Opportunity – Must Reside in Florida


At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team.


This role is ideal for an RN with strong OASIS, coding, QA, and home health documentation review experience who thrives in a fast-paced remote environment.


Quick Highlights

 Fully Remote Position
 
 Salary: $65,000–$85,000
 
 Florida RN License Required
 
 OASIS Certification Required
 
 Home Health Coding Certification Required
 
 Monday–Friday or Weekend Schedule Options
 
 Quarterly Bonuses & Incentives
 
 Full Benefits Package


What You’ll Do

  • Review home health clinical documentation for accuracy and compliance 
  • Audit OASIS documentation and care plans 
  • Ensure coding accuracy and reimbursement integrity 
  • Collaborate with Branch Directors, Clinical Managers, and field clinicians 
  • Support quality assurance and regulatory compliance initiatives 
  • Maintain productivity while reviewing high-volume documentation 


Qualifications

Required

  • Active Florida RN License (unencumbered) 
  • OASIS Certification 
  • Home Health Coding Certification 
  • Minimum 2 years of Home Health experience 
  • Strong knowledge of Medicare guidelines and home health regulations 
  • Ability to work independently in a remote setting 
  • Excellent attention to detail and organizational skills 

Preferred

  • WellSky/Kinnser experience 
  • SHP platform experience 
  • Prior QA, Utilization Review, or Clinical Auditing experience 


Schedule Options

Weekday Position

  • Monday–Friday 
  • Occasional weekend rotation (1 weekend/month) 

Weekend Position

  • Three 12-hour shifts 


Benefits

  • Medical, Dental & Vision Insurance 
  • Life Insurance 
  • 401(k) 
  • 3 Weeks PTO 
  • Quarterly Bonus Opportunities 
  • Employee Referral Program 
  • Free CEUs 
  • Data Plan Reimbursement 
  • Career Growth Opportunities 


Why Concierge Home Care?

At Concierge Home Care, our mission is simple: Caring for people who care for people.

We are committed to supporting our clinicians with strong leadership, flexibility, and opportunities for professional growth.


Still have questions? Text or call Delaine directly: (904) 463-3529

Apply in under 2 minutes.


Join a team that empowers you to practice at the top of your license while maintaining the flexibility and income potential you deserve.


Employment is contingent upon successful completion of an AHCA Level 2 background screening. For more information, please visit the Florida Care Provider Background Screening Clearinghouse.



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