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Utilization Specialist, Fully Remote

Role overview

Summary

This role is for a Utilization Review Specialist at Concierge Home Care, focusing on reviewing clinical documentation and ensuring compliance in home health services. You will work remotely, collaborating with various clinical leaders to support quality assurance and regulatory initiatives.

Qualifications

  • 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

Responsibilities

  • 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

Key facts

Hard skills

Other skills

  • Detail Oriented
  • Organizational Skills

About the company

Concierge Home Care logo

Concierge Home Care

  • Home, Senior & Disability Care
  • 501–1,000
Concierge Home Care is passionate about improving the lives of seniors in our community. Our services assist seniors with management of their illnesses while optimizing their healthy behaviors to allow them to remain in their homes for as long as possible. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and medical social workers. We are committed to advocating for all of your healthcare needs. Our comprehensive, holistic and multi-disciplinary approach to our seniors has been shown to significantly improve the quality of life for our clients and their families.

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Job description

Utilization Review Specialist (RN) – Remote 

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

Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential

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 experience in OASIS, coding, QA, and home health documentation review who possesses certifications in Oasis and Coding.

Quick Highlights

✔ Fully Remote Position
✔ Salary: $65,000–$85,000 (based on years of experience)
 ✔ Florida RN License Required
 ✔ OASIS Certification Required
 ✔ Home Health Coding Certification Required
 ✔ Monday–Friday 
  ✔ 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

Benefits

  • Medical, Dental & Vision Insurance 
  • Life Insurance 
  • 401(k) 
  • 3 Weeks PTO 
  • 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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