Utilization Review Specialist (RN) - Remote

Job Description

Job Description

Utilization Review Specialist (RN) – Remote

$65K–$85K | OASIS & Coding Certified | 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 thrives in a fast-paced, remote environment.

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 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)

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: View phone number on ziprecruiter.com

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.