Remote Florida RN: Utilization Review Pro (OASIS/Coding)
Concierge Home Care
Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) to join our remote home health team. This Florida-based role requires OASIS and coding certifications and supports QA and regulatory compliance.
You'll review clinical documentation, audit OASIS data, and ensure coding accuracy to protect reimbursement integrity. The position offers a Monday–Friday or weekend schedule with full benefits and quarterly bonuses.
#J-18808-Ljbffr$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities... ...for an experienced Utilization Review Specialist (RN) to join our remote home... ...with strong experience in OASIS, coding, QA, and home health documentation... ...on years of experience) Florida RN License Required OASIS...Remote workMonday to FridayWeekend workWeekday work- ...Working remotely in a full-time capacity, the Florida RN Utilization Reviewer will conduct admission, concurrent, and retrospective reviews of medical records to ensure compliance with clinical performance standards and reimbursement guidelines while managing a caseload...Remote workFull time
- ...Healthcare Provider Solutions is seeking a full-time RN or licensed therapist coder/OASIS reviewer for remote home health (and home health + hospice) coding. Requires BCHH-C or HCS-D and COS-C/COQS/HCS-O certifications with at least 3 years of coding/OASIS experience....Remote workFull timeWork from home
- ...Sentara Health Plans is hiring a Clinical Claims Reviewer/RN for a remote role. This full-time position involves utilization management and post-payment review across various care settings, with RN licensure and coding credentials under consideration. The role offers...Remote workFull time
- ...Seaport Scripps Home Health is seeking an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation... ...This role focuses on reviewing OASIS assessments and ICD-10 coding while collaborating with clinicians to improve outcomes and...Remote work
- ...Seaport Scripps Home Health is seeking an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation... ..., and consistency of OASIS assessments and ICD‑10 coding, while collaborating closely with clinical and leadership teams...Remote work
- ...Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for a remote, full-time position. Responsibilities include utilization management, pre/post payment claim reviews, and authorization assessments across inpatient and outpatient cases, with regulatory compliance...Remote workFull time
$42 - $48 per hour
...OASIS Quality Review Registered Nurse (RN) Being a part of this extraordinary team at McLean in Simsbury, CT,... ...requirements, reimbursement guidelines, and coding practices. Review clinical... ...per week Work Location: Hybrid remote Benefits include: Paid Time Off,...Remote workHourly payWork from home- ...CorVel in the United States is seeking a Utilization Review Case Manager to gather demographic and clinical information, certify... ...stay for inpatient and outpatient treatment. This remote role requires strong CPT/ICD coding knowledge, meticulous documentation, data analysis,...Remote work
- ...Responsibilities As our Utilization Review RN, you will meticulously review... ...external regulatory agencies like PRO and Joint Commission. You'll... ...This position is open to remote/out of state candidates... ...Arizona- Arkansas- Colorado - Florida- Georgia - Idaho- Indiana -...Remote work
$1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas, United States Position... ...Utilization Management RN for a fully remote role requiring TX or compact RN... ...complex cases Assists staff with coding, documentation, precertification, reimbursement...Remote workWeekly payLocal areaShift work- CorVel Corporation is seeking a Utilization Review Case Manager for a remote role. The ideal candidate holds an RN license and has 4+ years of clinical experience with utilization review, CPT/ICD coding knowledge, and strong communication skills. Responsibilities include...Remote job
$36 - $47.52 per hour
...diem, part time, or full time Registered Nurse (RN) CODER/OASIS Reviewer to join our interdisciplinary Home Care team!... ...agency that compares to us! Flexibility to work remote What you will do: The role of the coding/OASIS position is to code and complete OASIS...Remote workHourly payDaily paidFull timePart timeLocal areaFlexible hoursShift workDay shift- ...support patient care initiatives, the full-time Florida Licensed Utilization Management RN will monitor admissions, perform medical necessity reviews, and collaborate with the multidisciplinary care team in a fully remote setting. Key responsibilities Monitor admissions...Remote workFull time
- Utilization Review Nurse Auditor (33034)# Utilization Review Nurse... ...Auditor (33034)Fully Remote • Mount Laurel, NJ 080... ...a Nursing License and Coding Certification***The... ...coding certification in OASIS, RAC-CT, CCS, CPC,... ...time off, and 401k.******RN******LPN******LVN*****...Remote workLocal areaMonday to Friday
- ...CoventBridge Integrity Systems is seeking a Medicaid Medical Review RN (Medical Reviewer III) for a remote role, based from Grove City, OH. The position conducts... ...preferred, and have 2+ years in Medicaid or managed care, plus ICD-10-CM/CPT coding experience. #J-18808-Ljbffr...Remote work
- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerFort Myers, Florida, United StatesPosition status: OpenAssignment type: travelShift: EveningsLength... ...begins on a Friday, including remote orientation and an in-person visit for badge...Remote workWeekly payFull timeShift workDay shift
- ...timely and accurate benefit determinations, the full-time LVN Utilization Review Nurse will conduct first-level clinical reviews of treatment... ...experience Knowledge of medical claims and ICD-10, CPT, HCPCS coding Proficiency in Microsoft Office applications, including Word...Remote workFull timeWork at officeMonday to Friday
$2,005 per week
...Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements ~ Specialty... ...Utilization Review Extension (UR EXT) specialist for a remote position. This role involves conducting...Remote workTemporary workZero hours contractMonday to FridayShift workWeekend work$42 per hour
...Centralized acute admission utilization review across 13 acute care and critical... ...Skills/Experience: Licensed RN (multistate or TX RN), 2... ...insurers, Google Workspace, remote work experience Other Proficient... ...staff with issues related to coding, medical records/documentation...Remote workWork experience placementMonday to Friday$2,150 per week
...Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements ~... ...-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT – 13 weeks...Remote workTemporary workZero hours contractImmediate startShift workNight shiftWeekend work- ...Job Description - Registered Nurse RN ICD 10 and Oasis Reviewer (2613312) Registered Nurse RN ICD 10... ...COORDINATOR - HOME HEALTH SERVICES - REMOTE Must live in South Carolina, North... ...disability, or veteran status. For Florida Job Postings Only: For more information...Remote workLive inFlexible hours
$93.35k - $132.43k
...is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time,... ...Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas... ...responsible for performing utilization management services within... ...reconsiderations to ensure accurate coding in accordance with...Remote workPermanent employmentFull timeTemporary workWork at officeShift work$77.08k - $119.47k
...$119,466.00 Responsible for Utilization Management, Quality Screening... ...skills applicable to utilization review process. Excellent written... ...Outpatient surgery and ICD10-Coding (preferred) And Observation Status... ...work cannot be done from a remote location. Other Requirements...Remote workShift work- ExamWorks is seeking a Utilization Review Nurse Auditor to perform quality utilization reviews and authorize... ...necessary care. The role is fully remote with standard EST hours, requiring an active nursing license and coding certification. You will work with providers...Remote job
- ...PruittHealth is seeking a PRN Registered Nurse (RN) ICD-10 and Oasis Reviewer to join PruittHealth @Home. The role requires active licensure and ICD-10 certification, with remote home health work available in GA/SC/NC and PRN scheduling. You will support patients where...Remote workReliefWork from home
- ...Power of Every One. Job Title Utilization Management RN Reviewer Location Cleveland Facility Remote Location Department Utilization... ...Quality Assur-Weston Hospital Job Code 000446 Shift Days Schedule 7:30... ...This remote role is limited to Florida, Ohio, and Nevada. Candidates...Remote workFull timeWork at officeShift workWeekend work
- ...Sedgwick is hiring a Telecommuter Utilization Review Coordinator in Florida. The role focuses on assigning UR requests, entering data, and supporting clinical... ...medical/insurance terminology knowledge, ICD9/CPT coding familiarity, and excellent communication skills. A high...Remote work
$35 - $40 per hour
...experienced Registered Nurse (RN) with health plan or payer-side Utilization Management (UM)... ...support clinical quality review and AI model development... ...knowledge of CPT/HCPCS, ICD-10 coding, and payer-specific medical... ...Fri, 40 hrs/week Fully Remote Position Pay Range: $35...Remote workHourly payLocal areaShift work- ...PruittHealth in the United States is seeking an experienced Registered Nurse (RN) to serve as ICD-10 and Oasis Reviewer for Home Health Services. This remote role requires you to live in South Carolina, North Carolina, or Georgia and hold an active ICD-10 certification...Remote workLive inWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Florida RN: Utilization Review Pro (OASIS/Coding). Be the first to apply!
- public health registered nurse United States
- temporary rn United States
- cath-lab rn United States
- perioperative rn United States
- part time rn United States
- pacu rn United States
- travel registered nurse l&d United States
- nicu registered nurse United States
- telephonic rn United States
- rn urgent care United States

