Home Health OASIS Review Specialist
Custom Hospice
Join Custom Home Health’s Quality team as a Full Time OASIS Review Specialist ! We’re looking for detail-oriented clinicians with experience in OASIS review, ICD-10 coding, and home health compliance . Remote Position Full Time - Salary Collaborative, quality-driven team About the Role Custom Home Health is seeking an experienced OASIS Review Specialist to support our Quality team on a full time basis. This fully remote role offers flexibility while allowing you to contribute your expertise in OASIS accuracy, ICD-10 coding, and regulatory compliance. This is an ideal opportunity for a highly skilled reviewer who values flexibility and is confident working independently while maintaining high-quality standards. Key Responsibilities Perform prospective review of OASIS assessments to ensure accuracy, completeness, and compliance Validate ICD-10 coding and sequencing based on patient diagnoses and comorbidities Utilize OASIS validation and alert reports to identify inconsistencies Collaborate with clinicians to clarify documentation and ensure data integrity Identify trends impacting quality outcomes, compliance, and reimbursement Review visit utilization for appropriateness and potential under/over-utilization Communicate findings and trends to leadership Participate in QAPI and quality improvement initiatives as needed Conduct inter-rater reliability reviews when applicable Assist with additional chart audits as assigned Qualifications 1–2+ years of home health clinical experience required Home Health ICD-10 coding certification required OASIS certification preferred Strong working knowledge of OASIS and ICD-10 coding Knowledge of Medicare regulations and home health compliance Experience with EMR systems (WellSky experience preferred) Strong attention to detail and ability to work independently Excellent communication and collaboration skills What to Expect Flexible workload based on chart availability Productivity expectations will be discussed based on availability and performance Opportunity to transition to increased volume based on quality and consistency Supportive Quality team focused on education, collaboration, and outcomes #J-18808-Ljbffr Custom Hospice
- EMPOWER - OASIS Review Coding Specialist job at EMPOWER. Richardson, TX. GENERAL PURPOSE Accurate and timely coding and review of home health OASIS assessments and plan of care to ensure compliance with CMS regulatory guidelines, optimize reimbursement, contribute to...Suggested
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements, requiring clinical expertise and knowledge of Medicaid guidelines....Work from homeContract workRemote work
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased... ...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...SuggestedRemote workMonday to FridayWeekend workWeekday work- Elevate Home Health is expanding its clinical support team with an OASIS Specialist (RN). This remote, full-time role supports California operations by reviewing OASIS assessments, guiding plan-of-care development, and ensuring accurate documentation. The OASIS Specialist...SuggestedRemote jobFull time
$77k - $80k
...-C, HCS-O or COQS and HCS-D or BCHH-C certifications in order to be considered. BAYADA Home Health Care has an immediate opening for a Full Time, Quality Reviewer with OASIS certification to work remotely. RN’s with certifications will be considered for this role....SuggestedFull timeWork at officeLocal areaImmediate startRemote work$77k - $80k
BAYADA Home Health Care is seeking a Quality Reviewer with OASIS certification to work remotely. The role audits, validates, and optimizes patient Plans of Care and OASIS assessments to ensure clinical accuracy and Medicare compliance. RN license with 2+ years clinical...Remote job$29.62 - $45.31 per hour
...Description Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of... ...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department...Minimum wageFull timeWork experience placementLocal areaRemote workShift work- ...Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) Join our team at Adara Home Healthcare where we pride ourselves on delivering... ...Information Set) data. This position involves reviewing patient records, conducting quality assurance checks...Remote workFlexible hours
$50k
...Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with... ...What is Required (Qualifications) Bachelor’s degree in a health or behavioral health-related field required; graduate degree preferred...Remote work$62k - $70k
...Why Charlie Health? Millions of people across the country are navigating mental health... ...better outcomes from the comfort of home. As a rapidly growing organization, we... ...timely manner Completes peer to peer reviews with insurance MDs to advocate for treatment...Full timeLocal areaRemote work- Centene Corporation is seeking a licensed clinician to review ABA services and health status across the care continuum, ensuring medical appropriateness and alignment with behavioral health guidelines. The role involves prior authorization reviews, data analysis to improve...Remote workFlexible hours
- A healthcare facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The role involves collaboration with various stakeholders, including physicians and Care Coordination staff, to support patient...Remote work
- ...West River Health Services is a mission-driven Critical Access Hospital and Rural Health Clinic serving the residents of southwestern... ...Responsibilities - Perform preadmission and retrospective chart reviews - Coordinate with discharge planning on medical necessity and...
- Job Highlights The Pre-Claim Review (PCR) Specialist organizes, prepares, and submits pre-claim review... ...claim affirmation for Medicare home health reimbursement. He/she functions under... ...home health regulations including PDGM, OASIS, the Home Health Conditions of Participation...Work from homeWork at office
$26 - $33 per hour
...Utilization Review Specialist Denver Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As...Hourly payFull timeTemporary workPart time$26 - $33 per hour
...experience matters Denver Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast... ...can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated...Hourly payFull timeTemporary workPart time$26 - $28 per hour
...Utilization Review Specialist About View Behavioral Health We are proud to serve as a trusted resource for our community, providing high-quality mental health care with compassion and integrity. Our Long Beach facility currently operates as a 79-bed adult voluntary...Hourly payLocal areaShift workWeekend work$17.44 per hour
...Utilization Review Specialist I Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability... ...care! About the Position: Tulsa Center for Behavioral Health is recruiting a Utilization Review Specialist. This position...Hourly payFull timeWork at officeFlexible hoursWeekend work- ...Evolve Treatment Centers in West Palm Beach, Florida, is seeking a full-time Utilization Review Specialist. This role involves initiating pre-certification authorizations, communicating with facilities, and maintaining patient census. Candidates should have a High School...Full time
- ...Medusind in Costa Mesa, CA is seeking an UR Representative to conduct Utilization Reviews ensuring proper authorization for behavioral health services. You will review cases across multiple platforms, coordinate peer reviews, and enter authorization data while maintaining...
- ...Memorial Physician Practices is hiring a Utilization Review Specialist in Tucson, Arizona, who will facilitate clinical reviews and advocate for patients accessing mental health services. This PRN role involves working with managed care organizations and is vital for...Relief
- ...Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical...
- ...founded in 2003, provides administrative services for behavioral health facilities in the Northeast, mid‑Atlantic, and Southeast... ...mental health outpatient clinics. Position Title: Utilization Review Specialist Responsibilities Initiate pre‑certification and continued stay...Full timeWork at officeVisa sponsorshipWeekend work
- ...Your experience matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities... ...you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated...Temporary workPart timeRelief
- ...A healthcare consulting company is seeking a remote Dietitian to conduct quality reviews for the U.S. Department of Veterans Affairs. The role involves evaluating clinical cases and producing structured assessments. Candidates must have an RDN credential and at least 3...Full timeRemote workFlexible hours
- ...Utilization Review SpecialistMesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission...Temporary workPart timeRelief
- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role ensures medical necessity across Medicare, AHCCCS, and other payers, both on admission and concurrently. The position requires...Remote job
- ...Bradford Health Services is looking for an Utilization Review Specialist to ensure medical necessity and regulatory compliance across patient records and treatment plans. You will collaborate with clinical teams, payers, and leadership to secure timely authorizations and...
$43 - $47 per hour
...Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home Health experience and must possess an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a contractual role offering...Remote job- ...Medical Center Health System in Odessa, TX seeks a detail‑oriented support clerk to assist the Utilization Management department with utilization reviews, data collection, and care coordination activities. The position requires a high school diploma, at least one year...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Home Health OASIS Review Specialist. Be the first to apply!
- candidate experience specialist Troy, MI
- gaming specialist Troy, MI
- information technology specialist Troy, MI
- leasing specialist Troy, MI
- infectious disease specialist Troy, MI
- wildlife specialist Troy, MI
- government information specialist Troy, MI
- cash management specialist Troy, MI
- treasury specialist Troy, MI
- medical prior authorization specialist Troy, MI


