We are passionate about improving the lives of seniors by providing Personalized Home Healthcare services.
Utilization Review Specialist, RN
Location
Florida
Posted
2 days ago
Salary
$65K - $85K / year
Seniority
Mid Level
Job Description
Utilization Review Specialist, RN
Concierge Home Care
• 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
Job Requirements
- Active Florida RN License (unencumbered)
- OASIS Certification (required)
- Coding Certification (required)
- 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
Benefits
- Medical, Dental & Vision Insurance
- Life Insurance
- 401(k)
- 3 Weeks PTO
- Quarterly Bonus Opportunities
- Employee Referral Program
- Free CEUs
- Career Growth Opportunities
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