Concierge Home Care logo
Concierge Home Care

We are passionate about improving the lives of seniors by providing Personalized Home Healthcare services.

Utilization Review Specialist, RN

GeneralGeneralFull TimeRemoteMid LevelTeam 501-1,000Since 2015H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

2 days ago

Salary

$65K - $85K / year

Seniority

Mid Level

Professional Certificate2 yrs expEnglish

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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