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Utilization Review Specialist (RN) – Remote

jacksonville, fl • Posted 2 days ago
Remote Full Time General

Utilization Review Specialist (RN) – RemoteAt 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.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 PackageWhat You'll DoReview home health clinical documentation for accuracy and complianceAudit OASIS documentation and care plansEnsure coding accuracy and reimbursement integrityCollaborate with Branch Directors, Clinical Managers, and field cliniciansSupport quality assurance and regulatory compliance initiativesMaintain productivity while reviewing high-volume documentationQualificationsRequiredActive Florida RN License (unencumbered)OASIS CertificationHome Health Coding CertificationMinimum 2 years of Home Health experienceStrong knowledge of Medicare guidelines and home health regulationsAbility to work independently in a remote settingExcellent attention to detail and organizational skillsPreferredWellSky/Kinnser experienceSHP platform experiencePrior QA, Utilization Review, or Clinical Auditing experienceSchedule OptionsWeekday PositionMonday–FridayOccasional weekend rotation (1 weekend/month)BenefitsMedical, Dental & Vision InsuranceLife Insurance401(k)3 Weeks PTOQuarterly Bonus OpportunitiesEmployee Referral ProgramFree CEUsData Plan ReimbursementCareer Growth OpportunitiesWhy 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.

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