Utilization Review Specialist (RN) – Remote

Concierge Home Care; Jacksonville (FL); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Quarterly Bonuses & Incentives

Full Benefits Package

Life Insurance

401(k)

Free CEUs

Job summary

Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) for a fully remote role. You will review home health documentation, audit OASIS and care plans, and ensure coding accuracy to protect reimbursement integrity.

Qualified candidates hold an RN license, OASIS and Home Health Coding Certifications, and at least 2 years of home health experience. Remote work, with strong QA and regulatory collaboration, is offered along with incentives.

Qualifications

• OASIS Certification required.
• Home Health 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.

Responsibilities

• 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.

Skills

OASIS Certification

Home Health Coding Certification

Home Health experience

Medicare guidelines knowledge

Remote work capability

Attention to detail

Education

RN license

Tools

SHP platform

Job description

Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential

At 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 strongexperience in OASIS, coding, QA, and home health documentation reviewwho thrives in a fast-paced,remote environment.

Quick Highlights

• 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 Package

What You’ll Do

• 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

Qualifications

Required

• OASIS Certification
• Home Health Coding Certification
• 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

• SHP platform experience
• Prior QA, Utilization Review, or Clinical Auditing experience

Schedule Options

Weekday Position

• Monday–Friday
• Life Insurance
• 401(k)
• Quarterly Bonus Opportunities
• Employee Referral Program
• Free CEUs

Why 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.

Join a team that empowers you to practice at the top of your license while maintaining the flexibility and income potential you deserve.

Employment is contingent upon successful completion of an AHCA Level 2 background screening. For more information, please visit the Florida Care Provider Background Screening Clearinghouse.