Utilization Review Specialist (RN) – Work From Home

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

Benefits offered by this job

Life Insurance

401(k)

Quarterly bonus opportunities

Employee referral program

Free CEUs

Job summary

Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) to join our remote home health team. This Florida-based role requires OASIS and coding certifications and supports QA and regulatory compliance.

You'll review clinical documentation, audit OASIS data, and ensure coding accuracy to protect reimbursement integrity. The position offers a Monday–Friday or weekend schedule with full benefits and quarterly bonuses.

Qualifications

• OASIS Certification is required.
• Coding Certification is 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.

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 knowledge

Coding knowledge

QA experience

Home health

Documentation review

Medicare guidelines

Attention to detail

Organizational skills

Education

OASIS Certification

Home Health Coding Certification

RN license

Tools

SHP platform

Job description

Utilization Review Specialist (RN) – Work From Home (Florida-Based Candidates Only)

Concierge Home Care | Work From Home Opportunity – Must Reside in Florida

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 strong OASIS, coding, QA, and home health documentation review experience who thrives in a fast-paced remote environment.

Quick Highlights

• Work From Home (Florida-Based Candidates Only) Position
• Salary: $65,000–$85,000
• 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 integrityCollaborate 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 (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

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

Schedule Options

Weekday Position

• Monday–Friday
• Three 12-hour shifts
• 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.

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.