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Utilization Review Specialist (RN) – Remote
Concierge Home Care
Location
United States
Work Mode
Hybrid
Type
Full-Time
Sector
Tech
First Seen
2026-08-10
Source
himalayas
Hybrid United States IT Healthcare Customer Service Deadline Unclear Remote
Job Description
<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div> <h3>Utilization Review Specialist (RN) – Remote</h3> <p><strong>$65K–$85K | OASIS &amp; Coding Certified | Florida RN License Required</strong></p> <p><em><a href="https://himalayas.app/companies/concierge-home-care">Concierge Home Care</a> | Remote Opportunity | Growth Opportunities | Increased Earning Potential</em></p> <p>At <a href="https://himalayas.app/companies/concierge-home-care">Concierge Home Care</a>, we are growing and looking for an experienced <strong>Utilization Review Specialist (RN)</strong> to join our remote home health team.</p> <p>This role is ideal for an RN with strong<strong>experience in OASIS, coding, QA, and home health documentation review</strong>who thrives in a fast-paced,remote environment.</p> <h3>Quick Highlights</h3> <h3>✔ Fully Remote Position</h3> <p>✔ Salary: <strong>$65,000–$85,000 (based on years of experience)</strong></p> <h3>✔ Florida RN License Required</h3> <h3>✔ OASIS Certification Required</h3> <p>✔ Home Health Coding Certification Required<br>✔ Monday–Friday or Weekend Schedule Options<br>✔ Quarterly Bonuses &amp; Incentives</p> <h3>✔ Full Benefits Package</h3> <h3>What You’ll Do</h3> <ul> <li>Review home health clinical documentation for accuracy and compliance</li> <li>Audit OASIS documentation and care plans</li> <li>Ensure coding accuracy and reimbursement integrity</li> <li>Collaborate with Branch Directors, Clinical Managers, and field clinicians</li> <li>Support quality assurance and regulatory compliance initiatives</li> <li>Maintain productivity while reviewing high-volume documentation</li> </ul> <h3>Qualifications</h3> <p></p> <p><strong>Required</strong></p> <ul> <li><strong>Active Florida RN License (unencumbered)</strong></li> <li><strong>OASIS Certification</strong></li> <li><strong>Home Health <strong>Coding Certification</strong></strong></li> <li><strong>Minimum 2 years of Home Health experience</strong></li> <li><strong>Strong knowledge of Medicare guidelines and home health regulations</strong></li> <li><strong>Ability to work independently in a remote setting</strong></li> <li><strong>Excellent attention to detail and organizational skills</strong></li> </ul> <h3><strong>Preferred</strong></h3> <ul> <li><strong>WellSky/Kinnser experience</strong></li> <li><strong>SHP platform experience</strong></li> <li><strong>Prior QA, Utilization Review, or Clinical Auditing experience</strong></li> </ul> <h3><strong>Schedule Options</strong></h3> <h3><strong>Weekday Position</strong></h3> <ul> <li><strong>Monday–Friday</strong></li> <li><strong>Occasional weekend rotation (1 weekend/month)</strong></li> </ul> <h3><strong>Benefits</strong></h3> <ul> <li><strong>Medical, Dental &amp; Vision Insurance</strong></li> <li><strong>Life Insurance</strong></li> <li><strong>401(k)</strong></li> <li><strong>3 Weeks PTO</strong></li> <li><strong>Qu