[Hiring] Utilization Review Specialist @Concierge Home Care

Role Description

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 experience in OASIS, coding, QA, and home health documentation review who possesses certifications in Oasis and Coding.

• 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

• Active Florida RN License (unencumbered)
• 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

Requirements

• WellSky/Kinnser experience (preferred)
• SHP platform experience (preferred)
• Prior QA, Utilization Review, or Clinical Auditing experience (preferred)

Benefits

• Medical, Dental & Vision Insurance
• Life Insurance
• 401(k)
• 3 Weeks PTO
• Employee Referral Program
• Free CEUs
• Data Plan Reimbursement
• Career Growth Opportunities