[Hiring] Utilization Specialist @Concierge Home Care

Role Description

Join the Team at Concierge Home Care – Where Care Changes Lives!

Your Role as a Utilization Review Specialist:

• Ensure quality assurance by reviewing and evaluating OASIS documentation and care plans.
• Verify clinical documentation for accuracy and compliance with regulatory guidelines.
• Collaborate with Branch Directors, Clinical Managers, and Field Clinicians to support high-quality patient care.
• Maintain up-to-date knowledge of home health regulations to ensure compliance and best practices.

Qualifications

• OASIS Certification (required).
• Coding Certification (required).
• Minimum of 2 years of home health experience (required).
• Unencumbered Florida RN License (required).
• Ability to review a high volume of documents with accuracy and efficiency.
• Self-motivated with the ability to work independently in a remote environment.
• Weekday positions require the ability to work 1 weekend per month.
• Experience with EMR systems such as Wellsky/Kinnser (preferred).
• Familiarity with platforms like SHP (preferred).

Benefits

• Flexible Scheduling Options: Weekdays Monday - Friday.
• Professional Development: Ongoing training, mentorship opportunities, and support for career development.
• Comprehensive Benefits: Enjoy three weeks of PTO, increasing to four weeks after five years.
• Earn quarterly bonuses based on individual and team performance.
• 401(k) options for future planning.
• Employee Assistance Program (EAP), pet insurance, legal assistance, and employee referral bonuses.
• Health, dental, vision, and HSA options.
• Mileage reimbursement or company vehicle (per company policy).
• Data plan reimbursement.

Company Description

At Concierge Home Care, we believe in the power of home health care to change lives—for patients and team members alike. Our mission, “Caring for people who care for people,” is the foundation of who we are and what we do. Guided by our values—Integrity, Caring, Quality, Service, Innovation, and Team—we are dedicated to delivering compassionate, high-quality care that empowers patients to heal in the comfort of their own homes.

Since we opened our doors in 2015, Concierge Home Care has grown to serve over 57 counties across Florida, offering incredible opportunities for growth and career advancement.