Utilization Review Specialist (RN) – Work From Home (Florida)

Concierge Home Care is a dynamic and rapidly growing healthcare provider specializing in home health services. With a strong commitment to supporting clinicians and delivering high-quality care to patients in the comfort of their own homes, Concierge Home Care fosters a professional environment centered on flexibility, growth, and patient-centered care. This innovative company leverages technology to provide remote work opportunities, enabling Florida-based clinicians to maintain a healthy work-life balance while contributing to essential healthcare services. Concierge Home Care is dedicated to excellence in home health, regulatory compliance, and ensuring that all team members are equipped with the resources they need to succeed in their roles.

The Utilization Review Specialist (RN) position at Concierge Home Care is a fully remote role designed for experienced registered nurses holding a valid Florida RN license. The specialist plays a critical role in auditing and reviewing home health clinical documentation to ensure accuracy, compliance with Medicare guidelines, and adherence to home health regulations. This position requires strong knowledge of OASIS (Outcome and Assessment Information Set) documentation, home health coding certifications, and quality assurance processes. Utilization Review Specialists collaborate closely with Branch Directors, Clinical Managers, and field clinicians to support regulatory compliance initiatives, maintain reimbursement integrity, and improve overall patient care. The role offers competitive compensation ranging from $65,000 to $85,000 annually, along with flexible scheduling options, including Monday to Friday or weekend shifts. Additionally, the position includes quarterly bonuses and a full benefits package, making it an attractive opportunity for licensed Florida RNs interested in leveraging their clinical expertise in a remote setting. Concierge Home Care empowers their employees by providing continuous professional development opportunities, free continuing education units (CEUs), and a supportive work culture that rewards performance and dedication. Candidates with experience in platforms such as WellSky/Kinnser and the SHP system, as well as those with previous QA, utilization review, or clinical auditing experience, will find this role especially fitting. This remote opportunity presents a unique chance for RNs to practice at the top of their license while enjoying the flexibility and financial benefits associated with a stable and supportive home health employer.