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

Concierge Home Care is a reputable home health company dedicated to providing high-quality care solutions while supporting the professionals behind the care. Based in Florida, Concierge Home Care offers compassionate and comprehensive home health services tailored to meet the diverse needs of patients in their homes. The organization emphasizes a collaborative work environment, leveraging experienced clinical staff to ensure patient outcomes align with regulatory standards and best practices. A remote-friendly employer, Concierge Home Care specializes in enabling healthcare professionals to perform their duties effectively from home, providing a balance of flexibility and professional growth opportunities. The company is committed to delivering innovative care solutions while maintaining rigorous quality assurance and compliance. Their mission focuses on "Caring for people who care for people," emphasizing the utmost respect and support for their clinical team and the individuals served.

The Utilization Review Specialist (RN) role at Concierge Home Care is a remote opportunity, strictly available to Florida-based candidates holding an active Florida RN license. This position offers a competitive salary range between $65,000 and $85,000, complemented by a full benefits package, quarterly bonuses, and incentives. The role requires candidates to hold certifications in OASIS and Home Health Coding, ensuring a strong foundation in auditing and clinical documentation accuracy within the home health care setting. The Utilization Review Specialist is responsible for reviewing clinical documentation related to patient care to ensure compliance and quality, auditing OASIS forms and care plans, and collaborating with clinical managers, branch directors, and field clinicians. This role supports the company’s quality assurance and regulatory compliance initiatives and demands a candidate capable of managing a high volume of documentation in a fast-paced, remote environment.

This position offers schedule flexibility, with options between a Monday-Friday schedule, including occasional weekend rotations, or a weekend position covering three 12-hour shifts. The role requires a detail-oriented approach, excellent organizational skills, and the ability to work independently. Experience in Medicare guidelines and home health regulations, coupled with prior exposure to clinical auditing, utilization review, or quality assurance, enhances the candidate’s suitability. Preferred applicants possess familiarity with systems such as WellSky/Kinnser and SHP platforms, supporting streamlined documentation review and communication across healthcare teams.

Overall, Concierge Home Care strives to empower its clinicians by promoting a flexible work environment paired with career growth opportunities and professional development, including free CEUs. Employment is contingent upon successful completion of an AHCA Level 2 background screening, reflecting the company's commitment to maintaining high standards in patient care and staff integrity.