Utilization Review Specialist (RN) – Work From Home

Quick Highlights

• Work From Home (Florida-Based Candidates Only)
• Position
• Salary: $65,000–$85,000
• Florida RN License Required
• OASIS Certification Required
• Home Health Coding Certification Required
• Monday–Friday or Weekend Schedule Options
• Quarterly Bonuses & Incentives
• Full Benefits Package

What You’ll Do

• 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 Required

• Active Florida RN License (unencumbered)
• OASIS Certification (required)
• Coding Certification (required)
• 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

Preferred

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

Schedule Options

• Weekday Position: Monday–Friday
• Occasional weekend rotation (1 weekend/month)
• Weekend Position: Three 12-hour shifts

Benefits

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