Florida Licensed Utilization Review Specialist

Job Summary

To support a growing remote home health team, the full-time Florida Licensed Utilization Review Specialist will review clinical documentation for accuracy and compliance, ensuring coding accuracy and reimbursement integrity while collaborating with various clinical staff.

Key responsibilities

• Review home health clinical documentation for accuracy and compliance
• Audit OASIS documentation and care plans to ensure coding accuracy
• Collaborate with Branch Directors and Clinical Managers to support quality assurance initiatives

Required 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