Jacksonville, FL · On-site
$65K - $85K/yr
Utilization Review Specialist (RN) - Work From Home (Florida-Based Candidates Only) $65K-$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Work From Home Opportunity ...
Jacksonville, FL · On-site
$65K - $85K/yr
Utilization Review Specialist (RN) - Work From Home (Florida-Based Candidates Only) $65K-$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Work From Home Opportunity ...
Manhattan, NY · On-site
$65K - $75K/yr
... from Odyssey House's Part 820 residential programs. The Specialist will monitor claims and ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
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Manhattan, NY · On-site
$65K - $75K/yr
... from Odyssey House's Part 820 residential programs. The Specialist will monitor claims and ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...
Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...
This role ensures timely approvals and continued stay authorizations from insurance payers by ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
This role ensures timely approvals and continued stay authorizations from insurance payers by ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
This role ensures timely approvals and continued stay authorizations from insurance payers by ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
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This role ensures timely approvals and continued stay authorizations from insurance payers by ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
This role ensures timely approvals and continued stay authorizations from insurance payers by ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Quick apply
This role ensures timely approvals and continued stay authorizations from insurance payers by ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Utilization Review Location/s:Main Campus Jackson Job Title:RN - Utilization Review - Utilization ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Utilization Review Location/s:Main Campus Jackson Job Title:RN - Utilization Review - Utilization ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review ... Work From Home (Up to 2 days per week upon eligibility) * Onsite Gym * Garage Parking * Within ...
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review ... Work From Home (Up to 2 days per week upon eligibility) * Onsite Gym * Garage Parking * Within ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Conduct utilization reviews for inpatient and outpatient services across various settings including acute care hospitals, nursing homes, hospice care, emergency departments, PICUs (Pediatric ...
Conduct utilization reviews for inpatient and outpatient services across various settings including acute care hospitals, nursing homes, hospice care, emergency departments, PICUs (Pediatric ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Work From Home (Up to 2 days per week upon eligibility) * Onsite Gym * Garage Parking * Within ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Work From Home (Up to 2 days per week upon eligibility) * Onsite Gym * Garage Parking * Within ...
Omaha, NE · On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Work From Home (Up to 2 days per week upon eligibility) * Onsite Gym * Garage Parking * Within ...
Omaha, NE · On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Work From Home (Up to 2 days per week upon eligibility) * Onsite Gym * Garage Parking * Within ...
Fort Lauderdale, FL · On-site +1
$30K - $40K/yr
If you're passionate about advocating for patients and navigating the utilization review process, we'd love to hear from you. Recovery Unplugged is an Equal Opportunity Employer. Requirements
Fort Lauderdale, FL · On-site +1
$30K - $40K/yr
If you're passionate about advocating for patients and navigating the utilization review process, we'd love to hear from you. Recovery Unplugged is an Equal Opportunity Employer. Requirements
Also has a background in patient, skilled nurses facilities, rehab, and home healthcare. Additional ... Thanks and look forward to hearing from you!
Also has a background in patient, skilled nurses facilities, rehab, and home healthcare. Additional ... Thanks and look forward to hearing from you!
A bachelor's degree from an accredited college or university is required; a master's degree in ... Promotes safety and encourages the least-restrictive and shortest length of out-of-home placement ...
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A bachelor's degree from an accredited college or university is required; a master's degree in ... Promotes safety and encourages the least-restrictive and shortest length of out-of-home placement ...
A bachelor's degree from an accredited college or university is required; a master's degree in ... Promotes safety and encourages the least-restrictive and shortest length of out-of-home placement ...
A bachelor's degree from an accredited college or university is required; a master's degree in ... Promotes safety and encourages the least-restrictive and shortest length of out-of-home placement ...
Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have ... from discrimination based on race, creed, color, national origin, age, sex, pregnancy, sexual ...
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Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have ... from discrimination based on race, creed, color, national origin, age, sex, pregnancy, sexual ...
A bachelor's degree from an accredited college or university is required; a master's degree in ... Promotes safety and encourages the least-restrictive and shortest length of out-of-home placement ...
A bachelor's degree from an accredited college or university is required; a master's degree in ... Promotes safety and encourages the least-restrictive and shortest length of out-of-home placement ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | From Home Optum Utilization Review | From Home Medical Coder |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials) | Certification in medical coding (e.g., CPC, CCS) often required |
| Work Environment | Remote, healthcare insurance or managed care setting | Remote, healthcare billing and coding environment |
| Industry Usage | Common in health insurance, managed care, and utilization management | Common in medical billing, coding, and healthcare documentation |
From Home Optum Utilization Review and From Home Medical Coder roles both operate remotely within the healthcare industry. However, utilization review focuses on assessing medical necessity and approving or denying services, requiring clinical credentials. Medical coders translate healthcare documentation into standardized codes, primarily needing coding certifications. Both roles are essential in healthcare operations but differ in responsibilities and required qualifications.
$65K - $85K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 19 days ago
Utilization Review Specialist (RN) – Work From Home (Florida-Based Candidates Only)
$65K–$85K | OASIS & Coding Certified | Florida RN License Required
Concierge Home Care | Work From Home Opportunity – Must Reside in Florida
At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team.
This role is ideal for an RN with strong OASIS, coding, QA, and home health documentation review experience who thrives in a fast-paced remote environment.
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
Qualifications
Required
Preferred
Schedule Options
Weekday Position
Weekend Position
Benefits
Why Concierge Home Care?
At Concierge Home Care, our mission is simple: Caring for people who care for people.
We are committed to supporting our clinicians with strong leadership, flexibility, and opportunities for professional growth.
Still have questions? Text or call Delaine directly: (904) 463-3529
Apply in under 2 minutes.
Join a team that empowers you to practice at the top of your license while maintaining the flexibility and income potential you deserve.
Employment is contingent upon successful completion of an AHCA Level 2 background screening. For more information, please visit the Florida Care Provider Background Screening Clearinghouse.
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Health care and social assistance
501 - 1,000 Employees
Boca Raton, FL, US
2015
