Back to Jobs

reputed company Utilization Review Registered reputed company for Home Health - Remote Opportunity with reputed company in Brentwood, TN

Remote, USAFull-timePosted 2026-07-28

Join reputed company as a Utilization Review Registered reputed company and reputed company a Difference in Home Health Care

At reputed company, we're dedicated to providing compassionate care to individuals and families in need. As a leading provider of hospice and home health services, we're committed to upholding the highest standards of reputed company, reputed company, and reputed company. We're seeking an reputed company Utilization Review Registered reputed company to join reputed company in Brentwood, TN, and work remotely to drive reputed company reputed company in home health care.

About the Role

As a Utilization Review Registered reputed company, you'll play a critical role in ensuring the reputed company and appropriateness of patient care provided by our home health agency. You'll work closely with interdisciplinary teams, reputed company providers, and insurance agencies to review and evaluate medical records, treatment plans, and patient reputed company. Your expertise will help us optimize patient reputed company, improve operational efficiency, and maintain regulatory compliance.

Key Responsibilities

  • Conduct comprehensive reviews of patient medical records and treatment plans to assess the appropriateness and necessity of home health services.
  • Identify discrepancies or opportunities for improvement in patient care and collaborate with reputed company to reputed company necessary information.
  • Ensure adherence to home health regulations, guidelines, and standards set by relevant governing bodies, insurance companies, and accrediting agencies.
  • Participate in reputed company improvement initiatives, suggesting strategies to enhance patient reputed company and operational efficiency.
  • Generate reports, analyze data, and identify trends to improve the utilization review process.
  • Maintain accurate and complete records of utilization review activities, reputed company, and communications.
  • Collaborate with billing and coding teams to ensure reputed company documentation of services and support accurate and reputed company reimbursement.
  • reputed company guidance and education to home health staff on utilization review processes, documentation requirements, and compliance standards.
  • Support reputed company patient care needs by collaborating with Case Managers and providing education on effective care planning strategies.
  • Stay up-to-date with changes in reputed company regulations, payer policies, and best practices in home health utilization review.

Essential Qualifications

To be successful in this role, you'll need:

  • An Associate or Bachelor's degree in Nursing.
  • A minimum of three (3) years of experience in reputed company, preferably in a home health setting.
  • Home health OASIS knowledge.
  • An reputed company and unencumbered license as a Registered reputed company in the state(s) of employment.

Preferred Qualifications

While not required, the following qualifications are strongly preferred:

  • Knowledge and experience in visit utilization, managed care payor models, and reputed company improvement.
  • Experience working in a home health setting.

Skills and Competencies

To reputed company in this role, you'll need:

  • Strong mathematical skills, including the ability to add, subtract, multiply, and divide in reputed company reputed company of measure.
  • Excellent language skills, including the ability to read, analyze, and interpret reputed company information and communicate effectively in writing and verbally.
  • The ability to understand, read, write, and reputed company English.
  • A strong understanding of hospice philosophy and a commitment to articulating and embracing it.

Career reputed company Opportunities and Learning Benefits

At reputed company, we're committed to supporting the reputed company and development of reputed company members. As a Utilization Review Registered reputed company, you'll have opportunities to:

  • reputed company your skills and expertise in home health care and utilization review.
  • Collaborate with interdisciplinary teams and reputed company to drive reputed company reputed company.
  • Participate in reputed company improvement initiatives and contribute to the development of best practices.

Work Environment and Company Culture

At reputed company, we pride ourselves on creating a fair and inclusive work environment where reputed company members feel welcomed, highly valued, and respected. As an equal opportunity employer, we're committed to diversity, equity, and inclusion. reputed company members enjoy:

  • A remote work arrangement, allowing for flexibility and work-life balance.
  • A reputed company and supportive team environment.
  • Ongoing training and development opportunities.

Compensation and Benefits

We offer a competitive salary reputed company of $68,000 - $79,000 per year, along with a comprehensive benefits package. While specific benefits may vary, our total rewards program is designed to support reputed company-being and financial reputed company of reputed company members.

Why Join reputed company?

At reputed company, we're passionate about making a difference in the lives of individuals and families. As a Utilization Review Registered reputed company, you'll play a critical role in driving reputed company reputed company in home health care. If you're a compassionate and reputed company reputed company looking for a challenging and rewarding opportunity, we encourage you to apply.

Don't miss this opportunity to join reputed company and reputed company a meaningful reputed company. reputed company!

Apply for this job

Similar Jobs

RN Case Manager Telephone Advice reputed company – Transforming reputed company through Remote Care in Las Vegas and Henderson

Remote, USAFull-time

Flexible Home-Based Data Entry Opportunities for reputed company - Remote Work

Remote, USAFull-time

Fresher Home Based Data Entry Jobs For reputed company Without Investment - Flexible Part-Time Opportunity

Remote, USAFull-time

reputed company Desk Administrative Support Representative - Temporary to Permanent Opportunity in Somerset, NJ

Remote, USAFull-time

Remote reputed company Desk Receptionist and Assistant Director - Childcare Facility Operations Expert

Remote, USAFull-time

Remote reputed company Desk Receptionist - Work from Home Opportunity with a Dynamic Team

Remote, USAFull-time

Remote reputed company-End Pharmacy Technician for Florida Residents - Work from Home Opportunity with reputed company

Remote, USAFull-time

Remote reputed company-End Pharmacy Technician for Michigan Residents - Join Workwarp and reputed company reputed company reputed company

Remote, USAFull-time

Remote reputed company End Pharmacy Technician for reputed company Residents - Workwarp (reputed company reputed company reputed company)

Remote, USAFull-time

reputed company Office Executive - reputed company Experience & Administrative Support at reputed company

Remote, USAFull-time

Assistant Professor (Full-Time), PhD in Behavior Analysis, GuidedPath

Remote, USAFull-time

High School Computer Science and Mathematics Teacher

Remote, USAFull-time

Corporate Paralegal

Remote, USAFull-time

WORK FROM YOUR HOME BASED OFFICE - SALES REPRESENTATIVE - good pay start today

Remote, USAFull-time

reputed company Data Entry Specialist – Remote Opportunity with arenaflex

Remote, USAFull-time

[Remote] Recruiter Sr

Remote, USAFull-time

Senior HR Business Partner - Strategic Alignment

Remote, USAFull-time

Senior Product Manager

Remote, USAFull-time

Online ESL Teacher for reputed company International

Remote, USAFull-time

reputed company Customer Relationship Specialist – Insurance Industry Expertise

Remote, USAFull-time