Remote Utilization Review Rn Jobs in Andover, MA

Elara Caring is seeking a Registered Nurse (RN) Home Health for a nursing job in Somerville, Massachusetts.

• Specialty: Home Health
• Discipline: RN
• Duration: Ongoing
• Employment Type: Staff

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place.

Job Description:

At Elara Caring, we know that great home health doesn’t just depend on great clinicians in the field—it depends on experts behind the scenes who have lived in OASIS, mastered documentation, and understand what “good” really looks like at the chart level.

We are seeking an experienced Skilled Home Health (SHH) RN who is fluent in the language of home health documentation—someone who has built, corrected, audited, and defended OASIS documentation in real time and understands how it directly impacts compliance, quality, and reimbursement.

This is a remote Clinical Team Specialist (CTS) role with no patient caseload , focused entirely on clinical documentation review and oversight.

• 100% remote role (MA license required)

• No patient caseload

• Focused work: OASIS reviews + 485 plan of care review/approval

• Strong emphasis on clinical accuracy, compliance, and documentation integrity

• Opportunity to work from home with optional office access if preferred

• Ideal for experienced home health nurses ready to step off the road and into a clinical oversight role

• Flexible, remote work structure with autonomy

• Meaningful impact on the quality of care for thousands of home health patients

• Competitive salary: $95,000–$100,000 annually (based on experience)

• Full benefits package: medical, dental, vision

• 401(k) with employer match

• Paid time off, holidays, and family/pet bereavement

• Tuition reimbursement and continuing education support

• Collaborative, mission-driven clinical environment

As a Clinical Team Specialist (RN), you will:

• Perform detailed OASIS review and validation for accuracy, completeness, and compliance

• Review, approve, and evaluate 485 Plans of Care for clinical appropriateness

• Ensure documentation aligns with state, federal, and payer regulations

• Monitor timely completion and submission of documentation within Homecare Homebase (HCHB)

• Support direct care teams and clinical coordinators with documentation compliance

• Participate in QAPI initiatives and quality improvement efforts

• Help drive consistency, accuracy, and excellence in home health documentation across the organization

• Active, unrestricted RN license in Massachusetts (required or ability to obtain)

• Minimum 2+ years of Skilled Home Health (SHH) RN experience

• Strong, hands-on experience with:

  • OASIS assessments and documentation

  • Homecare Homebase (HCHB)

• Deep understanding of home health compliance, 485s, and plan-of-care workflows

• High attention to detail with strong clinical judgment and documentation accuracy

• Proficiency with Microsoft Office and enterprise systems (Workday experience a plus)

• Ability to manage structured, detail-heavy clinical review work in a fast-paced environment

Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at .

Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Elara Caring Job ID #JR- . Posted job title: Home Health Team Specialist (RN)

Elara Caring is one of the nation’s leading providers of home-based care with a growing footprint of 26,000 caregivers and 60,000 patients in 18 states. Whether you are new to home-based care or a seasoned in-home care professional, Elara Caring will meet you where you are and develop a unique learning plan that recognizes your experience and invests in your clinical professional journey. From our preceptor program to certification prep courses, quality assessments or management training, we care about you and your success.