Remote Home Health Reviewer RN

A Role That Blends Compassion With Innovation

What if your nursing skills could change lives without leaving your living room? As a Remote Home Health Reviewer RN, you'll play a key role in modernizing how care is evaluated, bringing sharp clinical judgment and a human touch to each review you conduct. Join a dynamic, forward-thinking team that’s reimagining how remote health services are delivered—making each decision smarter, faster, and more compassionate. With a salary of $94,728 per year, this position offers not only competitive pay but also a purpose-driven career from the comfort of your own home.

Our Mission and Vision

Why We Exist

We started with a simple vision: revolutionize home health services through a combination of clinical expertise and digital innovation. Our organization was built by clinicians, for clinicians—people who know the real-world challenges of balancing care quality, compliance, and efficiency. We’re not interested in outdated systems or bureaucracy. Instead, we thrive on smart tech, fresh ideas, and empowering professionals to work on their own terms while still delivering real impact.

Key Responsibilities

Review and Decision-Making

• Perform clinical review of home health records and documentation for medical necessity and regulatory compliance.
• Use critical thinking to determine if care plans align with patient needs and healthcare guidelines.
• Provide constructive feedback and suggest modifications to ensure optimal outcomes.

Collaboration Across Teams

• Engage with care coordinators, field nurses, and compliance professionals to ensure alignment.
• Participate in cross-functional review meetings and clinical roundtables.
• Contribute to interdepartmental projects that focus on enhancing patient-centered care.

Documentation and Reporting

• Maintain meticulous digital documentation aligned with internal standards and federal regulations.
• Utilize case management platforms and Electronic Medical Records (EMRs) to document review outcomes.
• Flag trends or recurring issues for process improvement teams.

Compliance and Innovation

• Keep up with evolving CMS guidelines, state policies, and documentation protocols.
• Suggest workflow optimizations to improve accuracy, speed, and user experience.
• Adapt to AI-supported review tools that enhance—but never replace—your clinical judgment.

Work Environment

Remote Work Flexibility

This is a fully remote role designed to support work-life harmony and focus. Whether you’re logging in from a cozy home office or a quiet corner of your favorite coworking spot, you’ll be part of a collaborative ecosystem that values results over rigid schedules.

Collaboration Tools

• Weekly check-ins via Zoom or Teams
• Asynchronous updates via project dashboards
• Real-time chat support via HIPAA-compliant platforms

Tools and Technology

Core Systems and Platforms

• EMR Systems (e.g., Homecare Homebase, WellSky)
• Case Review Platforms with AI-assisted recommendations
• HIPAA-Compliant Communication Tools (e.g., Microsoft Teams, Zoom)
• Performance Dashboards for self-tracking and feedback
• Regulatory Knowledge Base for quick updates on compliance standards

Required Qualifications

Skills and Experience

• Registered Nurse (RN) license in good standing (multi-state compact preferred)
• Minimum 3 years of clinical experience in home health, care management, or utilization review
• Familiarity with OASIS assessments and home health compliance protocols
• Strong verbal and written communication skills
• Tech comfort: You’re not expected to code, but you can navigate software tools easily
• Ability to work independently while contributing to a bigger mission

Career Growth and Development

Opportunities for Advancement

We believe that creativity isn’t just for designers—it’s essential in healthcare. You’ll be encouraged to offer ideas, test new approaches, and lead improvements that actually matter.

Professional Development Support

• Mentorship from experienced leaders
• Internal workshops and certifications
• Career tracks in leadership, training, and analytics

Company Culture

What Defines Us

No one here is just a number or a task machine. Our culture is rooted in trust, curiosity, and the kind of humor that makes Slack channels feel like communities.

Our Commitments

• Work-life balance is not just a buzzword
• Recognition of individual and team achievements
• Empathy is a daily practice, not just a policy

Success Metrics

What Success Looks Like

• Timely and accurate case reviews with patient-first recommendations
• A seamless blend of independent productivity and team contribution
• Consistent adherence to CMS and regulatory benchmarks
• Constructive feedback to improve both internal tools and care quality

Call to Action

Your Next Chapter Starts Here

Ready to be a part of something that blends purpose, autonomy, and cutting-edge healthcare? As a Remote Home Health Reviewer RN, you won’t just evaluate care—you’ll shape the future of it. Join a team that’s leading with heart, backed by data, and always thinking a few steps ahead.

Apply now to turn your experience into impact and your passion into progress. Let’s create more competent care—together.