Disability Determination Specialist II — Collaborative Leader

University of Massachusetts Medical School; Westborough (MA); Sur place; USD 85 000 - 100 000; Plein temps

Résumé du poste

University of Massachusetts Medical School seeks a Disability Reviewer II to lead diverse disability determinations for state agencies and related entities. You will gather medical, psychiatric and vocational evidence, review state statutes and guidelines, and determine benefit eligibility in accordance with laws and regulations.

The role requires clinical licensure or credentialing and 2–3+ years of relevant experience; candidates collaborate with a multidisciplinary team and participate in

Qualifications

• RN license with three years of relevant experience.
• Master’s prepared licensed or certified rehabilitation counselor or equivalent with 2+ years in relevant areas.
• Ability to work in a team environment and interpret laws/regulations.
• Excellent oral and written communication skills.
• Experience using computer-based tools including email, word processing and databases.
• Willingness to travel off site as needed.

Responsabilités

• Lead and perform diverse work for disability determination agencies and related entities.
• Contact providers, state agency offices, case managers and clients to obtain information and records.
• Participate in appeals process for denied claims.
• Manage a caseload of disability applicants.
• Collaborate with nurses, vocational rehabilitation counselors, physician advisors and other professionals.
• Contribute to quality improvement initiatives and maintain HIPAA compliance.
• Maintain confidentiality of all business documents and records.

Connaissances

Teamwork

Regulatory knowledge

Communication

Caseload management

Travel willingness

Formation

RN license

Master’s in rehab counseling

Outils

Email

Word processing

Database software

Description du poste

University of Massachusetts Medical School seeks a Disability Reviewer II to lead diverse disability determinations for state agencies and related entities. You will gather medical, psychiatric and vocational evidence, review state statutes and guidelines, and determine benefit eligibility in accordance with laws and regulations.

The role requires clinical licensure or credentialing and 2–3+ years of relevant experience; candidates collaborate with a multidisciplinary team and participate in