Nurse Practitioner Advisor

UMass Med School; Westborough (MA); On-site; USD 90,000 - 120,000; Full time

Job summary

UMass Med School is seeking an Advisor to review medical records, construct functional capacity reports, and decide on disability for applicants seeking benefits. You will provide clinical guidance to staff, oversee report quality, and ensure physician sign-off when needed.

The role emphasizes determining functional capability through comprehensive record review, contributing to quality initiatives, and collaborating with clinical leadership on policy development and staff training.

Qualifications

• MSN or DNP required.
• Nurse Practitioner Board Certified.
• 3-5 years of direct patient care experience.

Responsibilities

• Determine whether an individual applying for benefits as a result of disability meets clinical and functional criteria.
• Review medical records and approve or deny recommendations regarding disability status.
• Advise clinical personnel on case development and determine functional capability based on records.
• Contribute to quality improvement initiatives.
• Participate in quality team case reviews.
• Collaborate with clinical leadership to interpret regulations, develop clinical policies, and provide training.

Skills

Office Applications

Education

MSN or DNP

Job description

Overview

POSITION SUMMARY:

The Advisor is responsible for reviewing medical records, constructing functional capacity reports, and deciding on disability for applicants seeking benefits based on disability. Advisors provide clinical guidance to staff. Advisors oversee the quality of reports and documentation produced by their peers and determine quality improvement initiatives as appropriate. Advisors shall obtain sign‑off from a physician on decisions when necessary.

Responsibilities

MAJOR RESPONSIBILITIES:

• Determine whether an individual applying for benefits as a result of disability meets specific clinical and functional criteria established by federal and state law and regulation.
• Review medical records and approve or deny recommendations made by staff regarding the disability status of an applicant.
• Advise clinical personnel regarding case development and determine the functional capability of an applicant based on a comprehensive review of all records.
• Contribute to quality improvement initiatives.
• Participate in quality team case reviews.
• Collaborate with clinical leadership in the interpretation of regulations, development of clinical policies, and quality evaluations; provide feedback to peers and other staff regarding clinical policies and the outcomes of quality evaluations, and assist in the development and training.

Qualifications

REQUIRED QUALIFICATIONS:

• Master's Level Degree of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)
• Nurse Practitioner Board Certified
• 3-5 years of experience in direct patient care.

PREFERRED QUALIFICATIONS:

• Experience with MassHealth or Medicaid
• Proficiency in Office Applications