ForHealth Consulting at UMass Chan Medical School · 13 hours ago
Disability Reviewer II
Westborough, MA
Full-time
Hybrid
Entry, Mid Level
2+ years expForHealth Consulting at UMass Chan Medical School is seeking a Disability Reviewer II to lead and perform assessments for multiple State disability determination agencies. The role involves reviewing medical and psychiatric evidence, managing a caseload of disability applicants, and participating in the appeals process for denied claims.
Management Consulting
Responsibilities
Assume responsibility for being an emergent intervention agent when confronted with a client-in-a-crisis situation
Contact providers, state agency offices, case managers and clients to obtain information and records needed to conduct a comprehensive review of the case and final determination
Participate in the appeals process for denied claims through communication with state agencies, applicants and other parties as necessary
Efficiently manage a caseload of disability applicants (clients) applying for assistance as a disabled individual through state or private benefit programs
Contribute as an active member of a multi-disciplinary team that includes nurses, vocational rehabilitation counselors, physician advisors, and other allied health professionals
Participates in and serves as a resource to quality improvement committees, performance improvement initiatives and demonstrates the use of quality improvement in daily operations
Maintain the confidentiality of all business documents and correspondence per UMass Chan/ForHealth Consulting procedures and HIPAA regulations
Follow all established Procedural Standards and accepted best practices
Maintain positive working relationships with applicants, providers, state agencies and other DES clients
Document all relevant information into data system applications
Comply with all health, safety and program regulations and requirements
Perform other duties as required
Qualification
Required
RN - Registered Professional Nurse with current unrestricted license with three years of relevant experience
Masters prepared licensed or certified vocational rehabilitation counselor or other licensed or certified Allied Health professional with 2 years of relevant experience in one or more of the following areas; acute medicine, long term care, mental health, developmental disabilities, substance abuse, rehabilitation and/or vocational counseling or equivalent
Ability to work in a team environment, interpret state and federal laws and regulations, meet performance deadlines in a dynamic environment
Excellent oral and written communications skills
Demonstrated experience using computer-based tools including electronic mail, word processing and database products
Ability to travel off site as needed
Company
ForHealth Consulting at UMass Chan Medical School
ForHealth Consulting partners with purposeful organizations, including state Medicaid agencies and health and human services organizations, to make the healthcare experience better for all – more equitable, effective, and accessible.
501-1000 employees
H1B Sponsorship
ForHealth Consulting at UMass Chan Medical School has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (118)
2024 (103)
2023 (105)
2022 (115)
2021 (2)
Funding
Current Stage
Late StageLeadership Team
Carly Gould
Senior Human Resources Business Partner
Jatin Dave
Chief Medical Officer, MassHealth
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