Back to the job board
OP
University of Massachusetts - UMass

Nurse Practitioner Advisor job at University of Massachusetts - UMass in Worcester, MA

Clinical Review/AppealsNPNot SpecifiedPart-timeRemote

Job description

Title: Nurse Practitioner Advisor (2026-50339) Job Number: 2026-50339 Category: Healthcare Location: Westborough, MA Shift: Day Exempt/Non-Exempt: Exempt Business Unit: ForHealth Consulting Department: ForHealth Consulting - Disability Services - W401800 Job Type: Part-Time Union Code: Non Union Position -W60- Non Unit Professional Num. Openings: 4 Work Location: 100% Remote Salary Minimum: USD $124,500.00/Yr. Salary Maximum: USD $125,000.00/Yr. Job Description: POSITION SUMMARY: The Advisor is responsible for reviewing medical records, constructing functional capacity reports and deciding of 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. MAJOR RESPONSIBILITIES: Responsible for determining 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, approves, or denies recommendations made by staff regarding the disability status of an applicant. Advises clinical personnel regarding case development and determines the functional capability of an applicant based upon a comprehensive review of all records. Contributes 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. REQUIRED QUALIFICATIONS: Masters 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 #LI-AC1 Posting Disclaimer: This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution. In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams. Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role. In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan. UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.

Responsibilities

Requirements

About University of Massachusetts - UMass

University of Massachusetts (UMass) is a public university system and medical school that operates healthcare and consulting services, including disability and clinical review functions.

Similar remote roles