Top 12 Utilization review Jobs in Berkshire County Ma

Utilization Review Specialist - VNA
Berkshire Health Systems —Pittsfield, MA
- $40.54 an hour
- Part-time
- Nursing
- Microsoft Excel
- RN License
Case Manager - Social Services
Berkshire Health Systems —Pittsfield, MA
- $45.25 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
Social Worker III
Berkshire Health Systems —Pittsfield, MA
- $35.10 an hour
- Part-time
- Hospital
- Computer literacy
- Licensed Clinical Social Worker
Practice Specialist
Berkshire Health Systems —Pittsfield, MA
- $21.92 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Analysis skills
Nursing Supervisor - Community Services
Brien Center for Mental Health —Pittsfield, MA
- $44.99 - $45.00 an hour
- CPR Certification
- Nursing
- Addiction Medicine
Clinical Supervisor
Mountainside Treatment Center —Canaan, CT
- $80,000 - $95,000 a year
- Weekends as needed
- LMFT
- Management
- Addiction Medicine
- Paid holidays
- Paid time off
Quick Apply
4d
Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- RN License
- 3 years
- Health insurance
- Dental insurance
Quick Apply
2d
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
10d

Discover related jobs

Based on your search for utilization review jobs.

Utilization Review Specialist - VNA
Berkshire Health Systems —Pittsfield, MA
Ability to exercise independent judgement; demonstrated time management skills; demonstrated ability to facilitate smooth flow of home care patients.
$40.54 an hour
Organizational Performance Specialist (Hybrid Position, Monday - Friday, 9:00 am - 5:00 pm)
Mental Health Connecticut Inc —Farmington, CT
Certificates, Licenses, Registrations: Valid driver's license, auto registration, and insurance. Perform a wide variety of duties including but not limited to…
$20.60 - $23.00 an hour
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Family Preservation Clinical Supervisor
Mentor Behavioral Health —Columbus, OH
Current driver's license, car registration, and auto insurance if providing transportation to individuals receiving services. 401(k) with company match.
$75,000 a year
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred. Must be 21 or older.
$24 - $32 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review in berkshire county ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review jobs near berkshire county ma

Utilization Review Specialist - VNA

Berkshire Health Systems -
Pittsfield, MA

Apply Now

Job Details

Part-time
$40.54 an hour

Qualifications

Computer operation
Nursing
Confidential information handling
RN License
Computer literacy
In-home healthcare experience
Medical coding guidelines
Driver's License
Health insurance knowledge
Clinical interprofessional collaboration
Home healthcare regulations
Clinical documentation standards
Home health agency experience
Medical billing regulations compliance
Nursing

Full Job Description

DEFINITION/PRIMARY FUNCTIONS
- The Utilization Program Specialist is responsible for evaluating the necessity and appropriateness of services to ensure that they are effective and cost efficient. The Utilization Program Specialist works in tandem with the Clinical Manager to assist the clinical staff with case management and ensure care is delivered according to BVNA standards/pathways and regulatory requirements. He/she provides direction and acts as a resource for Clinical Managers and staff regarding reimbursement. The Utilization Program Specialist organizes, complies and translates medical information into medical codes according to home care coding conventions.
POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)
- Experience:
  - Minimum of 3 years of work experience in a certified home health agency. Experience with quality assurance or utilization review preferred.
  - Knowledge of current regulations governing third party reimbursement for home health required.
  - Ability to cooperate, guide and instruct a multi-disciplinary team required.
  - Ability to exercise independent judgement; demonstrated time management skills; demonstrated ability to facilitate smooth flow of home care patients.
  - Demonstrated ability to conform with Service Excellence Standards
  - Demonstrated knowledge of Conditions of Participation in home care.
  - Demonstrated general computer skills required. Demonstrated knowledge of Windows, including Microsoft Word, Excel and E-mail preferred.
- Education and Training:
  - BSN nursing strongly preferred.
  - Certification in Current version of Home Health coding required.
- License, Certification & Registration:
  - RN - Currently licensed as an RN in the state of Massachusetts
  - OACSHC - Certification in Outcome and Assessment Information Set (OASIS) as a COS-C- OASIS Specialist-Clinical or HCS-O- Home Care Clinical Specialist.
  - DRIVER - Driver's License
- Other Requirements:
  - Ability to maintain confidentiality.
  - Ability to be flexible regarding work hours.
  - Knowledge of community resources.
  - Demonstrated problem-solving ability.

Location: Berkshire Health Systems · BMC VNA Utilization
Schedule: Part time 1 (30-35.9), Shift 1, 8am - 4:30pm

Apply Now

Refine Your Search

utilization review jobs in berkshire county ma

Utilization Review Specialist - VNA

Case Manager - Social Services

Social Worker III

Practice Specialist

Nursing Supervisor - Community Services

Clinical Supervisor

Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract

Remote Psychologist - US Location

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review in berkshire county ma

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected