Disability Reviewer II-Remote

Under the general direction of the Program Manager or designee, the Disability Reviewer II leads and performs diverse work for multiple State disability determination agencies, Public Retirement Systems and assessments / reviews for the Office of Clinical Affairs and other UMass Chan Medical School (UMass Chan) entities or State agencies. These assessments may include the review of medical evidence, psychiatric evidence, vocational profiles, state statues and guidelines and any other pertinent evidence to determine whether an individual meets the standards in accord with applicable state and federal laws and regulations. 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 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. Maintain the confidentiality of all business documents and correspondence per UMass Chan/ForHealth Consulting procedures and HIPAA regulations.