Plan reviewer

Full Time
Plymouth, MA
Posted
Job description

Under the direction of the Program Manager for Boston Metro Outreach and FST Program, the QA plan reviewer will provide ongoing qualitative and quantitative review of medical records on a timely basis. The QA Plan Reviewer will communicate with both the Program Manager and staff to assure continuous quality improvement. Completes all clinical documentation on-line using AVATAR Electronic Health Record System.

Fee For Service benefits begin at only 3/4 time or 18 billable hours. 24 billable hours give you the potential for full time benefits!

  • Aspire Health Alliance Fee For Service employees receive the opportunity of supervision toward licensure, free on-line CEU’s, mileage reimbursement and a flexible schedule.
  • Company contributions to retirement plan
  • Company paid life insurance
  • Potential for Health/dental insurance
  • Company paid long term disability
  • Flexible spending account

Required Skills
  • Master’s Degree from an accredited mental health related graduated school.
  • LICSW, LMHC, or Licensed Psychologist
  • Proficiency in computer technology required


Required Experience
  • Minimum 3 years’ post master’s degree preferred
  • Minimum 2 years’ supervisory experience preferred
  • Substantial clinical and supervisory experience with the FST/Outreach population
  • Experience with and understanding of third party payer and regulatory agency requirements
  • Knowledge of medical necessity definitions and utilization management
  • Knowledge of the SOAP medical record.
  • Computer proficiency with ability to learn and use CMHC software
  • Experience utilizing Electronic Health Record preferred

Aspire Health Alliance is proud to be an Equal Opportunity Employer.

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