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Utilization Review Specialist - VNA Job Opening In Pittsfield – Now Hiring Berkshire Health Systems


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 License- Currently licensed as an RN in the state of Massachusetts 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.

  • Required Skill Profession

    Other Healthcare Practitioners And Technical Occupations


    • Job Details

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    Unlock Your Utilization Review Potential: Insight & Career Growth Guide


    Real-time Utilization Review Jobs Trends (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Utilization Review in Pittsfield, United States, highlighting market share and opportunities for professionals in Utilization Review roles.

    4421 Jobs in United States
    4421
    1 Jobs in Pittsfield
    1
    Download Utilization Review Jobs Trends in Pittsfield and United States

    Are You Looking for Utilization Review Specialist VNA Job?

    Great news! is currently hiring and seeking a Utilization Review Specialist VNA to join their team. Feel free to download the job details.

    Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Berkshire Health Systems adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for Utilization Review Specialist VNA Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Pittsfield. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    What Are the Key Qualifications for Utilization Review Specialist VNA?

    Key qualifications for Utilization Review Specialist VNA typically include Other Healthcare Practitioners And Technical Occupations and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

    How Can I Improve My Chances of Getting Hired for Utilization Review Specialist VNA?

    To improve your chances of getting hired for Utilization Review Specialist VNA, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    Interview Tips for Utilization Review Specialist VNA Job Success

    Berkshire Health Systems interview tips for Utilization Review Specialist   VNA

    Here are some tips to help you prepare for and ace your Utilization Review Specialist VNA job interview:

    Before the Interview:

    Research: Learn about the Berkshire Health Systems's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

    Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

    Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

    Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

    Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

    Follow Up: Send a thank-you email to the interviewer within 24 hours.

    Additional Tips:

    Be Yourself: Let your personality shine through while maintaining professionalism.

    Be Honest: Don't exaggerate your skills or experience.

    Be Positive: Focus on your strengths and accomplishments.

    Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

    Turn Off Phone: Avoid distractions during the interview.

    Final Thought:

    To prepare for your Utilization Review Specialist VNA interview at Berkshire Health Systems, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Berkshire Health Systems's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

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