Utilization Review - PTA/COTA

At Southcoast Visiting Nurse Association, Inc., we acknowledge that our employees are what makes us great!

For Three Consecutive Years, Newsweek named Southcoast Health among the World’s Best Hospitals (Charlton Memorial, St. Luke’s, and Tobey). In addition, since 2018, Southcoast Health has been voted by readers as South Coast Media Group’s Best Place to Work. Why? Because we have some of the most talented people in the world!

We are searching for a Utilization Review – PTA/COTA to perform a variety of duties both within and in support of Business Operations. Duties include, but are not limited to, assurance of accurate coding of diagnoses and procedures, analysis of data integrity and consistency of OASIS documentation and assessment processes, assurance of compliance with Agency standards, Medicare, Medicaid, etc. and identification and reporting of potential issues.

• Hours: Per Diem
• Shift: Day shift
• Location: Southcoast Business Center – Fairhaven, MA

Education and/or Experience Requirements:

• An Associate’s Degree in Physical Therapy or Occupational Therapy is required
• Current Massachusetts license as a Physical Therapist Assistant or Occupational Therapist Assistant is required
• HCS-D certification required
• Must possess and demonstrate highly effective interpersonal, customer service and communication skills
• Must have thorough knowledge of Medicare Conditions of Participation and experience in application of Medicare guidelines as well as state and federal regulatory requirements
• Minimum of three years of relevant experience required
• A minimum of one year of experience in the home care setting is required
• Requires proficient computer skills, including experience with various software, databases and electronic medical records programs
• Must have current CPR certification

Must be fully vaccinated against seasonal Influenza and COVID 19 and provide required vaccination documentation, unless approved for an exemption or deferral by Southcoast prior to starting employment.

Southcoast Visiting Nurse Association (VNA) has a long history of serving people in our community by helping patients of all ages recover or live well with illness or injury. We provide compassionate and personalized care in comfort and privacy of the home to more than 9,000 patients each year.

Southcoast Health is a community healthcare system with multiple access points, offering an integrated continuum of health services throughout Southeastern Massachusetts and Rhode Island. By uniting a single purpose and building an integrated system of services and resources, we have become one of the largest and fastest-growing health systems in Massachusetts.

Together We Are More.

• With more than 7,500 employees, Southcoast Health is the largest employer in Southeastern Mass., and the 18th largest employer in the Commonwealth, according to the Boston Business Journal.
• We strive for a culture of health and well-being that recognizes, respects, and celebrates the rich diversity of one another and the communities we serve.

We are committed to providing our employees in Massachusetts and Rhode Island with optimal benefits that promote a healthy work/life balance and add value to our employees’ lives.

• Generous Earned Time Off Package**
• Health, Dental and Vision Insurance*
• Tuition Assistance**
• Short Term and Long Term Disability Insurance*
• Life & AD&D insurance*
• Flexible Spending Accounts*
• 403B Retirement Plan with match
• HealthQuest Wellness Program
• Employee Assistance Program
• Employee Discount Program
• Career Development Opportunities
• Diversity, Equity, and Inclusion Council

Are you ready to make a difference in your community? Join us as we strive to be More than Medicine.

Southcoast Health is an Equal Opportunity Employer