[Hiring] Registered Nurse Reviewer @Dane Street, LLC

Role Description

Dane Street has embarked on a program where we are looking for Registered Nurses to perform reviews and clinical summaries for disability claims. The expected report turnaround time for the reviewer is 2 days. Initial training will be scheduled, which will include:

• A walkthrough of the Dane Street portal to ensure comfort with the technology.
• Familiarization with the required formatting of the reports.
• Sharing of training material (i.e. sample reports and client-specific training documents).

Following your training, you will have a Dane Street contact to assist you with any questions or concerns while completing reports. Please note this is an ongoing project-based need.

Job Summary:

• A clinical summary of the relevant medical documentation for the period under review, which could include:
• A summary of each document (including author, date, and title or type of document).
• The claimant’s impairing diagnosis.
• Any comorbid conditions impacting function and/or recovery in the assessment.
• Relevant diagnostic testing, lab work, exam findings, or other clinical information pertinent to the impairing condition.
• A conclusion to the assessment, which could include:
• Restrictions and limitations specific to the condition for which the person is out of work.
• A duration for restrictions and limitations that are easily understood and supported based on the medical on file.
• A rationale that is clinically based and supports the nurse reviewer’s conclusions.
• Answers to all referral questions posed.
• Based on client requirements, there may be calls required to the treating providers.
• Documentation should be written in a professional and concise manner:
• Free of clinical and/or claim acronyms; clinical titles are appropriate (MD, Dr, APRN).
• Free of grammar and spelling issues.
• All medical terminology needs to be explained in layman’s terms.
• Written in a manner easily understood by the layperson, avoiding unapproved abbreviations/acronyms that may not be easily understood by the non-medical professional.

Qualifications

• Active Registered Nurse.
• Prior work experience in commercial disability insurance: disability insurance carrier or TPA (i.e., UNUM, Sedgwick, Mutual of Omaha).
• Diverse Clinical Background.

Requirements

• Please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

Company Description

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking insightful, astute forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.