Jobs · OTHR

Registered Nurse Reviewer

Dane Street · United States · 1 wk ago
RemoteRemoteOTHRContract

Dane Street is seeking Registered Nurses to perform reviews and clinical summaries for disability claims. This is an ongoing project-based role with an expected report turnaround time of 2 days.

About the Role

Initial training will be provided, including a walkthrough of the Dane Street portal to ensure comfort with the technology and required report formatting. Training materials, such as sample reports and client-specific documents, will be shared. After training, you will have a dedicated Dane Street contact for support.

Responsibilities

  • Create a clinical summary of relevant medical documentation for the period under review, including:
    • A summary of each document (author, date, title, or type of document)
    • The claimant's impairing diagnosis
    • Comorbid conditions impacting function or recovery
    • Relevant diagnostic testing, lab work, exam findings, or other clinical information related to the impairing condition
  • Provide a conclusion to the assessment, which may include:
    • Restrictions and limitations specific to the condition causing work absence
    • A duration for restrictions and limitations, clearly supported by medical documentation
    • A clinically based rationale supporting your conclusions
    • Answers to all referral questions posed by the client
  • Conduct calls to treating providers, if required by the client.
  • Ensure documentation is:
    • Written in a professional and concise manner
    • Free of clinical/claim acronyms (use appropriate titles like MD, Dr, APRN)
    • Free of grammar and spelling issues
    • Explained in layman’s terms for non-medical professionals
    • Avoids unapproved abbreviations/acronyms

Requirements

  • Active Registered Nurse (RN) license
  • Prior work experience in commercial disability insurance (e.g., disability insurance carrier or TPA such as UNUM, Sedgwick, Mutual of Omaha)
  • A diverse clinical background

About Dane Street

Dane Street is a fast-paced, Inc. 500 Company with a high-performance culture. 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 to assist clients in reaching appropriate medical determinations as part of the claims management process.

Note: Dane Street will never conduct interviews via text or request checks from candidates for purchasing equipment.

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