Dane Street, LLC

Dane Street, LLC is a healthcare company that specializes in providing quality assurance and clinical services, particularly in the area of long-term disability. They leverage advanced technologies to enhance their operations.

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Jobs at this company:

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🔥 PRN Utilization Review Nurse Reviewer - RN

Posted 19 days ago

📍 United States

🧭 Part-Time

🔍 Healthcare, Insurance Claims Management

🔧 Requirements

Holds an unrestricted LVN/RN license from an accredited vocational nursing program or nursing degree from an accredited college.
A background in medical or clinical practice through education, training, or professional engagement.
Proficient in both written and spoken communication and interpersonal skills.
Skilled in handling multiple tasks and adjusting swiftly in a dynamic office setting.
Experienced with Microsoft tools such as Word, Excel, PowerPoint, and Outlook.

💡 Responsibilities

Conduct assessments of medical services to validate their appropriateness using established criteria and guidelines.
Examine and evaluate patient records to verify the quality of patient care and the necessity of provided services.
Offer clinical expertise and serve as a clinical reference for non-clinical staff members.
Input and manage essential clinical details within various medical management platforms.
Communicate effectively with management teams, physicians, and the Medical Director to foster high-quality patient care.

Microsoft AccessMicrosoft Excel

Posted 19 days ago

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🔥 Legal Specialist

Posted 22 days ago

📍 United States

🔍 Healthcare and Insurance

🔧 Requirements

Either a Juris Doctorate degree from an ABA accredited law school or a license to practice law in a United States jurisdiction is required.
3+ years of regulatory experience, legal assistant/paralegal experience, or a combination of both.
Ability to identify operational issues and legal risks.
Proficient legal writing and analysis skills with knowledge of legal citations.

💡 Responsibilities

Assist with licensure applications for medical review activities.
Gather and analyze legal information on laws and regulations affecting Dane Street.
Proofread contracts and legal documents as needed.
Lead or assist with projects involving data gathering, research, or presentations.
Monitor internal training requirements and security incident tracking.
Draft responses to routine legal inquiries and subpoenas.

Research

Posted 22 days ago

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🔥 Operations Supervisor

Posted about 1 month ago

📍 United States

🔍 Healthcare and Insurance

🔧 Requirements

Preferred experience in a Disability Group Insurance setting.
Background in Long Term / Short Term Disability Claims is advantageous.
An Associate's Degree or Bachelor’s Degree is preferred.
Business experience in a healthcare and/or insurance setting is preferred.
Prior experience with disability claims processing is highly desirable.
Strong leadership and communication skills are required.
Demonstrated ability to analyze data, solve problems, and make decisions effectively.
Proficiency in using relevant software applications and systems is essential.

💡 Responsibilities

Supervise daily operations of the disability claims team to ensure efficient workflow and quality outcomes, including case assignments.
Oversee scheduling, quality assurance, and administrative functions to ensure prompt addressing of all intakes.
Train, mentor, and develop team members to achieve individual and team goals.
Drive client satisfaction by ensuring timely responses to client inquiries and communications.
Monitor and assess team performance against established KPIs and metrics.
Identify areas for process improvement and implement action plans.
Collaborate with other departments to enhance operational efficiencies.
Maintain accurate records and documentation as required by company policy and regulatory standards.
Prepare reports on team performance and present to management.

LeadershipData AnalysisComplianceProcess improvement

Posted about 1 month ago

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🔥 Senior Vice President, Sales

Posted about 1 month ago

📍 United States

🧭 Full-Time

🔍 Insurance Services

🔧 Requirements

Bachelor’s degree in Business, Marketing, Healthcare Management, or a related field.
Minimum of 10 years of proven experience in sales leadership within the Insurance Services space.
Experience selling to Claim and Managed Care executives is preferred.
Direct experience with IME and Peer Review services and the Workers’ Compensation and Auto markets is a plus.
Strong leadership skills and the ability to inspire a team.
Excellent communication, negotiation, and presentation skills.
Analytical mindset to interpret sales data and forecast trends.
Proven experience in managing national and local sales teams.
Proficiency in Salesforce CRM and other sales tools.
Ability to travel as needed.

💡 Responsibilities

Develop and implement sales strategies to achieve business objectives and revenue targets.
Lead, mentor, and manage a team of sales professionals, providing guidance and training.
Build and nurture relationships with key decision-makers and clients.
Oversee sales pipeline and report performance to the executive team.
Identify new business opportunities and market trends.
Collaborate with marketing, operations, and client services for seamless service delivery.
Stay informed about industry regulations and technological advancements.
Perform other assigned duties and special projects based on business needs.

SalesforceStrategic ManagementNegotiationAccount ManagementClient relationship managementCross-functional collaborationMarket Research

Posted about 1 month ago

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🔥 Disability Peer Physician Scheduler

Posted about 2 months ago

📍 Palm Beach Gardens, Florida, United States

🔍 Healthcare and Insurance

🔧 Requirements

An Associate’s Degree or Bachelor’s Degree is preferred.
Business experience in a healthcare and/or insurance setting is preferred.
Exceptional communication skills.
Ability to apply critical thinking and manage time efficiently.
Computer literacy and typing skills are essential.
Knowledge of physician networks, medical specialties, and terminology.
Understanding of relevant state and federal compliance guidelines.
Excellent negotiation skills.

💡 Responsibilities

Assign reviewers based on Dane Street’s regulatory guide.
Comply with each client's special handling instructions.
Understand different referral types and assign appropriate specialists.
Ensure timely case returns from reviewers.
Send reminder communications to reviewers.
Promptly communicate changes or delays to clients.
Manage other duties and special projects as needed.

GoCommunication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceNegotiationAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communicationMultitaskingCritical thinkingNegotiation skills

Posted about 2 months ago

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🔥 Workers Compensation/Auto IME Sales Director

Posted 2 months ago

📍 United States

🔍 Insurance Claims

🔧 Requirements

4-year College degree (BA/BS)
Auto or Workers Compensation Claims experience preferred
IME sales experience is a plus
Business Development mindset
Presentation Skills
Proficiency in Microsoft Excel and PowerPoint
Excellent Communication Skills (both internal and external)
Closing Skills
Motivation For Sales
Sales Planning
Prospecting Skills
Strong Follow-Up
Ability to Meet Sales Goals

💡 Responsibilities

Initiates sales process by scheduling appointments, understanding account requirements and building personal relationships with adjusters, team leads and supervisors.
Recommends new products and services by evaluating current product results and identifying needs to be filled.
Increase referral volume and revenue by building rapport with potential accounts, explaining product and service capabilities and overcoming objections.
Documenting related sales and account activities and results into our internal CRM platform.
Updates job knowledge by participating in industry opportunities such as conferences and seminars.
Other duties as assigned dependent on the needs of the business.

Business DevelopmentCommunication SkillsMicrosoft ExcelPresentation skills

Posted 2 months ago

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🔥 Board Certified Oncology/Hematology Physician Advisor, Disability Peer Review

Posted 3 months ago

📍 United States

🧭 Contract

🔧 Requirements

Board certification required.
Active practice required.

💡 Responsibilities

Accept cases and review medical records based on client-specific or national criteria.
Provide clear rationale for disability determinations with adequate documentation.
Utilize guidelines and peer-reviewed literature for objective decision-making.
Complete peer-to-peer calls as required to obtain additional information.
Return cases by specified deadlines and perform any necessary follow-up.

Posted 3 months ago

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🔥 Board Certified Physician Reviewer (Clinical/Medical Geneticist)

Posted 3 months ago

📍 United States

🧭 Contract

🔍 Healthcare

🔧 Requirements

Clinical expertise as a Clinical/Medical Geneticist.
Proper credentialing and state licenses are necessary.
Completion of orientation and training is required.

💡 Responsibilities

Reviews medical records and answers client questions using specific or nationally recognized criteria.
Ensures rationale for decisions is clear and supported by adequate documentation.
Identifies and utilizes current guidelines and resources for decision-making.
Provides criteria copies with reports on time.
Returns cases by due date, makes required calls, and maintains credentials.
Attends orientation and training, and responds to quality assurance and regulatory issues.

Communication SkillsAnalytical SkillsCollaboration

Posted 3 months ago

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🔥 Board Certified Physician Reviewer - Plastic Surgery (Specializing in Lipedema)

Posted 3 months ago

📍 United States

🧭 Contract

🔍 Healthcare

🔧 Requirements

Board Certified Physician in Plastic Surgery specializing in Lipedema.
Maintains proper credentialing and state licenses.
Holds any necessary special certifications.
Participates in required orientation and training sessions.

💡 Responsibilities

Reviews all medical records and addresses questions using client-specific and evidence-based criteria.
Ensures that the rationale for determinations is clear and well-supported.
Utilizes current guidelines and literature for objective decision-making.
Provides copies of criteria used in reviews.
Returns cases on or before due dates.
Makes mandated telephone calls.
Maintains proper credentialing and licenses.
Attends required orientation and training.
Handles quality assurance issues and other assigned duties.

Communication SkillsAnalytical SkillsCollaboration

Posted 3 months ago

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🔥 Board Certified Physician Reviewers (MD, DO) - Multiple Specialties

Posted 3 months ago

📍 United States

🔍 Healthcare

🔧 Requirements

Current, unrestricted Medical License is required.
Active practice in medical field.
Must be Board Certified in relevant specialties.
Must be an expert in the treatment of covered medical conditions.

💡 Responsibilities

Reviews all medical records and addresses client-specific questions using recognized criteria.
Ensures a clear rationale for determinations with supporting documentation.
Identifies and utilizes appropriate guidelines and resources for decision-making.
Returns cases by the due date and makes mandated telephone calls.
Participates in Panel Hearing calls and writes reports post-hearing.

Communication SkillsAnalytical SkillsCollaborationDocumentation

Posted 3 months ago

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