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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🔥 Physician Advisory Services Operations Manager

Posted 2024-11-21

📍 United States

🔍 Healthcare and Insurance

An Associate’s Degree or Bachelor’s Degree is preferred.
Business experience in a healthcare and/or insurance setting is preferred.
Experience in Worker’s Compensation and/or Auto insurance setting is preferred.
Exceptional communication skills and a clear understanding of company business lines.
Ability to apply critical thinking, manage time efficiently, and meet deadlines.
Essential computer literacy and typing skills.

Oversee and ensure the overall profitability of the regional operations center.
Drive revenue growth by delivering excellent customer service and meeting scheduling and turnaround time requirements.
Manage client inquiries, optimize physician costs, and ensure client invoices adhere to the fee schedule.
Monitor key performance metrics of staff, conduct performance evaluations, and manage hiring and terminations.
Interact with clients and support overall production and quality for the assigned region.

LeadershipProject ManagementBusiness DevelopmentData AnalysisPeople ManagementProject CoordinationCross-functional Team LeadershipOperations ManagementBusiness developmentData analysisCommunication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceMicrosoft OfficeAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communicationMultitaskingMicrosoft Office Suite

Posted 2024-11-21

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🔥 Medical Prep Specialist

Posted 2024-11-21

📍 United States

🔍 Healthcare and Insurance

Prior relevant clinical experience involving medical record review, medical claims, or quality assurance experience desired.
Prior experience with Peer Review and/or Case Management preferred.
Business experience in a healthcare and/or insurance setting preferred.
Strong computer skills including Microsoft Office Suite (Outlook, Excel, Word) are required.

Review abstracted medical records.
Extract electronic medical record data including histories and health-related information.
Create a clinical summary for physician use.
Enter treatment guidelines per jurisdiction, requestor, and treatment type.
Communicate effectively and professionally with stakeholders.
Meet or exceed productivity and accuracy requirements.
Perform other duties and special projects as needed.

Communication SkillsMicrosoft OfficeAttention to detailTime ManagementMicrosoft Office Suite

Posted 2024-11-21

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🔥 IME Operations Manager

Posted 2024-11-20

📍 United States

🔍 Healthcare and Insurance

An Associate’s Degree or Bachelor’s Degree is preferred.
Business experience in a healthcare and/or insurance setting is preferred.
Business experience in a Worker’s Compensation and/or Auto insurance setting is preferred.
Exceptional communication skills with a clear understanding of company business lines.
Ability to apply critical thinking, manage time efficiently and meet specific deadlines.
Computer literacy and typing skills are essential.

Oversee and ensure the overall profitability of the regional operations center.
Drive revenue growth by delivering excellent customer service.
Manage staff performance and capacity by monitoring key performance metrics.
Conduct performance evaluations and handle employee discipline when necessary.
Interact with clients, plan daily activities, and coordinate with support departments.

LeadershipProject ManagementData AnalysisPeople ManagementProduct ManagementProject CoordinationProduct OperationsCross-functional Team LeadershipOperations ManagementData analysisCommunication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communicationMultitasking

Posted 2024-11-20

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🔥 Physician Recruiter- Remote

Posted 2024-11-19

📍 United States

🔍 Healthcare/Insurance

An Associate’s Degree or Bachelor’s Degree is preferred.
Physician recruitment experience in a Healthcare/Insurance setting or equivalent transferable skill set.
Business experience in a healthcare and/or insurance setting is preferred.
Working knowledge of physician networks, recruitment, and medical specialties.
General knowledge of State and Federal compliance guidelines.
Strong negotiation, communication, and organizational skills are required.
Critical thinking ability and efficient time management are essential.
Computer literacy and typing skills are mandatory.

Maintain physician panel including updating profiles, fees, and deactivating/reactivating physicians.
Negotiate agreement terms and assist with onboarding new physicians based on client needs.
Obtain necessary paperwork, work with the Director of Operations, and assist physician reviewers.
Source and fulfill open service requests for urgent recruitment, providing daily updates on efforts.

GoCommunication SkillsAnalytical SkillsCollaborationProblem SolvingNegotiationAttention to detailOrganizational skillsTime ManagementWritten communicationMultitasking

Posted 2024-11-19

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🔥 Workers Compensation/Auto IME Sales Director

Posted 2024-11-16

📍 United States

🔍 Insurance Claims

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

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 DevelopmentBusiness developmentCommunication SkillsMicrosoft ExcelPresentation skills

Posted 2024-11-16

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

Posted 2024-11-14

📍 United States

🧭 Contract

Board certification required.
Active practice required.

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 2024-11-14

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🔥 North Carolina - Physician Reviewer (Clinical/Medical Geneticist)

Posted 2024-11-09

📍 United States

🧭 Contract

🔍 Healthcare

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

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 2024-11-09

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

Posted 2024-11-09

📍 United States

🧭 Contract

🔍 Healthcare

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.

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 2024-11-09

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

Posted 2024-11-09

📍 United States

🔍 Healthcare

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.

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 2024-11-09

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🔥 New Mexico-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties

Posted 2024-11-09

📍 United States

🧭 Contract

🔍 Healthcare

Must hold an active New Mexico medical license.
Required specialties include Endocrinology, Gastroenterology, Dermatology, Neurology, Psychiatry, Rheumatology, Pediatrics, and Ophthalmology.
Maintains proper credentialing and adheres to state licensing requirements.
Must attend all required orientation and training.

Reviews all medical records to address client inquiries utilizing specific and recognized criteria.
Ensures clarity and adequacy of rationale in determinations with supporting documentation.
Critiques and utilizes current guidelines and peer-reviewed literature for objective decision-making.
Provides criteria used in reviews alongside reports in a timely manner.
Meets deadlines by returning cases on or before due dates.
Makes mandated telephone calls as required by state or client.
Maintains required licenses and certifications.
Attends mandatory orientation and training sessions.
Handles other duties including quality assurance issues and audits.

Data AnalysisData analysisCommunication SkillsAnalytical SkillsCollaboration

Posted 2024-11-09

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Dane Street, LLC

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