RN, LPN, LVN + Utilization Management Experience = WE ARE LOOKING FOR YOU!!!
As a Quality Assurance Specialist, you will review reports accompanying medical records to ensure that the report is complete. You will communicate with physician reviewers and their office teams to ensure clarity of information and to ensure all questions posed have been addressed, and to ensure that reports are returned within client deadlines.
***Remote/ telecommute position with a schedule of 12:00pm-8:30pm, Monday-Friday EST. The position will require the availability to travel to our Palm Beach Gardens, Florida office for 2 weeks of initial training.***
Required Education:
Must be graduate of an accredited LPN, LVN or RN program.
Required Experience:
Utilization Management experience is strongly preferred.
Experience working in a remote environment is preferred.
Experience in medical terminology, nursing, claims management, utilization review/management, pre-certification, medical administration or Quality Assurance in a medical environment is required.
Required Skills:
Must be self-motivated, with a strong drive for performance excellence.
Excellent written and verbal communication skills are required.
Proficiency in navigating a variety of computer programs (Experience with Google Chrome, GMail, Docs, Sheets, etc. is a plus).
Attention to detail REQUIRED.
Must work with a sense of urgency and meet deadlines.
If you are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply.
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.