Registered Nurse Reviewer
丹尼街已经开始了一项计划，我们正在寻找注册护士来进行检查和残疾申请的临床总结。审查员预计报告回报时间为2天。初步培训将安排。培训包括通过丹尼街门户网站进行散步，以确保你对技术感到舒适并熟悉所需的报告格式化。培训材料也将被分享 （即样本报告和客户特定培训文件）.在培训后，你将有丹尼街联系你，帮助你完成报告时提出任何问题或关切。请注意，这是一个持续的基于项目需求。工作总结 根据客户要求，这可能包括：· 每份文件的总结 （应包含作者，日期和标题或文档类型）·申请人有损诊断 · 对评估影响功能和恢复的任何同生病状况。·任何相关的诊断测试，实验室工作，检查结果或与疾病有关的其他临床信息。· 根据医疗档案，可以很容易理解和支持的限制和限制期限。· 基于临床基础的理由，并支持护士审查员的结论。· 对所有提出的推问题的回答。根据客户要求可能需要向治疗提供者打电话。文件应以专业和简洁的方式编写。· 免于临床和/或索赔缩略字，临床标题是合适的 (MD,Dr,APRN) · 免有语法和拼音问题的。· 所有医学术语都必须用平凡语言解释。· 简单地理解于普通人，避免未经批准的缩写/缩略词，可能不容易被非医疗专业人员理解。工作经验 · 有关注册护士 · 在商业残疾保险方面有前的工作经历：残疾保证承运公司或 TPA （即 UNUM,Sedgwick,Omaha Mutual）· 多种临床背景请注意：为了双方安全，请注意丹街 w
查看英文原文
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. The training will include a walkthrough of the Dane Street portal to ensure you are comfortable with the technology and to become familiar with the required formatting of the reports. Training material will also be shared (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 you have 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. Based on client requirements, this could include:
- A summary of each document (should include an author, date, and title, or type of document)
- The claimant’s impairing diagnosis
- Any comorbid conditions that are impacting function and or recovery in the assessment.
- Any relevant diagnostic testing, lab work, exam findings or other clinical information that is relevant to the impairing condition
- A conclusion to the assessment. Based on client requirements, this section could include:
- Restrictions and limitations that are 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.
Job Experience
- 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
PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
ABOUT DANE STREET (www.danestreet.com):
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.
Originally posted on Himalayas