National Provider of IME and Medical Peer Review Services
Physician Advisory Services Trainer – Auditor
Location
United States
Posted
46 days ago
Salary
Not specified
Job Description
Job Requirements
- Qualifications:**
- RN or LPN license required.
- Strong background in clinical operations, training, or quality assurance.
- Extensive experience in utilization review, with a strong background in health plan practices.
- Experience navigating CMS requirements, health plan criteria, and nationally recognized guidelines such as MCG and InterQual.
- Proficient in rationale writing and translation to patient-friendly language.
- Excellent communication, coaching, and mentoring skills.
- Ability to analyze data and identify trends to drive performance improvements.
- Skilled in client collaboration and escalation management.
- Proficiency with Google Suite, communication platforms, and related applications.
- JOB RELATED SKILLS/COMPETENCIES:**
- Extensive working knowledge of relevant guidelines. Excellent understanding of medical terminology, critical thinking, ability to manage time efficiently and to meet specific deadlines. Present exceptional communication skills with a clear understanding of company business lines. Computer literacy and typing skills are essential.
- WORKING CONDITIONS/PHYSICAL DEMANDS:**
- Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.
- WORK FROM HOME TECHNICAL REQUIREMENTS:**
- Supply and support their own internet services.
- Maintaining an uninterrupted internet connection is a requirement of all work from home position.
- This job description is subject to change at any time.
Benefits
- Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.
- ABOUT DANE STREET:
- A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful 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 Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
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